Chapter 12 adulthood and the family

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: A) marriage and starting a family.

B) academic recognition for her high grades.

C) employment in a prestigious business.

D) a long-term relationship with a significant other.

C) 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:

A) "If you could lose that extra weight in the next month, your blood pressure would probably be back to normal."

B) "The chances of your having a stroke or heart attack will increase if you don't lose some weight and bring your blood pressure down."

C) "You'll need to take lifelong medications if diet and exercise don't reduce your blood pressure."

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

D) "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:

A) generativity from contact with young persons.

B) self-absorption because he focuses on his recreational and business activities.

C) isolation because of limited contact with people close to his age.

D) stagnation based on repetitiveness of his work and recreation.

A) 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:

A) are disruptive to the child's therapy.

B) shape how the child reacts to other people.

C) may create a break in confidentiality.

D) bring inappropriate foods to the child.

B) 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A recently divorced young mother tells the nurse in the well child clinic that her 5-year-old has become very withdrawn since the divorce.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:

A) "He probably misses his dad. Young children adjust quickly though."

B) "He may be acting out his resentment toward you for the breaking up of the family unit."

C) "Young children frequently feel they are to blame for the family breakup."

D) "You should explain to him why the marriage was no longer sustainable."

C) "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:

A) lack of trust in their own heterosexual relationships.

B) a distancing from the family unit.

C) hostile feeling that are acted out in such activities as vandalism and drug use.

D) being rushed into adulthood.

A) 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: A) "Are you sexually active?"

B) "Have you noticed a change in your vision or hearing?"

C) "Do you experience chest pain when exercising?"

D) "Have you ever had the flu or pneumonia immunizations?"

A) "Are you sexually active?"

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

A) schedule annual breast mammograms for early detection.

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

C) arrange for annual examinations by her physician and mammograms as indicated from the physical examination.

D) schedule a complete physical examination every 5 years until age 50, then annual examinations that include a mammogram.

B) 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:

A) diminish as the person ages.

B) require no long-term treatment.

C) increase in intensity over the years.

D) post no threat to health.

C) 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.

A) four

B) five

C) six

D) seven

D) seven

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

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

B) focus their time and energy on succeeding in their work environment with the knowledge that hard work will guarantee a secure position until retirement.

C) change employment frequently to increase their skills and employability in a rapidly changing job market.

D) find employment that pays very well, even if the work is not enjoyable, because that is the way to accumulate enough funds for eventual retirement.

A) 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:

A) enjoy being part of a "sandwich generation" that has no responsibilities to either children or older parents.

B) suddenly show marked changes in their personalities and habits that have characterized them since young adulthood.

C) experience the "empty nest syndrome" characterized by depression and a sense of loss or sadness.

D) look forward to their children becoming "boomerang children" who visit briefly with their expanding families and quickly return to their own homes.

C) 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:

A) "You may have an illness that the doctor should evaluate."

B) "It sounds to me as though you might have symptoms of menopause."

C) "You're too young to be going through menopause. Are you worried about anything?"

D) "Those symptoms are all related to aging, and there's not much to do about it."

B) "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:

A) increased to 1200 mg/day.

B) reduced to 1000 mg/day.

C) replaced by a daily dose of vitamin D.

D) augmented with glucosamine.

A) 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) increasing speed of traffic.

B) his tendency to be distracted.

C) a slower reaction time.

D) reduced strength.

C) a slower reaction time.

A physician 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:

A) Lyme disease.

B) lung cancer.

C) valley fever.

D) tuberculosis.

D) 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:

A) presbyopia.

B) myopia.

C) presbycusis.

D) cataracts.

A) presbyopia.

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

A) for reduction of blood pressure and cholesterol.

B) to lessen signs and symptoms of menopause.

C) to help maintain cartilage and decrease arthritis.

D) to improve blood flow to the brain and decrease forgetfulness.

B) to lessen signs and symptoms of menopause.

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

A) "Since I have a family history of osteoporosis, I will begin regular bone density screening at age 45."

B) "Since I have experienced a loss of 2 inches in height since I was 20, I will seek screening for osteoporosis."

C) "I will obtain sufficient vitamin D from sunlight or take a vitamin D supplement as recommended by my physician."

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

D) "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:

A) frequent insomnia.

B) increased vaginal lubrication.

C) increased emotional lability.

D) increased fatigue.

B) 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:

A) mistrust.

B) guilt.

C) role confusion.

D) isolation.

D) 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:

A) reflecting on one's life and one's achievements.

B) investigating and identifying alternatives regarding vocation.

C) attaining new intellectual skills and developing his career.

D) fulfilling parenting and civic responsibilities.

D) fulfilling parenting and civic responsibilities.

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

A) are of the same age.

B) have developed mutual interests.

C) have adequate income.

D) are busy with community activities.

B) have developed mutual interests.

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.)

A) Sexually transmitted diseases, including HIV

B) Alcohol and drug abuse

C) Development of proper diet and exercise regimen

D) Foot care

E) Screening for presbyopia

F) Osteoporosis

A) Sexually transmitted diseases, including HIV

B) Alcohol and drug abuse

C) 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.)

A) build on previous knowledge.

B) design clear goals for the program.

C) indicate how the new knowledge can be of benefit.

D) use straight lecture method to get points across quickly.

E) relate material to common concerns of young people.

A) build on previous knowledge.

B) design clear goals for the program.

C) indicate how the new knowledge can be of benefit.

E) 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.)

A) Marriage

B) Parenting

C) Planning for retirement

D) Caring for parents

E) Developing a social group

A) Marriage

B) Parenting

E) Developing a social group