Question 1

The nurse is caring for a hospitalized young adult male who is uninsured even though he works as a dishwasher at a local restaurant.He states that he would like to get a better job,but he has no education.How can the nurse best assist this patient psychosocially?

Accepted Answer

A)   By providing information and referrals
B)   By telling the patient that he needs to go back to school
C)   By focusing on the patient's medical diagnoses
D)   By expecting the patient to be flexible in his decision making A

Question 2

A patient states that she is pregnant and concerned because she does not know what to expect,and she wants her husband to play an active part in the birthing process.What should the nurse tell the patient?

Accepted Answer

A)   Lamaze classes can prepare pregnant women and their partners for what is coming.
B)   The frequency of sexual intercourse is key to helping the husband feel valued.
C)   After the birth, the stress of pregnancy will disappear and will be replaced by relief.
D)   After the baby is born, the wife should accept the extra responsibilities of motherhood. A

Question 3

During a routine physical assessment,the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast.What is the nurse's best action in response to this finding?

Accepted Answer

A)   Explain to the patient that breast tenderness is normal at her age.
B)   Tell the patient that redness is not a cause for concern and is quite common.
C)   Assess the patient as thoroughly as possible.
D)   Inform her that redness is the precursor to normal unilateral breast enlargement. C

Question 4

The nurse is teaching a class to pregnant women about common physiological changes during pregnancy.Which statement by the nurse accurately describes these changes?

Accepted Answer

A)   "Pregnancy enhances your ability to cope with stress."
B)   "Being nauseated and feeling tired will not affect your physical body image."
C)   "You and your partner may experience feelings of uncertainty about assuming the roles of parents."
D)   "Returning home after delivery will rejuvenate you and foster independence."

Question 5

A 25-year-old patient is brought to the hospital by police after crashing his car in a high-speed chase when trying to avoid arrest for spousal abuse.What should the nurse do?

Accepted Answer

A)   Question the patient about drug use.
B)   Offer the patient a cup of coffee to calm his nerves.
C)   Be aware that substance abuse is usually obvious.
D)   Deal with the issue at hand, and put off asking about previous illnesses.

Question 6

A nurse discusses the risks of repeated sun exposure with a young adult patient.Which of these patient responses would be most expected from this patient?

Accepted Answer

A)   "I'll make an appointment with my doctor right away for a full skin check."
B)   "I should consider participating in a health fair about safe sun practices."
C)   "I have a mole that has been bothering me. I'll call my family doctor for an appointment to get it checked."
D)   "I've had this mole my whole life. So what if it changed color? My skin is fine."

Question 7

A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes.What should the nurse explain?

Accepted Answer

A)   Those symptoms are normal when a woman undergoes the climacteric.
B)   An assessment is not really needed because these problems are normal for older women.
C)   The patient's age and symptoms point toward normal menopause.
D)   The patient should stop regular exercise because that is probably causing her symptoms.

Question 8

When performing a thorough psychosocial assessment on a young adult,what must the nurse realize?

Accepted Answer

A)   Having a job is the best way to relieve stress.
B)   Although psychologically disturbing, stress does not lead to physical illness.
C)   Change is inevitable and is not a factor in stress-related illness.
D)   Psychosocial health is often related to job and family stress.

Question 9

When choosing an appropriate topic for a young adult health fair,the nurse ranks which topic as least relevant?

Accepted Answer

A)   Unplanned pregnancies
B)   Menopause and climacteric factors
C)   Smoking cessation
D)   Alcohol and drug use

Question 10

A nursing student is asked to compare major life events of young adult,middle adult,and childbearing families.Which statement by the student demonstrates understanding?

Accepted Answer

A)   "Young adults have gained sexual experience and do not need sexual education."
B)   "Once a woman has her baby, stress levels decrease, as does health risk."
C)   "The social pressure to get married is greater now than it ever was."
D)   "When married people both work, income is increased, but so is stress."

Question 11

Nurses need to provide competent care to young and middle adult patients.Why must nurses be knowledgeable about developmental theories to care for this group?

Accepted Answer

A)   These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults.
B)   It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
C)   Patients present challenges to nurses, who themselves are often young or middle adults coping with the demands of their respective developmental period.
D)   Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.

Question 12

What should the nurse recognize when comparing the physical changes in young and middle adulthood?

Accepted Answer

A)   Fertility issues do not occur in young adulthood.
B)   Young adults are quite active but are at risk for illness in later years.
C)   Young adults tend to suffer more from severe illness.
D)   Exercise is less important in young adulthood than in middle adulthood.

Question 13

During middle adulthood,the 50-year-old patient is likely to adapt favorably to a changing body image if he or she

Accepted Answer

A)   Decreases the amount of physical exercise.
B)   Eats a diet composed of 40% fat.
C)   Gets less than 5 hours of sleep per night.
D)   Engages in good hygiene practices.

Question 14

When describing relevant family psychosocial factors in middle adulthood that cause stress,the nurse would not include

Accepted Answer

A)   Singlehood and feeling isolated.
B)   Choices stemming from marital changes.
C)   Financial security and certainty.
D)   Planning for the future when children leave home.

Question 15

According to some developmental theorists,intellectual development and moral development differ between men and women.What did Gilligan propose?

Accepted Answer

A)   As women progress toward adulthood, concepts, morals, and responsibility remain unchanged.
B)   Providing and protecting remain the sole responsibilities of men in today's society.
C)   Women continue to play a minor role in the financial well-being of their families.
D)   Women struggle with issues of care and responsibility.

Question 16

The nurse knows that the young adult patient understands the health risks that affect his/her age group when the patient states

Accepted Answer

A)   "It's probably safe for me to start smoking. At my age, there's not enough time for cancer to develop."
B)   "I am sure that I am going to get emphysema. Both my mother and my aunt had it. It's genetic."
C)   "Controlling the amount of stress in my life may decrease the risk of illness."
D)   "I don't do drugs. I do drink coffee, but caffeine is not a drug. It is perfectly safe and has no side effects."

Question 17

When providing prenatal care,what information does the nurse expect to provide?

Accepted Answer

A)   Protecting against urinary infection
B)   No longer needing condoms
C)   Exercise patterns
D)   Proper diet
E)   Physical assessments only during the last trimester

Question 18

A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood pressure.The patient states that he is upset about the diet restrictions imposed by the treatment regimen.What is the nurse's best approach?

Accepted Answer

A)   Tell the patient that he must do what the doctor tells him.
B)   Offer counseling on nutrition and exercise.
C)   Tell the patient about what happened to other patients who did not change their lifestyle.
D)   Explain that he needs to accept the care provider's advice without question if he wants to get better.

Question 19

What are the most common life events that occur during young adulthood?

Accepted Answer

A)   Refining self-perception and ability for intimacy
B)   Achievement and mastery of the surrounding world
C)   Examination of life goals and relationships
D)   Rejection of culture-bound definitions of health and illness
E)   Women surrendering careers to raise families

Question 20

What do changing norms and values about family life in the United States reveal?

Accepted Answer

A)   Basic shifts in attitudes in our society
B)   Greater resistance to cohabitation without marriage
C)   Decreased numbers of infants born to unmarried women
D)   Greater support and acceptance from the health care system

Exam 61: Young and Middle Adults