Question 1

The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?

Accepted Answer

A,B,C,E

Question 2

The nurse is providing assistance at a community health fair for middle-aged clients.Which information should the nurse use when working with this group of clients?

Accepted Answer

C) is correct because it accurately reflects the general trends observed in middle-aged adults. While physical capabilities might decline, mental and social capacities often increase, reflecting the accumulation of life experiences and wisdom. Choices A, B, and D suggest misconceptions about aging, such as inevitable cognitive decline and universal ease of transition, which do not accurately represent the varied experiences of middle-aged individuals.

Question 3

A client comes to the clinic with a history of pain in his testicle.During the interview assessment,what information should be of concern to the nurse?

Accepted Answer

C

Question 4

The nurse can identify movement into Kohlberg's postconventional level when the client,after being asked about work,makes which statement?

Accepted Answer

Kohlberg's postconventional level of moral reasoning involves a focus on universal principles and the welfare of others, rather than just personal gain or following rules. Option B indicates a prioritization of relationships and interpersonal connections over work, which aligns with this level of moral reasoning. The other options focus more on personal satisfaction, achievement, or avoidance of discomfort, which are reflective of lower moral reasoning stages.

Question 5

While assisting in a community health project for middle-aged adults,the nurse attempts to identify members of the community who have been successful in the tasks identified by Erikson.What characteristic should the nurse identify in the community members?

Accepted Answer

Middle-aged adults are in Erikson's stage of Generativity vs. Stagnation, where success is marked by contributing to society and helping the next generation, which can be reflected in satisfaction with volunteer activities.

Question 6

The nurse is preparing information for a community health education seminar.Which statement should the nurse include regarding disease for the middle-aged adult?

Accepted Answer

The answer of The nurse is preparing information for a...

Question 7

A nurse is working in a community of factory 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:

Accepted Answer

Becoming more aware of marketing efforts by tobacco companies can help young adults make more informed decisions about tobacco use and potentially reduce their likelihood of starting or continuing to smoke. Simply telling them smoking is unacceptable may not be effective, as peer pressure and social norms can be powerful influences. While discussing the risks of liver disease and cancer may be important, addressing addiction directly can also be helpful in promoting tobacco cessation. However, in this scenario, focusing on marketing efforts is the best choice for targeting the health problem of the young adult group in a community of factory workers.

Question 8

A client approaching middle age asks for information to keep mentally sharp.What should the nurse explain about the cognitive abilities of the middle-aged client?
(Select all that apply)

Accepted Answer

Cognitive abilities such as reaction time, memory, problem-solving ability, and overall cognitive and intellectual abilities generally remain stable during middle age. Learning does not decline to the point where it cannot be completed; adults in middle age can still learn new skills and information effectively.

Question 9

The nurse is confident that a young adult has successfully achieved psychosocial development.What observations about the client did the nurse make to come to this conclusion?
(Select all that apply)

Accepted Answer

The answer of The nurse is confident that a young...

Question 10

A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults.According to Erikson's theory,what activity should the nurse select to best meet the needs of this stage?

Accepted Answer

Middle-aged adults are in the stage of "Generativity vs. Stagnation" according to Erikson's theory, where they focus on contributing to society and helping the next generation, such as mentoring school-age children.

Question 11

A colleague is telling the community health nurse that his adult child has just moved back in with him and his wife.They are finding this situation somewhat difficult to adjust to.The nurse offers support and listens,while understanding that which factor is least likely contributing to this particular trend?

Accepted Answer

AU/ED: pls check seems that correct rationale s/b a factor that has not contributed to this trend
See rationale 4 below

Question 12

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

Accepted Answer

The best response by the nurse is to provide support and a sense of community. Recommending a menopause support group that meets regularly provides the client with an opportunity to discuss their concerns and share experiences with others going through the same life changes. Option A may minimize the client's struggles, and option B may not be appropriate without a further assessment. Option C may not be helpful as the client's mother may have had different experiences during menopause.

Question 13

During an educational session regarding physical changes of the middle-aged adult,a participant asks about typical weight changes.How should the nurse respond?

Accepted Answer

Metabolism slows down during middle age, which may lead to weight gain if dietary and exercise habits are not adjusted accordingly. It is important to maintain a healthy diet and exercise regularly to prevent weight gain and potential health problems. Option A and D are not accurate statements, and option C oversimplifies the issue of weight loss.

Question 14

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 best assess the client,what should the nurse ask the client?

Accepted Answer

The client's physical symptoms and lack of eye contact could be indicative of abuse or trauma. Asking if someone is hurting the client could open up a line of communication and help the nurse determine a potential cause for the physical symptoms.

Question 15

A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?

Accepted Answer

Providing age-specific diet plans can help address the clients' concerns more directly and accurately than simply giving them a general handout. Recommending that they consult their physician before making any dietary changes is also appropriate, but providing specific information shows that the nurse is addressing their specific needs. Contacting the U.S. Department of Agriculture is not necessary in this situation.

Question 16

A community health nurse is doing a screening for cervical cancer at a women's health fair.Which client should the nurse identify as having the highest risk factor for cervical cancer?

Accepted Answer

The client with a history of genital herpes has a higher risk factor for cervical cancer as the herpes virus can cause changes in the cervix that may lead to cancer. The other options do not have a direct correlation with increased risk for cervical cancer.

Question 17

An occupational health nurse is providing a hypertension screening at a local manufacturing plant.Among the employees,the nurse should focus on which population?

Accepted Answer

African American males have a higher prevalence of hypertension compared to other demographic groups. This makes them a priority for hypertension screening in efforts to identify and manage the condition early.

Question 18

The nurse is observing a group of young adults engaged in a discussion regarding work schedules over the holidays.What should the nurse realize that these adults will use to balance the emotional as well as logical side of the discussion?

Accepted Answer

Postformal thought process involves balancing the emotional and logical aspects of a situation. It is a stage of development that follows formal operational thought and is typically reached in early adulthood. This stage enables individuals to consider multiple perspectives and to weigh emotions and logical reasoning when making decisions. Therefore, the nurse should realize that the young adults engaged in the discussion about work schedules over the holidays are likely using postformal thought processes to balance their emotions and logical reasoning.

Question 19

The nurse is working with young adults in the community.What should the nurse realize as being the psychosocial developmental tasks of this population?
(Select all that apply)

Accepted Answer

The answer of The nurse is working with young adults...

Question 20

A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations.What should the nurse recommend to this client?

Accepted Answer

The answer of A 30-year-old client who plans to travel...

Quiz 22: Promoting Health in Young and Middle-Aged Adults