Deck 10: Developmental Processes

Question 1

The nurse counsels an 18-year-old that because she has been sexually active since the age of 15,she should get a:

A) Mammogram
B) Digital rectal examination
C) Papanicolaou (Pap) smear
D) Pregnancy test

Answer 1

Papanicolaou (Pap) smear

Question 2

By the age of 35,young adults should think about:

A) Leaving home and establishing their own lives.
B) Establishing career goals.
C) New career paths.
D) Health promotion for the prevention of chronic disease.

Answer 2

Health promotion for the prevention of chronic disease.

Question 3

The nurse cautions that most health problems in the young adult are related to:

A) Stress
B) Smoking
C) Alcohol consumption
D) Fatigue

Answer 3

Stress

Question 4

Young adulthood is a time in which an individual:

A) Earns most of his or her money, pays most of the taxes, and has most of the power in business.
B) Settles down to a career, raises a family, and takes on new responsibilities.
C) Experiences personal freedom, and enjoys maximum influence over others.
D) Focuses on many adjustments that must be made to physiologic, psychologic, and social changes.

Question 5

The term used to describe the functional capabilities of various organ systems in the body is:

A) Psychologic age
B) Social age
C) Biologic age
D) Chronologic age

Question 6

A person's type of dress,language,and social relationships pertain to:

A) Psychologic age
B) Biologic age
C) Chronologic age
D) Social age

Question 7

The older person's ability to remember,dream,and exercise behavioral control is a factor most related to:

A) Biologic age
B) Psychologic age
C) Social age
D) Chronologic age

Question 8

The nurse reminds a group of young parents that the major cause of death in their age groups is (are):

A) Cervical and testicular cancer
B) Overwhelming infection
C) Accidents and violence
D) Human immunodeficiency virus (HIV)

Question 9

The unmarried 21-year-old patient,admitted to the hospital the day before,has had visitors from his work and church who come and go continually.The nurse assesses this display from friends as part of the developmental process of young adults who:

A) Require many superficial relationships
B) Do not require much rest for recovery
C) Are socially oriented
D) Need to combat loneliness

Question 10

Balancing work and other roles is a task of:

A) Middle adulthood
B) Young adulthood
C) Older adulthood
D) Late adulthood

Question 11

Middle adulthood is defined as the period from:

A) 45 to 65 years
B) 20 to 35 years
C) 65 to 75 years
D) 30 to 50 years

Question 12

The nurse observes all of the following behaviors in a 30-year-old man.The behavior that is not characteristic of a young adult's developmental task is:

A) Living in his or her own apartment.
B) Accepting a place on the board of a community agency.
C) Interacting with a large group of friends.
D) Dating many different young women.

Question 13

Asking patients about loneliness is a particularly significant part of the nursing assessment of:

A) Young adults
B) Old young adults
C) Old middle-aged adults
D) Older adults

Question 14

When planning care,the nurse takes into consideration that developmental tasks are:

A) All the activities performed throughout life
B) Activities learned primarily in the middle years of life
C) Things to be learned and accomplished in each stage of life
D) All actions taken when confronted with specific problems

Question 15

The nurse takes into consideration that the group of adults that must accept role reversal with their parents is:

A) Younger adults
B) Old young adults
C) Middle-aged adults
D) Older-aged adults

Question 16

Of all the behaviors assessed in a 52-year-old man,the behavior that the nurse would assess as incongruent with middle-aged developmental tasks is his refusal to:

A) Work more than 50 hours a week.
B) Give up time with his grandchildren.
C) Stop his semiweekly golf game.
D) Make preparations for retirement.

Question 17

The nurse assesses a positive resolution of the developmental task of old age when a resident in a long-term care facility says:

A) "I love my children. I could have done more for them."
B) "I am too young to be in a place like this."
C) "I miss my friends and wife. I'm ready to go."
D) "I've enjoyed the ride!"

Question 18

The nurse is aware that ethnic- and gender-related difference in life expectancies exist,such as:

A) Black men live longer than white men.
B) White women live longer than black women.
C) Black men live longer than black women.
D) White men live longer than white women.

Question 19

The nurse explains that intimacy means that a relationship has developed that:

A) Allows for sexual expression
B) Gives priority to the well-being of another over one's own
C) Guarantees a suitable setting for the selection of a partner
D) Requires exclusion of all others

Question 20

The nurse recommends to a 25-year-old man who is getting a tetanus booster that he should plan to have his next booster:

A) Next year
B) In 2 years
C) In 5 years
D) In 10 years

Question 21

The nurse counsels the 25-year-old mother and business woman to focus health promotion concerns on:

A) Adhering to an exercise program
B) Having a Pap smear performed every 3 years
C) Making annual appointments for a mammogram
D) Performing a self-breast examination (SBE) monthly
E) Scheduling an annual physical examination

Question 22

Which intervention is directed toward reducing the most common cause of death among young adults?

A) Teaching early warning signs of cancer
B) Encouraging cardiovascular fitness
C) Teaching principles of safe sex
D) Promotion of safe driving practices

Question 23

Many young adults today have extended their adolescence and are living with their parents because of:

A) Postgraduate educational goals.
B) Military obligations.
C) Job losses.
D) Chronic illnesses.
E) Divorces.

Question 24

When a single 48-year-old woman who has not had a regular menstrual period for the last 6 months tells the nurse about vaginal spotting she has been experiencing for the last several days,the nurse urges her to seek medical attention because the bleeding may indicate:

A) Miscarriage
B) Endometrial cancer
C) Severe vaginitis
D) Resumption of menses

Question 25

The 74-year-old man asks the nurse if he needs to get revaccinated with the pneumococcal vaccine as he has not had one for 2 years.The most informative response by the nurse would be:

A) "Yes. You should have the pneumonia vaccine every year."
B) "No. One vaccination for pneumonia is all you need."
C) "Yes. Every year they alter the vaccine to include more infectious organisms."
D) "No. You only need to be revaccinated every 5 years."

Question 26

The term sandwich generation is used to describe:

A) Young adults who tend to eat on the run
B) Middle-aged adults caring for both children and parents
C) Single-parent households
D) Older adults who are in transition from independent to assisted living

Question 27

The nurse is aware that the gradual weight gain of a 25-year-old man is most likely related to:

A) Consuming the same amount of calories as he did as an adolescent
B) Inadequate exercise
C) Consuming large amount of protein in the diet
D) Keeping late hours, resulting in inadequate rest
E) Eating junk food

Question 28

The nurse assesses that the 22-year-old woman who is totally committed to her career and who does not date or socialize is experiencing the Eriksonian crises of ____________________.

Question 29

The leading causes of death in the older aged adult include:

A) Vehicular accidents and suicide
B) Cardiovascular disease and diabetes mellitus
C) Alcoholism and cirrhosis
D) Cancer and strokes