The nurse is talking with an older adult client who has recently retired after 45 years of working as an executive at the same company. Which of the following demonstrates to the nurse that the client is adjusting to this new phase of life?
1. The client spends most of the day at home and declines invitations to outside gatherings with friends because there is "so much to do" at home.
2. The client has enrolled in courses at the local university to complete the college degree that was started "years ago," but interrupted by family responsibilities.
3. The client has lunch at the company cafeteria several times each week.
4. The client has purchased hearing aids, but rarely uses them.
2
Rationale 1: Enrolling in college courses is an activity that can be very fulfilling in the older adult years, especially after retirement when there is more time to pursue interests. This can provide a stimulating environment intellectually and socially, as well as give a person a sense of self-worth and accomplishment.
Rationale 2: Spending the day at home and declining outside invitations may be a sign that the client is not adjusting well to retirement.
Rationale 3: Eating lunch at the company cafeteria several times a week does not demonstrate a healthy adjustment to retirement.
Rationale 4: Refusing to wear hearing aids may indicate that the client is not adjusting to the physical changes of the older adult years.
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