Deck 14: Developmental Considerations and Chronic Illness in the Nursing Care of Adults

Question 1

The nurse is participating in the creation of a teaching seminar about healthy behaviors for the young adult. What topics should the nurse suggest be included in this seminar? (Select all that apply.)

A)Diet and exercise
B)Avoiding tobacco use
C)Avoiding sun exposure
D)Restricting hours of sleep
E)Performing self-examinations

Answer 1

Diet and exercise
Avoiding tobacco use
Avoiding sun exposure
Performing self-examinations

Question 2

The nurse is teaching an older adult about avoidance of risky behaviors. Which statement made by the patient would be of most concern to the nurse?

A)"I exercise after work to help alleviate stress."
B)"My husband and I go to a meditation class every week."
C)"I drink two or three beers after work to help me relax."
D)"I play the piano a few times every week to unwind."

Answer 2

"I drink two or three beers after work to help me relax."

Question 3

The nurse is teaching health promotion to a group of patients. Which patients are at highest risk for developing chronic disease? (Select all that apply.)

A)A patient who smokes pack per day
B)A patient who drinks alcohol daily
C)A patient who exercises three times weekly
D)A patient who has a family history of heart disease
E)A patient who lives near a fossil fuel-burning plant

Answer 3

A patient who smokes pack per day
A patient who drinks alcohol daily
A patient who has a family history of heart disease
A patient who lives near a fossil fuel-burning plant

Question 4

The nurse is caring for a 23-year-old patient who is in the intimacy versus isolation stage of development. Which statement would confirm this?

A)"I wish I would have spent more time with my family when I was younger."
B)"I feel like I've been working at my job and have nothing to show for."
C)"I am considering going to dinner with a guy I like, but I am happy with my life the way it is."
D)"I am not afraid to die because I will get to be with my darling husband."

Question 5

The nurse is teaching a class about suicide prevention. Which individual is at highest risk for suicide?

A)A 25-year-old woman
B)A 30-year-old man
C)A 60-year-old woman
D)A 70-year-old man

Question 6

The nurse is assessing an older adult. The nurse would expect to classify the patient in which Erikson's stage of development?

A)Trust versus mistrust
B)Industry versus inferiority
C)Identity versus role confusion
D)Integrity versus despair

Question 7

The nurse is discussing sexual intimacy with an older patient. Which statement made by the patient requires correction by the nurse?

A)"Getting my hair and nails done boosts my self-esteem."
B)"Sexual intimacy is only achieved by sexual intercourse."
C)"I may need to discuss medication to help with impotence with my doctor."
D)"I am going to meet with a sexual counselor this week."

Question 8

The nurse is contributing to a staff education program about chronic illness. What should the nurse include as being congenital diseases? (Select all that apply.)

A)Cancer
B)Spina bifida
C)Cystic fibrosis
D)Sickle cell anemia
E)Huntington disease
F)Malabsorption syndrome

Question 9

The nurse is teaching a group of chronically ill adults about coping with their illness. Which statements indicate an understanding of the teaching? (Select all that apply.)

A)"If I have worse symptoms, I will call my doctor."
B)"I will join a support group of others who have my disease."
C)"If I feel better, I don't need to take my daily medications."
D)"I will check my blood glucose four times every day."
E)"I should schedule activities during times I have less energy."
F)"I am going to meet my daughter twice a week for lunch."

Question 10

The nurse is caring for a group of patients. Which patient is at highest risk for the nursing diagnosis of risk for caregiver role strain?

A)A 20-year-old who attends college and works nights
B)A 30-year-old who recently got married and switched jobs
C)A 45-year-old with three children who is caring for his older father with cancer
D)A 65-year-old who is living with her daughter and son-in-law

Question 11

Which can lead to a loss of independence for older adults? (Select all that apply.)

A)Inability to drive
B)Loss of hearing
C)Ability to cook
D)Loss of vision
E)Dementia

Question 12

The nurse is contributing to a staff education program about adult health concerns. Which common health concerns of middle-aged adults should the nurse include? (Select all that apply.)

A)Stroke
B)Hypertension
C)Kidney failure
D)Visual changes
E)Alzheimer disease
F)Cardiovascular disease

Question 13

The nurse is teaching a group of caregivers about risk factors for elder abuse. Which of the following psychosocial factors should the nurse assess for in the caregiver? (Select all that apply.)

A)Depression
B)Grieving
C)Burnout
D)Stress
E)Extra energy
F)Role strain

Question 14

The nurse is caring for a patient with a chronic illness. What should the nurse encourage the patient to use as a coping resource?

A)Empower caregivers.
B)Develop a power base.
C)Be hopeful for a disease cure.
D)Develop a realistic, hopeful attitude.

Question 15

Which is the leading cause of death among the middle-adult age group?

A)Emphysema
B)Liver disease
C)Kidney failure
D)Cardiovascular disease

Question 16

The nurse is caring for a patient with a chronic illness who no longer works and does not qualify for disability. To whom should the nurse refer the patient?

A)The physician
B)A social worker
C)A pharmacist
D)A dietitian

Question 17

The nurse is teaching a group of patients about illness caused by genetics. Which topics should the nurse include in the teaching? (Select all that apply.)

A)Emphysema
B)Multiple sclerosis
C)Huntington disease
D)Cystic fibrosis
E)Sickle cell anemia 6.Spina bifida

Question 18

The nurse is talking to a 45-year-old patient who states she switched jobs, bought a red convertible, and pierced her nose. The nurse suspects the patient is experiencing which of the following?

A)Midlife crisis
B)Suicidal ideation
C)Empty nest
D)Chronic illness

Question 19

Which are factors leading to the development of chronic disease? (Select all that apply.)

A)Frequent exercise
B)Exposure to air pollution
C)Substance abuse
D)Eating a balanced diet
E)Stress

Question 20

The nurse is caring for a patient who just received a diagnosis of terminal cancer. Which might the nurse observe in this patient?

A)Despair
B)Hopefulness
C)Gratitude
D)Serenity