Deck 14: Developmental Considerations in the Nursing Care of Adults

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?

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

Answer 1

Unresolved generativity

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?

A) Accepts life lived
B) States a fear of death
C) Grieves over life mistakes
D) Expresses dissatisfaction with life

Answer 2

Accepts life lived

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?

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

Answer 3

Adapting to the changes

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?

A) Discuss poor health habits
B) Perform a health risk assessment
C) Change the patient's habits
D) Teach healthful lifestyle practices

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?

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

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?

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C) Withdrawn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

Question 7

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

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

Question 8

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

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C) Withdrawn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

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?

A) Non-dynamic
B) Constant states
C) Changing states
D) Exclusive concepts

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?

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

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.)

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

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

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?

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

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?

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

Question 15

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

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

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.)

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

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?

A) Anxiety
B) Hopelessness
C) Social isolation
D) Deficit in knowledge

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?

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

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?

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

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?

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

Question 21

The nurse suspects that a patient is experiencing despair.Which characteristics did the nurse recognize in this patient? (Select all that apply.)

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

Question 22

A patient with a chronic illness is receiving care at home by a caregiver.What should the nurse discuss with the patient and caregiver about respite care? (Select all that apply.)

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

Question 23

The nurse is working with a patient and family to achieve wellness goals.What actions should the nurse take when creating this plan? (Select all that apply.)

A) Mobilizing resources
B) Recognizing potential crises
C) Providing an adaptable environment
D) Minimizing the patient and family's concerns
E) Teaching the patient and family about the health problem

Question 24

The nurse is contributing to a staff education program about chronic illness.What should the nurse include as being congenital diseases? (Select all that apply.)

A) Cancer
B) Spina bifida
C) Cystic fibrosis
D) Sickle cell anemia
E) Huntington's disease
F) Chronic obstructive pulmonary disease

Question 25

A middle-aged patient is upset that her oldest daughter is moving out of state and her parents are getting older and need more assistance.What terms should the nurse use to describe the situations in which this patient is experiencing? (Select all that apply.)

A) Ageism
B) Empty nest
C) Baby boomer
D) Digital immigrant
E) Sandwich generation

Question 26

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

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

Question 27

The nurse is reinforcing teaching to assist the patient adapt to a chronic illness.What should the nurse include in the teaching? (Select all that apply.)

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

Question 28

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 intervention should the nurse recommend be included in the patient's plan of care? (Select all that apply.)

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

Question 29

The nurse is participating in the creation of a teaching seminar about healthy behaviors for the young adult.What topics should the nurse suggest be included in this seminar? (Select all that apply.)

A) Diet and exercise
B) Avoiding tobacco use
C) Avoiding sun exposure
D) Restricting hours of sleep
E) Performing self-examinations

Question 30

During a health history,the nurse learns that a young adult smokes cigarettes,drinks alcohol,and does not exercise routinely.What should this information suggest to the nurse? (Select all that apply.)

A) The patient is isolated.
B) The patient is having a crisis with intimacy.
C) The patient has poor coping mechanisms for stress.
D) The patient is participating in risky lifestyle choices.
E) The patient has adopted positive ways to cope with stress.

Question 31

The nurse is caring for a patient with a chronic illness and whose spouse is the caregiver.What should the nurse do to assist the caregiver with coping? (Select all that apply.)

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

Question 32

The nurse is caring for a patient who has been working on issues related to the developmental stage of young adulthood.Which behaviors indicate to the nurse that the patient has resolved developmental task issues? (Select all that apply.)

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