Question 1

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

Accepted Answer

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 primary care provider 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. 
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 primary care provider 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.

Question 2

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?

Accepted Answer

A)  Age of first-time mothers is 30. 
B)  Birth rates are increasing for teenagers aged 15 to 19. 
C)  Birth rates are declining for women in their 20s. 
D)  Birth rates are decreasing for women in their 30s and late 40s. 
A)  Age of first-time mothers is 30. 
B)  Birth rates are increasing for teenagers aged 15 to 19. 
C)  Birth rates are declining for women in their 20s. 
D)  Birth rates are decreasing for women in their 30s and late 40s.

Question 3

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

Accepted Answer

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. 
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.

Question 4

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:

Accepted Answer

A)  presbyopia. 
B)  myopia. 
C)  presbycusis. 
D)  cataracts. 
A)  presbyopia. 
B)  myopia. 
C)  presbycusis. 
D)  cataracts.

Question 5

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:

Accepted Answer

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. 
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.

Question 6

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.

Accepted Answer

achievement; young
Schaie identifies the

Question 7

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

Accepted Answer

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. 
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.

Question 8

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.

Accepted Answer

responsibility; middle
Schaie identifies

Question 9

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

Accepted Answer

A)  were born between 1978 and 2004. 
B)  make up over one half of the population. 
C)  are less ethnically diverse than previous generations. 
D)  outnumber the baby boomers. 
A)  were born between 1978 and 2004. 
B)  make up over one half of the population. 
C)  are less ethnically diverse than previous generations. 
D)  outnumber the baby boomers.

Question 10

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:

Accepted Answer

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 you 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." 
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 you 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."

Question 11

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:

Accepted Answer

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?" 
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?"

Question 12

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:

Accepted Answer

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." 
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."

Exam 12: Adulthood and the Family

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

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?

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

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:

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:

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

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

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:

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 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:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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