Question 1

A nurse is planning care for young-adult patients. Which information should the nurse consider when planning care?&#10;A) Fertility issues do not occur in young adulthood.&#10;B) Young adults tend to suffer more from severe illness.&#10;C) Substance abuse is easy to observe in young-adult patients.&#10;D) Young adults are quite active but are at risk for illness in later years.

Accepted Answer

Young adults are generally active and experience severe illnesses less frequently. However, their lifestyles may put them at risk for illnesses or disabilities during their middle or older-adult years. An estimated 10% to 15% of reproductive couples are infertile, and many are young adults. Substance abuse is not always diagnosable, particularly in its early stages.

Question 2

A nurse discusses the risks of repeated sun exposure with a young-adult patient. Which response will the nurse most expect from this patient?&#10;A) &#34;I should consider participating in a health fair about safe sun practices.&#34;&#10;B) &#34;I'll make an appointment with my doctor right away for a full skin check.&#34;&#10;C) &#34;I've had this mole my whole life. So what if it changed color? My skin is fine.&#34;&#10;D) &#34;I have a mole that has been bothering me. I'll call my family doctor for an appointment to get it checked.&#34;

Accepted Answer

Most typically young adults would say that their skin is fine. Young adults often ignore physical symptoms and often postpone seeking health care. Making an appointment right away with the doctor and participating in health fairs are not typical behaviors of young adults for the same reason.

Question 3

During a routine physical assessment, the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast. Which action is best for the nurse to take in response to this finding?

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

Accepted Answer

A comprehensive assessment offers direction for health promotion recommendations, as well as for planning and implementing any acutely needed intervention. Redness or painful breasts are abnormal physical assessment findings in the middle-aged adult. Increased size of one breast is an abnormal physical assessment finding in the middle-aged adult.

Question 4

A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?&#10;A) &#34;It's probably safe for me to start smoking. At my age, there's not enough time for cancer to develop.&#34;&#10;B) &#34;My mother had appendicitis so this increases my chance for developing appendicitis.&#34;&#10;C) &#34;Controlling the amount of stress in my life may decrease the risk of illness.&#34;&#10;D) &#34;I don't do drugs. I do drink coffee, but caffeine is not a drug.&#34;

Accepted Answer

Lifestyle habits that activate the stress response increase the risk of illness; so, controlling this will decrease risk. Smoking is a well-documented risk factor for pulmonary, cardiac, and vascular disease as well as cancer in smokers and in individuals who receive secondhand smoke. The presence of certain chronic illnesses (not acute illnesses-appendicitis) in the family increases the family member's risk of developing a disease. Caffeine is a naturally occurring legal stimulant that is readily available. Caffeine stimulates catecholamine release, which, in turn, stimulates the central nervous system; it also increases gastric acid secretion, heart rate, and basal metabolic rate.

Question 5

A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes. Which information should the nurse share with the patient?&#10;A) The patient's assessment points toward normal menopause.&#10;B) Those symptoms are normal when a woman undergoes the climacteric.&#10;C) An assessment is not really needed because these problems are normal for older women.&#10;D) The patient should stop regular exercise because that is probably causing these symptoms.

Accepted Answer

The most significant physiological changes during middle age are menopause in women and the climacteric in men. Menopause typically occurs between 45 and 60 years of age. The nurse should continue with the examination because a comprehensive assessment offers direction for health promotion recommendations, as well as for planning and implementing any acutely needed interventions. Exercise should not be stopped, especially in middle-aged adults.

Question 6

Which information from the nurse indicates a correct understanding of emerging adulthood?&#10;A) It is a type of young adulthood.&#10;B) It is a type of extended adolescence.&#10;C) It is a type of independent exploration.&#10;D) It is a type of marriage and parenthood.

Accepted Answer

This newly identified stage of development from age 18 to 25 (emerging adulthood) has been described as neither an extended adolescence, as it is much freer from parental control and is much more a period of independent exploration, nor young adulthood, as most young people in their twenties have not made the transitions historically associated with adult status, especially marriage and parenthood.

Question 7

A nurse is assessing a middle-aged patient's barriers to change in eating habits. Which areas will the nurse assess that are external barriers? (Select all that apply.)&#10;A) Lack of facilities&#10;B) Lack of materials&#10;C) Lack of knowledge&#10;D) Lack of social supports&#10;E) Lack of short- and long-term goals

Accepted Answer

External barriers to change include lack of facilities, materials, and social supports. Internal barriers are lack of knowledge, insufficient skills, and undefined short- and long-term goals.

Question 8

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

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

Accepted Answer

Support from the nurse, access to information, and appropriate referrals provide opportunities for achievement of a patient's potential. Health is not merely the absence of disease (focusing on medical diagnoses) but involves wellness in all human dimensions. Telling a patient what to do (go back to school) is inappropriate. Each person (not the nurse) needs to make these decisions based on individual factors. Insecure persons tend to be more rigid in making decisions.

Question 9

A home health nurse is providing care to a middle-aged couple with children at home. The patient has a debilitating chronic illness. Which areas will the nurse need to assess? (Select all that apply.)&#10;A) Adherence to treatment and rehabilitation regimens&#10;B) Coping mechanisms of patient and family&#10;C) Need for community services or referrals&#10;D) Knowledge base of patient only&#10;E) Use of a doula for care

Accepted Answer

Along with the current health status of the chronically ill middle-aged adult, you need to assess the knowledge base of both the patient and family. In addition, you must determine the coping mechanisms of the patient and family; adherence to treatment and rehabilitation regimens; and the need for community and social services, along with appropriate referrals. A doula is a support person to be present during labor to assist women who have no other source of support.

Question 10

A nurse is providing prenatal care to a first-time mother. Which information will the nurse share with the patient? (Select all that apply.)&#10;A) Regular trend for postpartum depression&#10;B) Protection against urinary infection&#10;C) Strategies for empty nest syndrome&#10;D) Exercise patterns&#10;E) Proper diet

Accepted Answer

Prenatal care includes a thorough physical assessment of the pregnant woman during regularly scheduled intervals. Information regarding STIs and other vaginal infections and urinary infections that will adversely affect the fetus and counseling about exercise patterns, diet, and child care are important for a pregnant woman. Empty nest syndrome occurs as children leave the home. Postpartum depression is rare.

Question 11

Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority?&#10;A) Abuse potential&#10;B) Fall precautions&#10;C) Stroke prevention&#10;D) Self-esteem issues

Accepted Answer

The answer of Upon assessment of a middle-aged adult, the...

Question 12

A nurse is caring for a young adult. Which goal is priority?&#10;A) Maintain peer relationships.&#10;B) Maintain family relationships.&#10;C) Maintain parenteral relationships.&#10;D) Maintain recreational relationships.

Accepted Answer

The answer of A nurse is caring for a young...

Question 13

A nurse determines that a middle-aged patient is a typical example of the &#34;sandwich generation.&#34; What did the nurse discover the patient is caught between?&#10;A) Job responsibilities or family responsibilities&#10;B) Stopping old habits and starting new ones&#10;C) Caring for children and aging parents&#10;D) Advancing in career or retiring

Accepted Answer

The answer of A nurse determines that a middle-aged patient...

Question 14

The nurse is teaching a class to pregnant women about common physiological changes during pregnancy. Which information should the nurse include in the teaching session?&#10;A) Pregnancy is not a time to be having sexual activity.&#10;B) Urinary frequency will occur early in the pregnancy.&#10;C) Breast tenderness should be reported as soon as possible.&#10;D) Late in the pregnancy Braxton Hicks contraction may occur.

Accepted Answer

The answer of The nurse is teaching a class to...

Question 15

A young-adult patient is brought to the hospital by police after crashing the car in a high-speed chase when trying to avoid arrest for spousal abuse. Which action should the nurse take?&#10;A) Question the patient about drug use.&#10;B) Offer the patient a cup of coffee to calm nerves.&#10;C) Discretely assess the patient for sexually transmitted infections.&#10;D) Deal with the issue at hand, not asking about previous illnesses.

Accepted Answer

The answer of A young-adult patient is brought to the...

Question 16

A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?&#10;A) Retirement&#10;B) Menopause&#10;C) Climacteric factors&#10;D) Unplanned pregnancies

Accepted Answer

The answer of A nurse is choosing an appropriate topic...

Question 17

Which goal is priority when the nurse is caring for a middle-aged adult?&#10;A) Maintain immediate family relationships.&#10;B) Maintain future generation relationships.&#10;C) Maintain personal career relationships.&#10;D) Maintain work relationships.

Accepted Answer

The answer of Which goal is priority when the nurse...

Question 18

A nurse is planning care for a 30 year old. Which goal is priority?&#10;A) Refine self-perception.&#10;B) Master career plans.&#10;C) Examine life goals.&#10;D) Achieve intimacy.

Accepted Answer

The answer of A nurse is planning care for a...

Question 19

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

A) Lamaze 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.

Accepted Answer

The answer of A patient states that she is pregnant...

Question 20

A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IVP?&#10;A) White males&#10;B) Pregnant females&#10;C) Middle-aged adults&#10;D) Nonsubstance abusers

Accepted Answer

The answer of A nurse is assessing the risk of...

Question 21

A nurse is assessing young and middle-aged adults for work-related conditions. Match the job to the work-related conditions that the nurse is assessing.

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