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1. A 75-year-old woman with hypertension and diabetes
visits her primary care provider for a routine check-up. She
reports feeling tired, depressed, and lonely since her
husband passed away six months ago. She has lost interest
in her hobbies and social activities. She also complains of
poor sleep quality and appetite. What is the most
appropriate nursing diagnosis for this patient?
a) Chronic sorrow
b) Social isolation
c) Ineffective coping
d) Risk for suicide
Answer: c) Ineffective coping
Rationale: Ineffective coping is defined as the inability to
manage stressors that affect one's well-being. This patient
is experiencing multiple stressors, such as bereavement,
chronic illness, and aging, that may impair her ability to
cope effectively. Chronic sorrow, social isolation, and risk
for suicide are potential outcomes of ineffective coping, but
not the primary problem.
2. A 65-year-old man with a history of smoking and
chronic obstructive pulmonary disease (COPD) is admitted
to the hospital with an acute exacerbation of his condition.
He has difficulty breathing, wheezes, and coughs up yellow
sputum. He is prescribed oxygen therapy, bronchodilators,
antibiotics, and steroids. What are some nursing
interventions to promote healthy aging for this patient?
a) Encourage smoking cessation and provide nicotine
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