Question 1

The nurse is participating in the creation of a teaching seminar about healthy behaviors for the young adult. What topics should the nurse suggest be included in this seminar? (Select all that apply.)

Accepted Answer

Topics such as diet and exercise, avoiding tobacco use, avoiding sun exposure, and performing self-examinations are crucial for promoting healthy behaviors among young adults. These topics cover essential aspects of maintaining physical health, preventing chronic diseases, and early detection of potential health issues. Restricting hours of sleep is not advisable as adequate sleep is essential for overall health and well-being.

Question 2

The nurse is teaching an older adult about avoidance of risky behaviors. Which statement made by the patient would be of most concern to the nurse?

Accepted Answer

The statement about drinking two or three beers after work to relax is concerning because it suggests a reliance on alcohol to manage stress, which can be risky, especially for older adults due to potential interactions with medications and increased sensitivity to alcohol's effects.

Question 3

The nurse is teaching health promotion to a group of patients. Which patients are at highest risk for developing chronic disease? (Select all that apply.)

Accepted Answer

A,B,D,E

Question 4

The nurse is caring for a 23-year-old patient who is in the intimacy versus isolation stage of development. Which statement would confirm this?

Accepted Answer

Erik Erikson's theory of psychosocial development identifies the intimacy versus isolation stage as occurring during early adulthood, around ages 20 to 40. This stage focuses on forming intimate, loving relationships with others. Statement C, which discusses considering going to dinner with a potential romantic interest while being content with one's life, aligns with the exploration of intimate relationships characteristic of this stage.

Question 5

The nurse is teaching a class about suicide prevention. Which individual is at highest risk for suicide?

Accepted Answer

Older men, particularly those over the age of 65, have the highest suicide rates. Factors such as isolation, loss of loved ones, and health problems contribute to this risk.

Question 6

The nurse is assessing an older adult. The nurse would expect to classify the patient in which Erikson's stage of development?

Accepted Answer

Erikson's stage of "Integrity versus Despair" is typically associated with older adulthood. In this stage, individuals reflect on their life and either come to terms with how they have lived or experience regret and despair over past decisions.

Question 7

The nurse is discussing sexual intimacy with an older patient. Which statement made by the patient requires correction by the nurse?

Accepted Answer

Sexual intimacy encompasses a broad range of physical and emotional interactions beyond just sexual intercourse. It includes affectionate gestures, emotional closeness, and other forms of physical intimacy, reflecting a more comprehensive understanding of intimacy in relationships at any age.

Question 8

The nurse is contributing to a staff education program about chronic illness. What should the nurse include as being congenital diseases? (Select all that apply.)

Accepted Answer

The answer of The nurse is contributing to a staff...

Question 9

The nurse is teaching a group of chronically ill adults about coping with their illness. Which statements indicate an understanding of the teaching? (Select all that apply.)

Accepted Answer

A) Recognizing when symptoms worsen and knowing when to contact a healthcare provider is a key aspect of managing a chronic illness effectively. B) Joining a support group can provide emotional support and valuable information from others experiencing similar challenges. D) Regular monitoring of blood glucose levels is crucial for individuals with diabetes or other conditions affecting blood sugar, indicating an understanding of the importance of consistent health monitoring. F) Maintaining social connections and engaging in regular activities can improve mental health and overall well-being, which is important for coping with chronic illness.

Question 10

The nurse is caring for a group of patients. Which patient is at highest risk for the nursing diagnosis of risk for caregiver role strain?

Accepted Answer

The 45-year-old with three children who is caring for his older father with cancer is at the highest risk for caregiver role strain due to the demands of caring for a sick relative while also managing responsibilities towards his own immediate family.

Question 11

Which can lead to a loss of independence for older adults? (Select all that apply.)

Accepted Answer

Inability to drive, loss of hearing, loss of vision, and dementia can all lead to a loss of independence for older adults. These conditions can significantly impair an individual's ability to perform daily activities independently, whereas the ability to cook (C) typically contributes to maintaining independence.

Question 12

The nurse is contributing to a staff education program about adult health concerns. Which common health concerns of middle-aged adults should the nurse include? (Select all that apply.)

Accepted Answer

The answer of The nurse is contributing to a staff...

Question 13

The nurse is teaching a group of caregivers about risk factors for elder abuse. Which of the following psychosocial factors should the nurse assess for in the caregiver? (Select all that apply.)

Accepted Answer

Depression, grieving, burnout, stress, and role strain are all psychosocial factors that can increase the risk of a caregiver committing elder abuse. These factors can lead to decreased patience, empathy, and an increased likelihood of negative behaviors towards those they are caring for. Extra energy is not typically considered a risk factor for elder abuse.

Question 14

The nurse is caring for a patient with a chronic illness. What should the nurse encourage the patient to use as a coping resource?

Accepted Answer

Developing a realistic, hopeful attitude helps patients manage their expectations and maintain a positive outlook, which is crucial for coping with chronic illnesses.

Question 15

Which is the leading cause of death among the middle-adult age group?

Accepted Answer

Cardiovascular disease is the leading cause of death among the middle-adult age group, due to factors such as lifestyle, diet, and genetics contributing to heart conditions.

Question 16

The nurse is caring for a patient with a chronic illness who no longer works and does not qualify for disability. To whom should the nurse refer the patient?

Accepted Answer

A social worker is the best professional to assist with navigating the complexities of healthcare, financial assistance, and community resources for someone who is not working and does not qualify for disability. They are trained to help individuals facing social and financial difficulties.

Question 17

The nurse is teaching a group of patients about illness caused by genetics. Which topics should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

Huntington disease, cystic fibrosis, and sickle cell anemia are all caused by genetic mutations.

Question 18

The nurse is talking to a 45-year-old patient who states she switched jobs, bought a red convertible, and pierced her nose. The nurse suspects the patient is experiencing which of the following?

Accepted Answer

The patient's actions suggest she might be experiencing a midlife crisis, a period characterized by significant changes or challenges in identity and self-confidence, often occurring in middle age. The behaviors described (switching jobs, buying a convertible, getting a piercing) are typical actions someone might take in an attempt to feel younger or to make significant life changes during a midlife crisis.

Question 19

Which are factors leading to the development of chronic disease? (Select all that apply.)

Accepted Answer

B) Exposure to air pollution can introduce harmful particles into the body, leading to respiratory and cardiovascular diseases. C) Substance abuse, including alcohol, drugs, and tobacco, can lead to a variety of chronic diseases such as liver disease, heart disease, and cancer. E) Chronic stress can weaken the immune system, increase blood pressure, and contribute to diseases such as obesity, heart disease, and diabetes.

Question 20

The nurse is caring for a patient who just received a diagnosis of terminal cancer. Which might the nurse observe in this patient?

Accepted Answer

The nurse might observe despair in a patient who just received a diagnosis of terminal cancer due to the emotional impact of facing a life-threatening illness and the associated fear, sadness, and potential loss of future plans.

Quiz 14: Developmental Considerations and Chronic Illness in the Nursing Care of Adults