Deck 22: Young Adult

Question 1

A nurse is discussing optimal activity for young adults. Which of the following information should be stressed?

A) Forty-five minutes of moderate exercise per day are required to maximize health benefits.
B) An increase in heart rate from 70 to 200 beats/min during exercise is optimal.
C) Moderately brisk walking is an appropriate aerobic exercise.
D) Sixty minutes of exercise three times a week is recommended.

Answer 1

Moderately brisk walking is an appropriate aerobic exercise.

Question 2

Which of the following reflects Piaget's theory as applied to young adults?

A) Voting for a candidate based on popularity
B) Voting for a candidate based on media advertisements
C) Voting for a candidate based on support of the candidate by peers
D) Voting for a candidate based on analysis of views about various issues

Answer 2

Voting for a candidate based on analysis of views about various issues

Question 3

Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development?

A) A 21-year-old man who has a part-time job, spends most of his leisure time with his buddies, and has numerous short-term intimate relationships
B) A 25-year-old woman who is very concerned with how she is perceived by her coworkers and friends
C) A 30-year-old man who just graduated with a PhD and is looking for his first full-time job
D) A 26-year-old woman who has a long-term relationship with a female companion

Answer 3

A 26-year-old woman who has a long-term relationship with a female companion

Question 4

Which of the following statements should be considered by a nurse working in occupational health who organizes a stress reduction workshop?

A) Women generally experience less workplace stress than do men.
B) One's first job is exciting and leads to numerous opportunities, and therefore causes little stress.
C) Young adults adapt easily to changing job demands such as telecommuting and long work hours.
D) Work is of primary importance to young adults and helps form their self-image.

Question 5

A nurse is completing a health counseling session with a 25-year-old woman. Which of the following statements should be made by the nurse during this session?

A) "A yearly Pap test is recommended for detection of ovarian cancer."
B) "Research supports that breast self-exams reduce breast cancer mortality."
C) "The incidence of cervical cancer is very low in your age group."
D) "Daily physical activity and weight control is one way to stay healthy."

Question 6

The public health nurse is conducting a screening of young adults for metabolic syndrome. When asked about the syndrome, which of the following responses should be made by the nurse?

A) "Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease."
B) "This syndrome helps predict heart disease. Once it is diagnosed, the correct medication can be prescribed and heart disease avoided."
C) "This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended."
D) "Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease. Once we make the diagnosis, we can begin to treat the disease."

Question 7

A nurse volunteered to work at a natural disaster site. Which of the following questions should the nurse ask to determine if the 26-year-old individual being screened is depressed or has suicide ideation?

A) "Tell me about your pets."
B) "What do you do for work? How has your work been affected by this disaster?"
C) "Have you thought of harming yourself?"
D) "Have you seen your friends since the disaster?"

Question 8

A nurse is planning a community health education program for young adults. Which of the following considerations should be made by the nurse?

A) The age span encompassing young adulthood is between 20 to 30 years of age.
B) The number one cause of death for young adults is injury.
C) The number of young adults in the United States is increasing.
D) The maternal mortality rate is at its lowest point since 1980.

Question 9

A 30-year-old woman with a BMI of 36 is counseled by the nurse regarding interventions to assist with weight reduction. In which order would the nurse discuss the implementation of these interventions?
1) Gastric stapling
2) Medication to reduce appetite
3) Nutrition and exercise education
4) Assessment of lipid profile and blood pressure

A) 4, 3, 2, 1
B) 4, 2, 3, 1
C) 3, 4, 2, 1
D) 3, 2, 1, 4

Question 10

A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote?

A) Use of helmets
B) Increasing the minimum age for motorcycle licensure
C) Construction of bike paths along busy roads
D) Right-of-way laws for bicyclists

Question 11

A 32-year-old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress?

A) Sleeping 10 hours per day
B) Unintentional loss of 10 pounds in the past 3 weeks
C) Expressed fear of company layoffs
D) Calling in sick once every 2 weeks for the past month

Question 12

A 26-year-old client has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse?

A) The client has achieved the target levels for cholesterol in young adults.
B) The client has a very low risk of developing heart disease.
C) The client requires counseling about cardiac disease risk factors.
D) The client has early-onset cardiac disease.

Question 13

Which of the following circumstances accounts for one of the leading cause of death in young adults?

A) Tobacco use
B) Binge drinking and driving
C) Illegal drug use
D) HIV infection

Question 14

The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program?

A) Living in the dorm increases one's risk of developing meningococcal disease.
B) The mortality rate from meningococcal disease is very low.
C) There are no antiviral medications that can treat meningococcal outbreaks.
D) A vaccine for meningococcal disease has not been developed.

Question 15

A nurse is planning health care for young adults. Which of the following factors about the interventions should be recognized by the nurse as having the greatest impact on whether they are effective?

A) Culturally sensitive
B) Match the person's health care beliefs
C) Cost effective
D) Gender neutral

Question 16

The parents of a young adult female have recently divorced. Which of the following is the young adult most likely to experience?

A) Relief
B) Depression
C) Unemployment
D) Inability to sustain own relationships

Question 17

The nurse working in the college health center is planning a program about sexually transmitted diseases (STDs). Which of the following information should the nurse include in the program?

A) STDs are the third most common infection in young adults.
B) STDs can be transmitted by any intimate contact, not just sexual intercourse.
C) STDs usually occur as a single infection.
D) STDs are the most common reason for a visit to the health center.

Question 18

Which of the following young adults exemplifies Kohlberg's postconventional level of moral reasoning?

A) 28-year-old person who calls in sick so as to help a friend move to a new location
B) 22-year-old man who uses marijuana on the weekends with friends
C) 30-year-old woman who volunteers at a soup kitchen one day a month
D) 35-year-old who works long hours so as to be considered for a promotion

Question 19

A 19-year-old college student is seen by the health services nurse. The young woman is distraught that she had unprotected sex 4 days ago and is afraid she may have become pregnant. Which of the following statements should be made by the nurse?

A) "Let's talk about your options because you must be 21 years of age to purchase emergency contraception."
B) "Don't worry; you can purchase Plan B, an emergency contraception drug, without a prescription and it will terminate the pregnancy."
C) "I know you are upset, but we are in one of the 40 states that allow drugstores to carry Plan B, an emergency contraception drug. Let's talk about how to use the medication."
D) "You have several options. Let's discuss what would be the best thing for you to do next."

Question 20

The nurse working in the college health center is asked about a safe way to obtain a tan. Which of the following would be the best response by the nurse?

A) "There is no safe way. Be sure to stay out of the sun as much as possible."
B) "Tanning beds are much safer than exposure to actual sunlight."
C) "Be sure to use sunblock agents and do not sunbathe between 10 AM and 2 PM."
D) "Once you apply sunblock, you are protected all day, so be sure to use it before any outdoor activity."

Question 21

A community health nurse has received a grant to present a program about violence prevention. Which of the following individuals has a higher than average risk of homicide? (select all that apply)

A) 33-year-old woman who served 5 years in prison
B) 20-year-old homeless man
C) 28-year-old man with a history of bipolar disorder
D) 24-year-old woman who has a female partner

Question 22

A nurse is working in a domestic violence shelter. Which of the following individuals would the nurse expect to encounter? (select all that apply)

A) 34-year-old White woman who is vice president of a communications company
B) 26-year-old Black woman who has a live-in boyfriend
C) 29-year-old Hispanic man who has been married for 2 years
D) 21-year-old unemployed White woman who has been with her boyfriend for 3 years
E) None of above

Question 23

An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease? (select all that apply)

A) Black man with a blood pressure of 130/80
B) Mexican American man with a blood pressure of 110/60
C) White woman with a bold pressure of 120/80
D) Black woman with a blood pressure of 128/78

Question 24

Which of the following interventions are appropriate relative to the nursing diagnosis: Health-Seeking Behaviors Related to Preconceptual Assessment and Preparation for Childbearing?

A) Encouraging the consumption of a moderate-fat diet to prepare for pregnancy
B) Referral to genetic counseling based on family history
C) Counseling to avoid "hard" liquor
D) Substituting a nutritional supplement for a meal so as to assure adequate vitamin intake

Question 25

A nurse is conducting a community health education program for Hispanic women ages 18 to 35. Which of the following items should the nurse recommend that they increase in their diet on a daily basis? (select all that apply)

A) Calcium
B) Folic acid
C) Iron
D) Sodium

Question 26

A nurse is planning community health programming for young adults. Based on the objectives for Healthy People 2020, which of the following topics would be priority areas for programming? (select all that apply)

A) Prenatal care
B) Physical activity
C) HIV
D) Suicide

Question 27

A public health nurse is interested in writing a grant to improve vaccination rates of young adults. His focus should be on trying to obtain funding to support which of the following vaccination initiatives? (select all that apply)

A) Rubella prevention
B) Lyme disease prevention
C) Hepatitis B prevention
D) Human papilloma virus (HPV) prevention

Question 28

A nurse is counseling a 23-year-old woman about oral, transdermal, injectable, vaginal ring, and implant contraceptive methods. Which of the following risks of using these methods should be stressed by the nurse?

A) Toxic shock syndrome
B) Nausea
C) Blood clots
D) Ectopic pregnancy