Deck 19: Young and Middle Adulthood

Question 1

During an educational session regarding physical changes of the middle-aged adult,a question is asked regarding weight loss.Which information should be given by the nurse?

A)Weight loss is no different during this time than any other time of life.
B)Metabolism slows down in middle age,which may result in weight gain.
C)Weight loss will be ensured,providing a person exercises appropriately.
D)Weight loss is always a good idea,regardless of your age.

Answer 1

Metabolism slows down in middle age,which may result in weight gain.

Question 2

What are the recommendations from the Canadian Cancer Society regarding early detection of breast cancer for women between the ages of 40 and 69?

A)Breast exams every five years after menopause
B)Have a yearly mammogram
C)Do yearly breast self-exams
D)Have a clinical breast exam every two years

Answer 2

Have a clinical breast exam every two years

Question 3

Sean,31,comes to a clinic because he is experiencing pain in one of his testicles.During the interview assessment,which of the following should be of concern to the nurse?

A)Sean 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)Sean performs testicular self-exam monthly.

Answer 3

He has not had a yearly exam for 5 years.

Question 4

What is the leading cause of death among young adults?

A)Drowning
B)Suicide
C)Motor vehicle accidents
D)Substance abuse

Question 5

A community health nurse is planning an educational session for wellness,targeting the young adult group.Which of the following should be part of the nurse's planning in order to address smoking,one of the major health problems of this group?

A)Raise their awareness of marketing efforts by tobacco companies
B)Tell the group that smoking is socially unacceptable
C)Make them aware of the risk of liver disease and esophageal cancer
D)Counsel the group regarding addiction to cigarettes

Question 6

The nurse is working with a group of adults,ages 35 to 45,assisting them with pre-employment physicals at a local industrial plant.This age group is representative of which of the following?

A)Baby boomers
B)Generation X
C)Generation Y
D)Millennials

Question 7

Which of the following most accurately defines menopause?

A)Menopause begins in the early 40s and is finished by age 50.
B)There is a decrease in estrogen and an increase in progesterone during menopause.
C)Menopause is defined by the absence of a menstrual period for a year.
D)There is an increase in breast size during menopause.

Question 8

A group of young adults,all assigned to the same shift in a manufacturing plant,have been discussing holiday work schedules.Which of the following will allow them to balance the emotional as well as the logical side of the discussion?

A)Paradoxical-consolidative stage
B)Postformal thought process
C)Kohlberg's theory of moral development
D)Fowler's spiritual development

Question 9

A nurse is working with a group of middle-aged adults and has decided to set up an educational session regarding the psychosocial development of this age group.According to Erikson's theory,what activity would best meet the needs of this stage?

A)Providing opportunity to mentor school-age children
B)Giving the group handouts regarding peer socialization
C)Helping the members of this group find a congenial social group
D)Assisting the group members to look at their life accomplishments

Question 10

Ms.Teerman,25,comes to the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview.In order to understand what might be happening,the nurse should ask which of the following questions?

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 11

What is known about Intimate Partner Violence (IPV)?

A)IPV can include nonphysical abuse.
B)IPV is most common in formal marriage.
C)IPV rates are low among lesbian mothers.
D)Most IPV is initiated by a male.

Question 12

What is HPV immunization designed to prevent?

A)Hepatitis
B)Genital herpes
C)Cervical cancer
D)Influenza

Question 13

What is the most important cancer screening test for young adult males?

A)Monthly testicular self-examination
B)Monthly breast self-examination
C)Annual prostate examination
D)Annual chest x-ray

Question 14

Mr.Gupta,64,has been a client at the same clinic for a long time.When asking him about his work,which response by Mr.Gupta would tell the nurse that he has moved into Kohlberg's postconventional level?

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 15

Why are middle-aged adults at risk for obesity?

A)There is a naturally occurring decrease in metabolism.
B)Appetite naturally starts to increase.
C)Estrogen levels increase (in women).
D)Very few are vegetarians.

Question 16

According to the Canadian Mental Health Association (2012),which age group experiences the highest incidence of mental health disorders?

A)24-40
B)5-15
C)15-24
D)40-55

Question 17

How should the nurse respond when a colleague asks if she has heard the term boomerang kids.

A)Boomerang kids are children who have emigrated from Australia.
B)This term is applied to children with attention deficit hyperactivity disorder.
C)This term refers to young adults who have moved away from home and then returned.
D)It refers to young adults who spend an excessive amount of time exercising.

Question 18

Mrs.Lingan,49,tells a clinic nurse that she is struggling with life changes,including menopause.Which response by the nurse would be most helpful?

A)Reassure her that menopause is temporary
B)Educate her on which antidepressants are effective for menopause
C)Ask her about how her mother managed menopause
D)Tell her about a local menopause support group

Question 19

Which of the following statements by a 30-year-old female client would provide a nurse with a teaching opportunity?

A)"I never miss a month doing my breast self-exam."
B)"There is no need for me to be worried about osteoporosis yet."
C)"I only get to exercise three times a week."
D)"Pap smears are not needed until I am in menopause."

Question 20

A community health nurse is doing a screening for cervical cancer at a women's health fair.Which of the following clients would have the highest risk factor for cervical cancer?

A)Ms.Owens,25,who had a difficult vaginal delivery two years ago
B)Ms.Lachance,35,who has a history of genital herpes
C)Mrs.Amirault,46,who was married at age 27
D)Sophie,19,who has a sister with breast cancer

Question 21

Which statement is accurate about the human papilloma virus (HPV)?

A)HPV is the most common STI in Canada.
B)There is no known cure for HPV infection.
C)Immunization against HPV must occur before age 10.
D)Immunization must occur before a female is sexually active.

Question 22

Which of the following factors could contribute to death by suicide in young adults?

A)Brain dysfunction,including tumors
B)Insulin dependent diabetes
C)Heightened expectations of adulthood
D)Positive interactions with family members

Question 23

What is meant by the term climacteric?

A)A male's change of life is referred to as the climacteric.
B)Climacteric means an optimal time for any event to occur.
C)The peak of sexual pleasure is what the term means.
D)The week following implantation of the ovum is the climacteric phase.

Question 24

Which of the following health screening activities would be recommended for middle-aged adults,but not routinely for young adults?

A)Tonometry
B)Vision testing
C)Hearing tests
D)Tetanus-diphtheria boosters

Question 25

Assuming accountability for one's actions and sharing one's life with others are all part of which concept?

A)Recasting
B)Appreciation for life
C)Intimacy
D)Sustainable happiness

Question 26

What type of thinking is described as an awareness that most problems have more than one cause and more than one answer,and some solutions will work better than others?

A)Principled reasoning
B)Postformal thought
C)Maturity
D)Paradoxical reasoning

Question 27

Which of the following would indicate that a group of middle-aged adults have been successful in meeting the developmental tasks identified by Erikson?

A)Satisfaction in volunteer activities
B)Civic responsibility
C)Satisfaction with rearing children
D)Successfully managing a home

Question 28

Which of the following is a physical change of a middle-aged adult?

A)Blood vessels become thinner and more elastic.
B)Visual acuity starts to decline in the mid-60s.
C)Hormonal changes take place only in women of this age group.
D)Subcutaneous fat decreases in this age group.