Chapter 12

32問 • 1年前

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The nurse is aware that according to Schaie‘s theory of development, the most significant event in the life of a 26-year-old single woman who is graduating from graduate school would be:

employment in a prestigious business.

The nurse assesses a 36-year-old clinic patient as having slightly elevated blood pressure and being overweight by approximately 20 pounds. The most motivating suggestion the nurse could make would be:

―Exercise and diet modification started now, even in small amounts, can improve your overall health and delay the onset of aging.

A 48-year-old married father of two teens is involved with his children‘s sports teams as a coach and referee. He manages a large fast-food franchise, which employs a number of teenagers whom he trains. The nurse recognizes that this lifestyle is conducive to:

generativity from contact with young persons.

When caring for a child from another culture, the nurse takes into consideration the child‘s family because families:

shape how the child reacts to other people.

A recently divorced young mother tells the nurse in the well child clinic that her 5-year-old has become very withdrawn since the divorce. The nurse‘s best response to this concern would be:

―Young children frequently feel they are to blame for the family breakup.

The nurse takes into consideration that divorce affects more than just the parents; adolescents who come from a divorced family may experience:

lack of trust in their own heterosexual relationships.

During a routine health examination, to obtain effective information relating to common health problems, the question the nurse could ask a 24-year-old patient that can introduce further assessments is:

―Are you sexually active?

The nurse appropriately advises a 28-year-old woman that to detect breast cancer in early stages she should:

perform monthly breast self-examinations and begin mammograms at age 40.

A nurse cautions that stress-related illnesses such as headaches and hypertension in young adults most likely will:

increase in intensity over the years.

The school nurse speaking to a group of college sophomores reminds them that in the modern world of work, it is normal to have as many as _________ different jobs throughout their work life.

seven

The nurse suggests that one option for people in middle adulthood to reduce stress is to:

begin planning for retirement by developing leisure time activities or hobbies that they will be able to continue into their later years.

The nurse is aware that when the children of middle adults have grown and left home, the middle adults may:

experience the ―empty nest syndrome‖ characterized by depression and a sense of loss or sadness.

A 48-year-old woman asks the clinic nurse about symptoms she has experienced, such as trouble sleeping, because she wakes up feeling hot and sweaty. She has also felt tired and depressed about aging. The most helpful nursing response would be:

―It sounds to me as though you might have symptoms of menopause.

The nurse reviews the medications of a 52-year-old woman in the outpatient clinic to confirm that her calcium dose has been:

increased to 1200 mg/day.

A nurse is instructing a patient about the prevention of automobile accidents and reminds the 65-year-old patient that he may be prone to an accident because of:

a slower reaction time.

A primary care provider has ordered a Mantoux test. The patient asks the purpose of this test. The nurse tells the patient this test is done to screen for:

tuberculosis.

When the nurse in a long-term facility observes a resident bringing his reading material very close to his face, the nurse assesses that the patient is experiencing:

presbyopia

A patient states that she uses the supplement black cohosh. The nurse recognizes black cohosh is used:

to lessen signs and symptoms of menopause.

A nurse is educating a female patient about bone health in middle adults. The nurse would recognize the need for further education if the patient states:

―I will take 1500 mg/day of calcium until menopause and then decrease my calcium intake to 1200 mg/day after menopause.

A nurse talking to a group of women about the signs and symptoms occurring with menopause would explain that expected symptom include all of the following except:

increased vaginal lubrication.

A nurse is concerned about a 21-year-old who does not seem to have any intimate relationships. The nurse is aware that according to the Eriksonian theory, a lack of intimacy in this person‘s life can result in:

isolation.

The nurse caring for a 42-year-old patient is satisfied that Erik Erikson‘s psychosocial development phase of generativity has been satisfied by the fact that this patient is:

fulfilling parenting and civic responsibilities.

Marriages may improve after the children are grown and gone if the partners:

have developed mutual interests.

A young adult patient is admitted to the hospital with asthma. He is considered a millennial. Millennials:

were born between 1978 and 2004.

A nurse is preparing a patient education brochure for a class she is teaching at a local community outreach center on pregnancy. Which of the following facts would she include in the brochure?

Birth rates are declining for women in their 20s.

A middle aged adult has been diagnosed with stage 1 hypertension. The nurse prepares patient teaching that would include which of the following?

Regular aerobic exercise.

When planning a community health fair, which of the following topics are most appropriate for the nurse to include to target the young adult? (Select all that apply.)

Sexually transmitted infections, including HIV, Alcohol and drug abuse, Development of proper diet and exercise regimen

When planning a community health program that is directed at young adults, the nurse will prepare the material to: (Select all that apply.)

build on previous knowledge., design clear goals for the program., indicate how the new knowledge can be of benefit., relate material to common concerns of young people.

Susan, a 21-year-old, has just graduated from college and will begin teaching at the local elementary school in the fall. Her parents have been supportive and have assisted with her tuition throughout college and consoled her when she became overwhelmed at school. They are also helping Susan find an apartment close to the school where she will teach. At this point in her life, Susan will be faced with which of the following developmental tasks? (Select all that apply.)

Marriage, Parenting, Developing a social group

A 35-year-old mother of three children, ages 8, 10, and 13, has decided to return to school to become a nurse. Her husband and parents have been very supportive of her decision and will help with child care while she is in school. According to Schaie‘s theory for cognitive development, she is in the ______ stage, which occurs in the _______ stage of adulthood.

achievement; young

A 55-year-old is married with two children, ages 15 and 17. He is a supervisor for the local utility company, where he has been employed for 25 years. He is active in his community and serves on the town council. According to Schaie‘s theory of cognitive development, he is in the ____________ stage, which occurs in the ____________ stage of adulthood.

responsibility; middle

A 24-year-old mother of two has just become divorced from her husband of 4 years. She is living with her parents again until she is able to get her finances in order to find her own apartment. This is an example of __________ children.

boomerang

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