Deck 14: Developmental Considerations in the Nursing Care of Adults

Question 1

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

A)Generativity versus self-absorption
B)Identity versus role confusion
C)Intimacy versus isolation
D)Integrity versus despair

Answer 1

Integrity versus despair

Question 2

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

A)Alzheimer's disease
B)Cardiovascular disease
C)Hypertension
D)Kidney failure
E)Stroke
F)Visual changes

Answer 2

Cardiovascular disease
Hypertension
Visual changes

Question 3

The nurse is contributing to a staff education program about chronic illness. Which of the following are reasons for the increasing incidence of chronic illness? (Select all that apply.?

A)People are living longer.
B)There is an increase in the number of hospitals.
C)Fewer people are dying from acute illnesses.
D)Medical advances reduced mortality from chronic illnesses.
E)More people have an active lifestyle.
F)The birth rate is increasing rapidly.

Answer 3

People are living longer.
Fewer people are dying from acute illnesses.
Medical advances reduced mortality from chronic illnesses.
More people have an active lifestyle.

Question 4

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

A)Accepting that hope is gone
B)Accepting that improvement is not possible
C)Adapting to the changes
D)Letting go of favorite hobbies

Question 5

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?

A)Establishing long-term patient goals
B)Performing activities of daily living for the patient
C)Encouraging the family to provide supportive patient care
D)Allowing the patient self-care opportunities

Question 6

The nurse would use which of these terms to describe a patient who had satisfactorily fulfilled the developmental task for middle age?

A)Creative
B)Rebellious
C)Self-centered
D)Withdrawn

Question 7

The nurse is caring for a 52-year-old patient who is self-absorbed. Which of these does the nurse identify as likely causing this self-absorption?

A)Unresolved finances
B)Depression
C)Unresolved generativity
D)Loss of friends

Question 8

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

A)"Soccer is my life, what if I can't play anymore with my friends?"
B)"I just don't know who I am now."
C)"I'm afraid my fiancé won't want me anymore."
D)"I haven't accomplished what I'd planned in life yet."

Question 9

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

A)Generativity versus self-absorption
B)Identity versus role confusion
C)Intimacy versus isolation
D)Integrity versus despair

Question 10

The nurse is obtaining a personal history for a 72-year-old patient admitted to a long-term care facility. The nurse notices that the patient seems depressed. Which of the following interventions should the nurse recommend be included in the patient's plan of care?

A)Tell the patient to look forward and not back at the past.
B)Guide the patient in reminiscing about the past with a focus on the positives.
C)Remind the patient to be accepting of help from family members.
D)Explain to the patient that some level of depression is normal with aging.

Question 11

The nurse is caring for a patient with a chronic illness. Which of the following would be a priority outcome for this patient?

A)Decreasing social isolation
B)Controlling personal health-care decisions
C)Decreasing stress levels in the family
D)Achieving optimal personal level of health

Question 12

The nurse would use which of these terms to describe a patient who had unsatisfactorily fulfilled the developmental task for middle age?

A)Creative
B)Outgoing
C)Productive
D)Self-focused

Question 13

The nurse is contributing to the plan of care for a patient. What is the most important role of the nurse in promoting health for a patient?

A)Changing the patient's habits
B)Teaching healthful lifestyle practices
C)Performing a health risk assessment
D)Discussing poor health habits

Question 14

Which of these, if used to describe a patient, would the nurse determine indicates a satisfactorily fulfilled developmental task of integrity?

A)States a fear of death
B)Accepts life lived
C)Expresses dissatisfaction with life
D)Grieves over life mistakes
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 15

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

A)Exclusive concepts
B)Nondynamic
C)Changing states
D)Constant states

Question 16

The nurse is contributing to a community health-promotion educational event aimed at middle-aged adults. The nurse should include information related to which of the following?

A)Dementia
B)Hypoglycemia
C)Pneumonia
D)Heart disease

Question 17

The nurse is contributing to a staff education program about chronic illness. Which of the following are acquired (not congenital or genetic) chronic illnesses? (Select all that apply.?

A)Cataracts
B)Chronic obstructive pulmonary disease
C)Cancer
D)Huntington's disease
E)Muscular dystrophy
F)Multiple sclerosis

Question 18

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

A)Be hopeful for a disease cure.
B)Develop a realistic, hopeful attitude.
C)Empower caregivers.
D)Develop a power base.

Question 19

Which intervention would be appropriate for a middle-aged patient who expresses, "I am afraid of being middle aged"?

A)Explain to the patient that there is nothing to fear.
B)Tell the patient that these are the best years of life.
C)Reassure the patient that this fear is normal.
D)Allow the patient to express fears.

Question 20

The nurse would use which of these terms to describe a patient who had satisfactorily fulfilled the developmental task for old age?

A)Accepting
B)Productive
C)Self-centered
D)Withdrawn

Question 21

Which of these characteristics would the nurse recognize as being displayed by a patient exhibiting despair? (Select all that apply.?

A)Coping with aging changes
B)Stating a fear of death
C)Finding meaning in life
D)Expressing life satisfaction
E)Avoiding social activities
F)Exercising daily

Question 22

The nurse is assisting in the care of a patient with small cell lung cancer who regrets a long-term history of smoking and verbalizes a desire to stop smoking. Which of the following interventions would the nurse recommend be included in the patient's plan of care? (Select all that apply.?

A)Provide information related to smoking cessation.
B)Encourage the patient to establish short-term goals.
C)Discuss the patient's previous efforts to stop smoking.
D)Inform the patient that smoking cessation at this point is not beneficial.
E)Refer the patient for electroshock therapy.
F)Discuss the benefits of smoking cessation with the patient and family.

Question 23

The nurse is reinforcing teaching for a chronically ill older patient to assist the patient in adapting to a chronic illness. Which of the following should the nurse include in the teaching? (Select all that apply.?

A)Try to ignore your symptoms as much as possible.
B)Revise your daily schedule as needed to adjust to your illness.
C)Understand your medical regimen, and follow it carefully.
D)Limit your social contacts and activities.
E)Plan ways to compensate for your limitations.

Question 24

The nurse is caring for a patient who has a chronic illness and whose spouse is the caregiver. Which of the following should the nurse do to assist the caregiver with coping? (Select all that apply.?

A)Convey that a cure is possible.
B)Encourage a realistic, hopeful attitude.
C)Empower the caregiver.
D)Assist the caregiver in identifying a support network.
E)Share community resources.

Question 25

The nurse is contributing to a staff education program about chronic illness. Which of the following is a congenital disease? (Select all that apply.?

A)Cancer
B)Cystic fibrosis
C)Huntington's disease
D)Malabsorption syndrome
E)Sickle cell anemia
F)Spina bifida

Question 26

The nurse is caring for a patient who has been working on issues related to the developmental stage of young adulthood. Which of the following, if documented about the patient, would indicate to the nurse resolutions of the developmental task issues? (Select all that apply.?

A)Has large network of family and friends at bedside
B)Verbalizes sense of productivity at work
C)Expresses concern for future generations
D)Verbalizes acceptance of life decisions
E)Expresses concern illness will cause strain on spouse and children
F)Requests visit from chaplain to discuss multiple losses and sense of isolation

Question 27

The nurse is contributing to the plan of care for a patient who has a chronic illness and has a caregiver. What does the nurse understand are the purposes of respite care? (Select all that apply.?

A)Provide the caregiver with a vacation.
B)Allow the caregiver to reduce stress.
C)Evaluate the health of the patient.
D)Allow the caregiver to go shopping.
E)Prevent patient neglect.