Deck 23: Young to Middle Adulthood

Question 1

A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes.What should the nurse explain?

A)Those symptoms are normal when a woman undergoes the climacteric.
B)An assessment is not really needed because these problems are normal for older women.
C)The patient's age and symptoms point toward normal menopause.
D)The patient should stop regular exercise because that is probably causing her symptoms.

Answer 1

The patient's age and symptoms point toward normal menopause.

Question 2

A 25-year-old patient is brought to the hospital by police after crashing his car in a high-speed chase when trying to avoid arrest for spousal abuse.What should the nurse do?

A)Question the patient about drug use.
B)Offer the patient a cup of coffee to calm his nerves.
C)Be aware that substance abuse is usually obvious.
D)Deal with the issue at hand,and put off asking about previous illnesses.

Answer 2

Question the patient about drug use.

Question 3

What do changing norms and values about family life in Canada reveal?

A)Basic shifts in attitudes in Canadian society.
B)Greater resistance to cohabitation without marriage.
C)Decreased numbers of infants born to unmarried women.
D)Greater support and acceptance from the health care system.

Answer 3

Basic shifts in attitudes in Canadian society.

Question 4

Nurses need to provide competent care to young and middle-aged adult patients.Why must nurses be knowledgeable about developmental theories to care for this group? (Select all that apply. )

A)These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle-aged adults.
B)It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
C)Patients present challenges to nurses,many of whom are young or middle-aged adults coping with the demands of their respective developmental period.
D)Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.

Question 5

When describing relevant family psychosocial factors in middle adulthood that cause stress,the nurse would not include which of the following?

A)Singlehood and feeling isolated.
B)Choices stemming from marital changes.
C)Financial security and certainty.
D)Planning for the future when children leave home.

Question 6

The nurse is performing a physical examination on a 40-year-old patient.The nurse will probably find that at this age,the patient is experiencing which 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.

Question 7

The nurse knows that the young adult patient understands the health risks that affect his or her age group when the patient makes which statement?

A)"It's probably safe for me to start smoking.At my age,there's not enough time for cancer to develop."
B)"I am sure that I am going to get emphysema.Both my mother and my aunt had it.It's genetic."
C)"Controlling the amount of stress in my life may decrease the risk of illness."
D)"I don't do drugs.I do drink coffee,but caffeine is not a drug.It is perfectly safe and has no side effects."

Question 8

A nursing student is asked to compare major life events of young adult,middle adult,and childbearing families.Which statement by the student demonstrates understanding?

A)"Young adults have gained sexual experience and do not need sexual education."
B)"Once a woman has her baby,stress levels decrease,as does health risk."
C)"The social pressure to get married is greater now than it ever was."
D)"When both married people work,income is increased,but so is stress."

Question 9

When performing a thorough psychosocial assessment on a young adult,what must the nurse realize?

A)Having a job is the best way to relieve stress.
B)Although psychologically disturbing,stress does not lead to physical illness.
C)Change is inevitable and is not a factor in stress-related illness.
D)Psychosocial health is often related to job and family stress.

Question 10

During middle adulthood,the 50-year-old patient is likely to adapt favourably to a changing body image if he or she does what?

A)Decreases the amount of physical exercise.
B)Eats a diet composed of 40% fat.
C)Gets less than 5 hours of sleep per night.
D)Engages in good hygiene practices.

Question 11

A patient states that she is pregnant,is concerned because she does not know what to expect,and wants her husband to play an active part in the birthing process.What should the nurse tell the patient?

A)Childbirth classes can prepare pregnant women and their partners for what is coming.
B)The frequency of sexual intercourse is key to helping the husband feel valued.
C)After the birth,the stress of pregnancy will disappear and will be replaced by relief.
D)After the baby is born,the wife should accept the extra responsibilities of motherhood.

Question 12

During a routine physical assessment,the nurse obtaining a health history notes that a 50-year-old woman reports pain and redness in the right breast.What is the nurse's best action in response to this finding?

A)Explain to the patient that breast tenderness is normal at her age.
B)Tell the patient that redness is not a cause for concern and is quite common.
C)Assess the patient as thoroughly as possible.
D)Inform her that redness is the precursor to normal unilateral breast enlargement.

Question 13

When choosing an appropriate topic for a young adult health fair,the nurse ranks which topic as least relevant?

A)Unplanned pregnancies.
B)Menopause and climacteric factors.
C)Smoking cessation.
D)Alcohol and drug use.

Question 14

The nurse is teaching a class to pregnant women about common physiological changes during pregnancy.Which statement by the nurse accurately describes these changes?

A)"Pregnancy enhances your ability to cope with stress."
B)"Being nauseated and feeling tired will not affect your physical body image."
C)"You and your partner may experience feelings of uncertainty about assuming the roles of parents."
D)"Returning home after delivery will rejuvenate you and foster independence."

Question 15

What are the most common life events that occur during young adulthood? (Select all that apply. )

A)Refining self-perception and ability for intimacy.
B)Achievement of personal and occupational goals.
C)Examination of life goals and relationships.
D)Rejection of culture-bound definitions of health and illness.
E)Women surrendering careers to raise families.

Question 16

What should the nurse recognize when comparing the physical changes in young and middle adulthood?

A)Fertility issues do not occur in young adulthood.
B)Young adults are quite active but are at risk for illness in later years.
C)Young adults tend to suffer more from severe illness.
D)Exercise is less important in young adulthood than in middle adulthood.

Question 17

A 61-year-old obese patient receives diagnoses of type 2 diabetes and high blood pressure.The patient states that he is upset about the diet restrictions imposed by the treatment regimen.What is the nurse's best approach?

A)Tell the patient that he must do what the doctor tells him.
B)Offer counselling on nutrition and exercise.
C)Tell the patient about what happened to other patients who did not change their lifestyle.
D)Explain that he needs to accept the care provider's advice without question if he wants to get better.

Question 18

A nurse is about to discuss the risks of repeated sun exposure with a young adult patient.Which of these statements would be most expected from this patient before the discussion?

A)"I'll make an appointment with my doctor right away for a full skin check."
B)"I should consider participating in a health fair about safe sun practices."
C)"I have a mole that has been bothering me.I'll call my family doctor for an appointment to get it checked."
D)"I've had this mole my whole life.So what if it changed colour? My skin is fine."

Question 19

The nurse is caring for a hospitalized young man who is uninsured even though he works as a dishwasher at a local restaurant.He states that he would like to get a better job,but he has no education.How can the nurse best assist this patient psychosocially?

A)By providing information and referrals.
B)By telling the patient that he needs to go back to school.
C)By focusing on the patient's medical diagnoses.
D)By expecting the patient to be flexible in his decision making.

Question 20

When providing prenatal care,what information does the nurse expect to provide? (Select all that apply. )

A)Protecting against urinary infection.
B)No longer needing condoms.
C)Exercise patterns.
D)Proper diet.
E)Physical assessments only during the last trimester.