Question 1

A patient with a chronic illness is receiving care at home by a caregiver.What should the nurse discuss with the patient and caregiver about respite care? (Select all that apply.)

Accepted Answer

A)  Prevent patient neglect. 
B)  Evaluate the health of the patient. 
C)  Allow the caregiver to go shopping. 
D)  Allow the caregiver to reduce stress. 
E)  Provide the caregiver with a vacation.

Question 2

The nurse is caring for a 21-year-old patient with a disfiguring injury.Which statement should the nurse expect related to the patient's developmental stage?

Accepted Answer

A)  "I just don't know who I am now." 
B)  "I'm afraid my fiancé won't want me anymore." 
C)  "I haven't accomplished what I'd planned in life yet." 
D)  "Soccer is my life; what if I can't play anymore with my friends?"

Question 3

The nurse is contributing to a staff education program about chronic illness.Which illnesses should the nurse explain as being acquired (not congenital or genetic)chronic illnesses? (Select all that apply.)

Accepted Answer

A)  Cancer 
B)  Cataracts 
C)  Multiple sclerosis 
D)  Muscular dystrophy 
E)  Huntington's disease
F) Chronic obstructive pulmonary disease

Question 4

The nurse identifies a patient who had satisfactorily fulfilled the developmental task for middle age.What term should the nurse use to describe this patient's accomplishments?

Accepted Answer

A)  Creative 
B)  Rebellious 
C)  Withdrawn 
D)  Self-centered

Question 5

The nurse suspects that a patient is experiencing despair.Which characteristics did the nurse recognize in this patient? (Select all that apply.)

Accepted Answer

A)  Exercising daily 
B)  Stating a fear of death 
C)  Finding meaning in life 
D)  Avoiding social activities 
E)  Expressing life satisfaction
F) Coping with aging changes

Question 6

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

Accepted Answer

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

Question 7

The nurse is caring for a patient who had a stroke that caused permanent physical changes.Which developmental task should the nurse recognize that the patient needs to accomplish for a positive outcome?

Accepted Answer

A)  Adapting to the changes 
B)  Accepting that hope is gone 
C)  Letting go of favorite hobbies 
D)  Accepting that improvement is not possible

Question 8

While obtaining a personal history from a 72-year-old patient being admitted to a long-term care facility the nurse notices that the patient seems depressed.Which intervention should the nurse recommend be included in the patient's plan of care?

Accepted Answer

A)  Tell the patient to look forward and not back at the past. 
B)  Remind the patient to be accepting of help from family members. 
C)  Explain to the patient that some level of depression is normal with aging. 
D)  Guide the patient in reminiscing about the past with a focus on the positives.

Question 9

A middle-aged person expresses fear of aging.Which intervention should the nurse use to help this patient?

Accepted Answer

A)  Allow the patient to express fears. 
B)  Reassure the patient that this fear is normal. 
C)  Explain to the patient that there is nothing to fear. 
D)  Tell the patient that these are the best years of life.

Question 10

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.)

Accepted Answer

A)  Cancer 
B)  Spina bifida 
C)  Cystic fibrosis 
D)  Sickle cell anemia 
E)  Huntington's disease
F) Chronic obstructive pulmonary disease

Question 11

The nurse is contributing to the plan of care for a patient.What should the nurse do to promote health in this patient?

Accepted Answer

A)  Discuss poor health habits 
B)  Perform a health risk assessment 
C)  Change the patient's habits 
D)  Teach healthful lifestyle practices

Question 12

The nurse is reinforcing teaching to assist the patient adapt to a chronic illness.What should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

A)  Limit your social contacts and activities. 
B)  Plan ways to compensate for your limitations. 
C)  Try to ignore your symptoms as much as possible. 
D)  Understand your medical regimen, and follow it carefully. 
E)  Revise your daily schedule as needed to adjust to your illness.

Exam 14: Developmental Considerations in the Nursing Care of Adults