Question 1

The nurse is caring for a 52-year-old patient who is self-absorbed.What should the nurse identify as the likely cause of this self-absorption?

Accepted Answer

The psychological developmental task of this age group is developing generativity versus self-absorption.Unresolved conflict could be seen as preoccupation with personal needs or self-absorption.A.B.C.These would not be the likely cause of this patient's self-absorption.

Question 2

The nurse determines that a patient has satisfactorily fulfilled the developmental task of integrity.Which phrase should the nurse use to describe this patient?

Accepted Answer

The developmental goal for older adults is integrity versus despair.Integrity refers to accepting responsibility for one's life so far and reflecting on it in a positive way.Reaching this stage is a sign of maturity.B.C.D.These phrases do not describe the patient's achievement of the developmental task of integrity.

Question 3

The nurse is caring for a patient who had a stroke that caused permanent physical changes.Which developmental task should the nurse recognize that the patient needs to accomplish for a positive outcome?

Accepted Answer

Coping with a chronic illness can be aided if the patient develops a positive attitude toward the illness.This can be accomplished if the patient gains knowledge,uses a problem-solving approach to difficulties,and becomes motivated to continue adapting to the illness.B.Hope needs to be facilitated in this patient.C.D.The patient does not need to relinquish favorite hobbies or accept that improvement is not possible.

Question 4

The nurse is contributing to the plan of care for a patient.What should the nurse do to promote health in this patient?

Accepted Answer

Teaching educates and empowers others to perform actions to maintain their own health.A.B.C.These actions help to identify health issues but not necessarily promote health.

Question 5

The nurse is contributing to a staff education program about Erikson's developmental stages.
Which should the nurse present as the developmental stage for a middle-aged adult?

Accepted Answer

Between ages 45 to 65,the psychological developmental task of this age group is developing generativity versus self-absorption.Generativity includes a sense of productivity and creativity and is demonstrated by a concern and support for others,along with a vision for future generations.Unresolved conflict could be seen as preoccupation with personal needs or self-absorption.A.B.C.These are developmental stages for other age groups.

Question 6

The nurse identifies a patient who had satisfactorily fulfilled the developmental task for middle age.What term should the nurse use to describe this patient's accomplishments?

Accepted Answer

The psychological developmental task of this age group is developing generativity versus self-absorption.Generativity includes a sense of productivity and creativity.B.C.D.These terms would not be appropriate for this patient's accomplishments.

Question 7

The nurse is caring for a patient with a chronic illness.What would be a priority outcome for this patient?

Accepted Answer

The goal of nursing care for any patient,including a patient with chronic illness,can best be defined as helping a patient achieve his or her highest possible level of wellness.A.B.D.These might be personal goals for a patient with a chronic illness however may not be a priority.

Question 8

An older patient has accomplished expected developmental tasks.What term should the nurse use to describe this patient's accomplishments?

Accepted Answer

The developmental goal for older adults is integrity versus despair.Integrity refers to accepting responsibility for one's life so far.B.C.D.These terms would not be appropriate to describe the accomplishment of developmental tasks for a person of an older age.

Question 9

The nurse is contributing to a staff education program about health and illness.How should the nurse characterize the relationship of health and illness?

Accepted Answer

Rather than being exclusive concepts,health and illness are dynamic and ever-changing states of being.

Question 10

The nurse is contributing to a staff education program about Erikson's developmental stages.
Which should the nurse present as the developmental stage for an older adult?

Accepted Answer

The developmental goal for people age 65 or older is integrity versus despair.The older adult looks back and evaluates what has been done with his or her life.Integrity refers to accepting responsibility for one's life so far and reflecting on it in a positive way.B.C.D.These are developmental stages for other age groups.

Question 11

The nurse is contributing to a staff education program about chronic illness.What should the nurse include as reasons for the increasing incidence of chronic illness? (Select all that apply.)

Accepted Answer

Chronic illness is rising because people are living longer,due in part to more active lifestyles.Fewer people are dying from acute diseases.Medical advances have resulted in reduced mortality from some chronic illnesses.B.Birth rate has been relatively stable over the past few years and lower than it was in the 1930s; birth rate does not directly affect the incidence of chronic illnesses that primarily occur in older individuals.E.The number of hospitals does not affect the number of people with chronic illnesses.

Question 12

While obtaining a personal history from a 72-year-old patient being admitted to a long-term care facility the nurse notices that the patient seems depressed.Which intervention should the nurse recommend be included in the patient's plan of care?

Accepted Answer

The developmental goal for people age 65 or older is integrity versus despair.Reminiscence is one way for the nurse to assist the older adult in passing through this stage.Depression is not normal with aging.A.B.C.These actions do not support the developmental goal for this age group.

Question 13

The nurse is contributing to a community health-promotion educational event for middle-aged adults.What information should the nurse include in this presentation?

Accepted Answer

Hypertension and heart disease are major health concerns for middle-aged adult Americans.A.B.D.These health problems are not a major concern for this population.

Question 14

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

Accepted Answer

Before coping resources can be used,hope must be established by the patient.False hope is not beneficial and should be replaced with realistic hope.Providing patients with accurate knowledge regarding their fears helps do this.C.Hope should not be directed toward a cure that may not be possible,but rather at living a quality life with the functional capacity that the patient has.A.B.Empowering caregivers and developing a power base are not strategies to cope with a chronic illness.

Question 15

A middle-aged person expresses fear of aging.Which intervention should the nurse use to help this patient?

Accepted Answer

As a first step in therapeutic communication,it is important to allow patients to express concerns whenever they express them.Then based on what is expressed,care can be planned.B.C.D.False reassurance and subjective opinions are not therapeutic.

Question 16

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

Middle-aged adults are those ages 45 to 65 years.Visual changes,hypertension,and heart disease are major health concerns of middle age.A.C.E.Kidney disease,stroke,and Alzheimer's disease typically occur in older adults.

Question 17

The nurse is planning care for an older male patient who is recovering from a failed suicide attempt.What nursing diagnosis should the nurse use to guide this patient's care?

Accepted Answer

The accumulation of losses can overwhelm an older adult's resources and coping mechanisms and is related to a high rate of suicide,especially for older men.Suicide is the ultimate expression of hopelessness.A.C.D.There is no evidence to suggest that this patient is experiencing anxiety,social isolation,or a knowledge deficit.

Question 18

A patient has not been able to fulfill the developmental task for middle age.Which term should the nurse use to describe this patient?

Accepted Answer

The psychological developmental task of this age group is developing generativity versus self-absorption.Unresolved conflict could be seen as preoccupation with personal needs or being self-focused.A.B.C.These terms would not be appropriate for the middle-aged patient who has not been able to fulfill expected developmental tasks.

Question 19

The nurse is caring for a patient who has a chronic illness and is depressed over being a burden to others.Which nursing action would increase the self-esteem of this patient?

Accepted Answer

Establishing short-term goals or self-care activities that allow patients to participate or have small successes are important nursing actions that can increase their self-esteem.A.Long-term goals would not be appropriate at this time.C.D.Performing actions for the patient or encouraging the family to do so would strengthen this patient's feelings of being a burden.

Question 20

The nurse is caring for a 21-year-old patient with a disfiguring injury.Which statement should the nurse expect related to the patient's developmental stage?

Accepted Answer

Intimacy versus isolation is the young adult's task,which is to develop relationships.This is likely to be threatened during illness and is most likely to be the highest priority for the patient.D.This statement represents industry versus inferiority,a developmental stage of childhood.A.This represents identity versus role confusion,a developmental stage of childhood.C.This represents generativity versus self-absorption,a developmental stage of a middle-aged adult.

Quiz 14: Developmental Considerations in the Nursing Care of Adults