Deck 23: Young to Middle Adulthood

Question 1

The nurse is preparing an education program on safety for a young adult group.Based on the major cause of the mortality and morbidity for this age group,on which of the following should the nurse focus?

A) Birth control
B) Automobile safety
C) Occupational hazards
D) Prevention of heart disease

Answer 1

B

Question 2

The nurse is performing a physical examination on a 40-year-old patient.The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?

A) Decreased heart rate
B) Decreased sense of smell
C) Decreased strength of abdominal muscles
D) Decreased function of the cranial nerves

Answer 2

C

Question 3

In Canada,which of the following is the leading cause of death?

A) Cancer
B) Suicide
C) Homicide
D) Motor vehicle accidents

Answer 3

A

Question 4

When teaching a new mother about postpartum blues,what does the nurse tell her in relation to the most common time period after birth for its occurrence?

A) 48 to 72 hours
B) 3 to 6 days
C) 7 to 10 days
D) 2 to 3 weeks

Question 5

In what percentage of affected couples is the cause of infertility unknown?

A) 10%
B) 15%
C) 20%
D) 25%

Question 6

A 49-year-old patient is experiencing problems with depression.She has come to the clinic showing signs of malnutrition and fatigue.Which of the following is the nurse's best initial response?

A) "Your depression is somewhat uncommon-can you tell me what has happened recently to cause it?"
B) "Have you recently been experiencing menopausal symptoms?"
C) "Depression is something to expect at your age, and with assistance you will get better."
D) "How much weight have you lost over the past month?"

Question 7

According to Erikson's developmental theory,the primary developmental task of the middle-adult years is to achieve a willingness to care for and guide others.This is known as what?

A) Autonomy
B) Identity
C) Initiative
D) Generativity

Question 8

Which of the following is an expected finding in the physical assessment of the middle-aged adult?

A) Increased skin turgor
B) Limited extraocular movement
C) Respiratory rate of 12 to 20 breaths per minute
D) Regular heart rate between 80 and 120 beats per minute

Question 9

The nurse is aware of the external influences on young and middle-adult patients.With this knowledge,the nurse recognizes that which one of the following is an effective strategy to promote positive health habits for this age group?

A) Teaching patients to abstain from all alcohol consumption
B) Demonstrating how to take an accurate blood pressure measurement
C) Determining an effective daily exercise schedule for stress reduction
D) Describing the types of medications commonly used for treating depression

Question 10

The nurse is working in the health office at a local community college.Most of the students are young adults.Being aware of the major concerns for this age group,the nurse includes an assessment of which of the following for the patient?

A) Marital status
B) Lifestyle and leisure activities
C) Experience with chronic disease
D) History of childhood accidents

Question 11

A 29-year-old lone female parent of three children,who is currently pregnant,comes into the well-child clinic for a prenatal visit.To determine how the patient will be able to cope with the pregnancy,which of the following questions should the nurse ask her?

A) "Have you ever been married?"
B) "Where do you work now?"
C) "Has anyone taught you the principles of contraception?"
D) "Whom do you have for support during this pregnancy?"

Question 12

Lack of which of the following is considered an external barrier to changing negative health habits?

A) Motivation
B) Knowledge
C) Social supports
D) Financial means

Question 13

The nurse is performing a physical examination on a 58-year-old patient.The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?

A) Reduced pupillary reaction to light
B) Palpable thyroid lobes
C) Decreased skin turgor
D) Increased range of joint motion

Question 14

In reviewing the developmental patterns of young adults,the nurse is aware that individuals at this point in their life usually tend to do which one of the following?

A) Continue their physical growth.
B) Experience severe illnesses.
C) Ignore physical symptoms.
D) Seek frequent medical care.

Question 15

A patient thinks that she might be pregnant.Which first-trimester physiological changes would most likely indicate this?

A) Amenorrhea and nausea
B) Braxton-Hicks contractions
C) Shortness of breath
D) Increased colostrum