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    Ati Nur 211 Fundamentals proctored Exam

    A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

    Explanation & Rationale

    A. While changes in sexuality may occur in older adults, there is no indication that this is a concern for this client at this time. B. Retirement can cause psychosocial changes, but this client has been retired for 5 years, making it a less immediate concern. C. The client is at high risk for social isolation due to widowhood, lack of transportation, rural living, and the absence of a driving license. Social isolation is a major psychosocial risk in older adults and can lead to depression, cognitive decline, and physical deterioration. D. Environmental factors (rural area, lack of transport) contribute to the risk of social isolation but are not the psychosocial issue itself.

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