Deck 22: Promoting Health in Young and Middle-Aged Adults

Question 1

A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations.What should the nurse recommend to this client?

A)The client should have a tetanus booster if the client has not had one within the last 5 years.
B)The client should have the hepatitis B immunization series.
C)The client should receive a meningococcal vaccine if the client did not receive one as a teen.
D)The client should not worry about immunizations,as they are not recommended for this age group.

Answer 1

The client should receive a meningococcal vaccine if the client did not receive one as a teen.

Question 2

A group of middle-aged clients is inquiring about nutrition-related health problems inherent in their age group.In order to best address these concerns of this specific age group,the nurse should take which action?

A)Provide information,including a website,regarding-age specific diet plans.
B)Give all clients a handout on diets recommended by the ADA.
C)Tell the clients to check with their physician before dieting.
D)Have them write to the U.S.Department of Agriculture for more information.

Answer 2

Provide information,including a website,regarding-age specific diet plans.

Question 3

A community health nurse is doing a screening for cervical cancer at a women's health fair.Which client should the nurse identify as having the highest risk factor for cervical cancer?

A)The client who had a difficult vaginal delivery 2 years ago
B)The client who has a history of genital herpes
C)The client who was married at age 27
D)The client who has a sister with breast cancer

Answer 3

The client who has a history of genital herpes

Question 4

The nurse is confident that a young adult has successfully achieved psychosocial development.What observations about the client did the nurse make to come to this conclusion?
Standard Text: Select all that apply.

A)Discusses plans to expand his exercise routine to include running
B)Is optimistic about finding a new job
C)Volunteers weekly at the local senior center
D)Recognizes that professional sports may be enjoyed but does not aspire to participating
E)May be "too bald" to play Santa Claus

Question 5

The nurse is working with young adults in the community.What should the nurse realize as being the psychosocial developmental tasks of this population?
Standard Text: Select all that apply.

A)Selecting a mate
B)Rearing children
C)Achieving civic responsibility
D)Finding a congenial social group
E)Developing adult leisure-time activities

Question 6

The nurse is providing assistance at a community health fair for middle-aged clients.Which information should the nurse use when working with this group of clients?

A)The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process.
B)Adults make the transition into this stage easily and without problems.
C)Physical capabilities and functions decrease with age,but mental and social capacities tend to increase in the latter part of life.
D)Cognitive and intellectual abilities are somewhat decreased due to slower reaction time,loss of memory,and changes in perception and problem solving.

Question 7

The nurse is preparing information for a community health education seminar.Which statement should the nurse include regarding disease for the middle-aged adult?

A)Cancer is the leading cause of death in the age group from 25 to 64 years.
B)Coronary heart disease is the leading cause of death.
C)Leading causes of death include suicide and motor vehicle crashes.
D)Injuries and chronic disease are the leading causes of death in this age group.

Question 8

A nurse is working in a community of factory workers and is planning an educational session for wellness,targeting the young adult group.In order to address one of the health problems of this group,the nurse plans to:

A)help the group become more aware of marketing efforts by tobacco companies. AU: pls check--if this is correct answer,s/b "help the group become more aware of"?
B)tell this group that smoking is unacceptable.
C)make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
D)counsel the group regarding addiction.

Question 9

The nurse is completing a spiritual assessment with a middle-aged client.What should the nurse recognize as expected characteristics of moral development in this client?
Standard Text: Select all that apply.

A)Uses religion for comfort
B)Seeks religious explanations for death
C)Compares characteristics of various religions
D)Questions the purpose of religion in one's life
E)Relies upon spiritual beliefs to help with illness

Question 10

A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults.According to Erikson's theory,what activity should the nurse select to best meet the needs of this stage?

A)Providing opportunities to mentor school-age children
B)Giving the group handouts regarding peer socialization
C)Helping the members of this group find appropriate civic responsibility
D)Assisting the group members to look at their life accomplishments

Question 11

A client approaching middle age asks for information to keep mentally sharp.What should the nurse explain about the cognitive abilities of the middle-aged client?
Standard Text: Select all that apply.

A)Reaction time stays much the same.
B)Memory is maintained during this time.
C)Learning declines and cannot be completed.
D)Problem-solving ability is maintained during this time.
E)Cognitive and intellectual abilities change very little at this time.

Question 12

While assisting in a community health project for middle-aged adults,the nurse attempts to identify members of the community who have been successful in the tasks identified by Erikson.What characteristic should the nurse identify in the community members?

A)Ability to have satisfaction in their volunteer activities
B)Ability to find an acceptable social group
C)Satisfaction with rearing children
D)Ability to manage a home

Question 13

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to best assess the client,what should the nurse ask the client?

A)"Can you tell me what's been going on in your life lately?"
B)"What kind of problems are you having?"
C)"Is someone hurting you?"
D)"Can you explain what your family life is like?"

Question 14

A client comes to the clinic with a history of pain in his testicle.During the interview assessment,what information should be of concern to the nurse?

A)The client works as an auto-detailer.
B)He smokes half a pack of cigarettes per week.
C)He has not had a yearly exam for 5 years.
D)He does not perform testicular self-exams.

Question 15

During an educational session regarding physical changes of the middle-aged adult,a participant asks about typical weight changes.How should the nurse respond?

A)"Weight loss is no different during this time than at any other time of your life."
B)"Metabolism slows during middle age,which may result in weight gain."
C)"As long as you exercise appropriately,weight loss will be ensured."
D)"Weight loss is always a good idea,regardless of your age."

Question 16

The nurse is observing a group of young adults engaged in a discussion regarding work schedules over the holidays.What should the nurse realize that these adults will use to balance the emotional as well as logical side of the discussion?

A)Formal operational stage
B)Postformal thought process
C)Kohlberg's theory of moral development
D)Fowler's spiritual development theory

Question 17

A middle-aged client is struggling with life changes,including menopause.What is the best response by the nurse to this client?

A)"Don't worry-menopause can't last forever."
B)"There are some very good antidepressants you can take."
C)"What did your mother do to get through menopause?"
D)"There is a menopause support group that meets every 2 weeks."

Question 18

The nurse can identify movement into Kohlberg's postconventional level when the client,after being asked about work,makes which statement?

A)"Oh,the work isn't so bad anymore.I'm getting close to retirement."
B)"Work is fine,but my family and friends are so much more important to me."
C)"I've done a good job for the company.I'm proud of my years there."
D)"I don't like to talk about work when I'm not there."

Question 19

The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide.Which factors should the nurse identify as indicating a problem in this area?

A)Decreased interest in work
B)Weight loss
C)Depression
D)Brain dysfunction,including tumors
E)Sleep disturbances