Deck 23: Promoting Health in Young and Middle-Aged Adults

Question 1

A client has been coming to the same clinic for a long time. The nurse can identify movement into Kohlberg's post-conventional level when the client, after being asked about work, makes this statement:

A) "I've done a good job for the company. I'm proud of my years there."
B) "Work is fine, but my family and friends are so much more important to me."
C) "Oh, the work isn't so bad anymore. I'm getting close to retirement."
D) "I don't like to talk about work when I'm not there."

Answer 1

"Work is fine, but my family and friends are so much more important to me."

Question 2

The nurse is working with a group of adults, ages 18 to 25, assisting them with pre-employment physicals at a local industrial plant. This age group is representative of which of the following?

A) Baby Boomers.
B) Generation X.
C) Millenniums.
D) Generation Y.

Answer 2

Generation Y.

Question 3

The nurse is working with a group of adults, ages 35 to 45, assisting them with pre-employment physicals at a local industrial plant. This age group is representative of which of the following?

A) Baby Boomers.
B) Generation X.
C) Millennials.
D) Generation Y.

Answer 3

Generation X.

Question 4

A nurse is working with a group of middle-aged adults and has decided to set up an educational session regarding the psychosocial development of this age group. According to Erikson's (1963) theory, what activity would best meet the needs of this stage?

A) Giving the group handouts regarding peer socialisation.
B) Assisting the group members to look at their life accomplishments.
C) Helping the members of this group find appropriate civic responsibility.
D) Providing opportunity to mentor school-age children.

Question 5

The nurse is assisting in a community health project for middle-aged adults and wants to research which members of the community have been successful in the tasks identified by Erikson. Which indicators would the nurse look for in middle-aged adults?

A) Ability to manage a home.
B) Ability to find an acceptable social group.
C) Ability to have satisfaction in their volunteer activities.
D) Satisfaction with rearing children.

Question 6

A community health nurse is doing a screening for cervical cancer at a women's health fair. Which of the following clients would have the highest risk factor for cervical cancer?

A) The client who has a sister with breast cancer.
B) The client who was married at age 27.
C) The client who has a history of genital herpes.
D) The client who had a difficult vaginal delivery two years ago.

Question 7

The characteristics tasks of a young adult include all of the following except:

A) separation from parents.
B) exploration of new identities for the self.
C) developing leisure time activities.
D) high-risk behaviour.

Question 8

The leading cause of death in young adulthood is:

A) injury and poisoning.
B) sexually transmitted diseases.
C) substance abuse.
D) suicide.

Question 9

A nurse is working in a community health office that is often frequented by young adults. In assessing for potential problems, the nurse realises that a leading cause of death in this age group is suicide. Which of the following factors may indicate a problem in this area?

A) Decreased interest in work.
B) Weight loss.
C) Depression.
D) Brain dysfunction, including tumours.
E) Sleep disturbances.

Question 10

Developmental tasks associated with middle-age clients include all of the following except:

A) parenthood versus self-absorption.
B) career productivity versus inadequacy.
C) being needed versus alienation.
D) intimacy versus isolation.

Question 11

The nurse is providing assistance at a community health fair that targets the middle-aged client. Which of the following statements is true for this age group?

A) The middle-aged person has decreased physical and cognitive abilities as a result of the normal ageing process.
B) Adults make the transition into this stage easily and without problems.
C) Cognitive and intellectual abilities are somewhat decreased due to slower reaction time, loss of memory, and changes in perception and problem solving.
D) Physical capabilities and functions decrease with age, but mental and social capacities tend to increase in the latter part of life.

Question 12

A middle-aged client is struggling with life changes, including menopause. The best response by the nurse to this client is:

A) "There is a menopause support group that meets every two weeks."
B) "Don't worry, menopause can't last forever."
C) "There are some very good antidepressants you can take."
D) "What did your mother do to get through menopause?"

Question 13

A middle-aged client comes to the clinic with a history of pain in his testicle. During the interview assessment, which of the following should be of concern to the nurse?

A) He has not had an annual exam for five years.
B) He does not perform testicular self-exam.
C) He smokes half a pack of cigarettes per week.
D) The client works as a car-detailer.

Question 14

A nurse works with young adults, all assigned to the same shift in a manufacturing plant. There have been several episodes of discussion regarding working schedules over the holidays. They will be able to balance the emotional as well as logical side of the discussion based on which of the following?

A) Formal operational stage.
B) Fowler's spiritual development theory.
C) Post-formal thought process.
D) Kohlberg's theory of moral development.

Question 15

Post-formal thought is a cognitive development that includes:

A) Kohler's moral development stage.
B) creativity, intuition and relative knowledge.
C) separate self from expectations and rules of others.
D) a focus on reality and philosophical questions.

Question 16

The nurse is performing a community assessment. Which of the listed assessment data from this community would follow the national norms regarding disease for the middle-aged adult?

A) Coronary heart disease is the leading cause of death.
B) Injuries and chronic disease are the leading causes of death in this age group.
C) Cancer is the leading cause of death in the age group from 25 to 64 years.
D) Leading causes of death include suicide and motor vehicle crashes.

Question 17

A colleague is telling the community health nurse that their adult child has just moved back in with them. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which of the following contribute to this particular trend?

A) Maladaptive behaviour.
B) High unemployment rate.
C) High housing costs.
D) High incidence of chronic disease.

Question 18

An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the employees, which group presents with the greatest risk for this problem?

A) Male and female employees, equally.
B) Non-Indigenous males under 45 years of age.
C) Women under 55 years of age.
D) Indigenous males over 45 years of age.

Question 19

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to understand exactly what might be going on, the nurse should ask which of the following questions?

A) "Is someone hurting you?"
B) "Can you explain what your family life is like?"
C) "What kind of problems are you having?"
D) "Can you tell me what's been going on in your life lately?"

Question 20

When working with young adults, the community health nurse realises that the psychosocial developmental tasks include which of the following?

A) Selecting a mate.
B) Rearing children.
C) Achieving civic responsibility.
D) Finding a congenial social group.
E) Developing adult leisure-time activities.

Question 21

A group of middle-aged clients is coming to the community health centre inquiring about health problems inherent in their age group. If the nurse wants to focus on a nutritional aspect in order to address the physiological changes of this age group, the nurse should:

A) give all clients a handout on diets recommended by the Australian Association of Dieticians.
B) have them write to the Australian Department of Health and Ageing.
C) provide information on the importance of protein, calcium and vitamin D.
D) tell the clients to check with their doctor before dieting.

Question 22

A nurse is working in a community of mostly blue-collar workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:

A) tell this group that smoking is unacceptable.
B) make sure the group is aware of the increased risk of liver disease and cancer of the oesophagus.
C) counsel the group regarding addiction.
D) make available the resources and support service details.

Question 23

The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the Australian Cancer Society, the nurse explains that it is important to:

A) have their technique validated by a health care practitioner at an annual physical examination.
B) see a doctor if there is a strong family history of breast cancer.
C) have an annual mammogram.
D) do monthly breast self-exams.

Question 24

During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding weight loss. The nurse's best response is:

A) "Metabolism slows during middle age, which may result in weight gain."
B) "Weight loss is no different during this time than any other time of your life."
C) "As long as you exercise appropriately, weight loss will be ensured."
D) "Weight loss is always a good idea, regardless of your age."