Middle adulthood includes the period between the ages of:
a.
20 and 29 years
c.
40 and 60 years
b.
30 and 39 years
d.
60 and 80 years
C
Wrinkling of the skin in late middle age is a result of:
a.
Increased water and decreased fat in the skin cells
c.
Increased muscle mass and stretching of fibrous tissue
b.
Loss of elasticity in the dermis
d.
Rapid loss of cells from within the dermis and epidermis
B
What is true of nutritional requirements during middle adulthood?
a.
Metabolic needs increase
c.
There is an increased need for fruits and vegetables
b.
Metabolic needs stay the same
d.
Metabolic needs decrease
D
The nurse is caring for clients on a pediatric unit. Which client should the nurse assess first?
a.
The 16-year old child whose blood pressure is 160/92 in the right arm.
c.
The 4-year old child whose apical pulse is 119 beats per minute.
b.
The 2-year old child whose axillary temperature is 99 degrees F.
d.
The 10-year old child whose respirations are 22 breaths per minute.
A
Menarche is best defined as the:
a.
Development of body hair
c.
First menstrual flow
b.
Onset and release of female hormones
d.
Development of breasts
C
The most beneficial learning environment for the adult learner is one of:
a.
Open criticism
c.
Minimum support
b.
Mistrust
d.
Mutual Respect
D
A sign of maturity in adulthood is the individual’s ability to:
a.
Exert excessive self-restraint
c.
Make life choices based on the advice of others
b.
Develop an interest in community activities
d.
Frequently change jobs
B
A community health nurse at a family-planning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erikson’s theory of psychosocial development?
a.
Adjusting to drastic changes in body image.
c.
Establishing the capacity for an intimate love relationship.
b.
Developing hypothetical reasoning skills.
d.
Learning to make good choices and avoid risk-taking behaviors.
A
Many foods are ingested by the adolescent because of:
a.
Taste
c.
Pressure
b.
Routine
d.
Preference
C
The decline of testosterone during the male climacteric results in which of the following?
a.
A decrease in muscle mass
c.
An increase in memory
b.
An increase in sex drive
d.
A decrease in appetite
A
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
a.
"Share piercing needles only with close friends you trust."
c.
"Your need for sleep will increase during periods of growth."
b.
"Limit your caloric intake to avoid becoming overweight."
d.
"Tanning beds are much safer then lying in the sun."
C
A developmental crisis that is more often precipitated during middle adulthood occurs when there is an inability to:
a.
Achieve a concept of success
c.
Delay satisfaction
b.
Develop peer relationships
d.
Face death
A
A charge nurse is explaining the various stages of lifespan to a group of newly licensed nurses. Which of the following examples should the nurse include as a developmental task for middle adulthood?
a.
The client evaluates their behavior after a social interaction.
c.
The client wishes to find meaningful relationships.
b.
The client states they are learning to trust others.
d.
The client expresses concerns about the next generation.
D
A nurse is teaching a guardian of a 12-year old male client about manifestations of puberty. The nurse should explain that which of the following physical changes occurs first?
a.
Appearance of downy hair on the upper lip.
c.
Enlargement of the testes and scrotum.
b.
Hair growth in the axillae.
d.
Deepening of the voice.
C
The sandwich generation refers to people who:
a.
do not have time to cook.
c.
care for elderly parents in addition to young children
b.
care for children and grandchildren
d.
prefer sandwiches to hot meals.
C
A women asks the nurse what could be taken to prevent the loss of bone mass. The nurse is correct when she states which of the following?
a.
Vitamin A
c.
Vitamin C
b.
Vitamin B
d.
Vitamin D
D
The major cause of death in the young-adult age group is:
a.
congenital malformation
c.
heart disease
b.
preventable accidents
d.
sedentary lifestyles
B
The definition of puberty is:
a.
exhibiting secondary sex characteristics
c.
the decrease of gonadotropic hormones
b.
having the ability to reproduce
d.
becoming fertile
B
Sexism is defined by which of the following?
a.
Laws enacted to balance the interests of men and women
c.
Attitudes that lead to discrimination against one sex
b.
Beliefs in the workplace that cause potential conflict between the sexes
d.
Conflict with the line of authority
C
John, aged 42, has been complaining of difficulty voiding. The most common cause of voiding difficulty in this age group is:
a.
Decreased testosterone
c.
Urinary tract infection
b.
Atrophy of the gonads
d.
Enlarged prostate
D
John is upset that he has just been diagnosed with skin cancer and would like to know what could of been the cause. The nurse states:
a.
Inadequate exposure to sunlight
c.
Loss of collagen in skin cells
b.
Decreased pigmentation in the skin
d.
Excessive exposure to ultraviolet light
D
A teen comes to the clinic frustrated. This is due to which of the following?
a.
Increased independence
c.
Lack of industry
b.
Concern about their appearance.
d.
Decreased need for sleep.
B
Melissa, on her 37th birthday, asks what is causing the wrinkles on her skin. She should be told that this occurs because of:
a.
Loss of fluid in the tissues
c.
Increased collagen deposition in the skin
b.
Loss of elasticity in the skin
d.
Hypopigmentation
B
A nurse is planning to provide health education to a group of sexually active teens. What is the first step the nurse should take:
a.
Discussing options with the group
c.
Confront the group of adolescents
b.
Establish trust
d.
Maintain confidentiality within the group.
B
The major role change during middle age is:
a.
Older children moving back home
c.
The loss of self-identity
b.
Grown children leaving home
d.
Unmet procreation needs
B
The nurse completing a history and physical assessment on a teenager recognizes that this patient binges on alcohol and knows she needs to intervene when the teen states:
a.
“I have a beer once I’ve finished studying at night”
c.
“When we play baseball and win, we celebrate with two shots of bourbon”
b.
“We party every weekend, and I have five to six shots of vodka in a row”
d.
“I have a glass of wine occasionally when I’m with friends”
B
A nurse is assessing a patient and has noticed that the patient has reached her maximum capacity due to sharing. The nurse realizes that this is due to the patient achieving which of the following?
a.
Mastered sexuality
c.
Introspection
b.
Had an identity crisis
d.
self-reliance
C
The nurse at the clinic is providing a wellness checkup for an adolescent child. She suggests which of the following?
a.
Second dose of varicella vaccine
c.
Hepatitis B vaccine
b.
Human papillomavirus immunization
d.
Pneumococcal immunization
B
Which of the following is a characteristic of middle age?
a.
Women are capable of giving birth well into their 60’s.
c.
Sexual needs and desires cease.
b.
Men are incapable of producing sperm after the age of 70.
d.
Sexual functioning and sexuality continue throughout this stage.
D
The period of middle age is often depicted as a time of:
a.
Peak physical attractiveness
c.
Decline in function
b.
Lack of control over one’s life
d.
Peak health
C
Which of the following best represents the dietary recommendations for the middle-aged adult?
a.
High, carbohydrates, low fat
c.
High protein, calories, and fats.
b.
High fiber, low fat and sodium
d.
Atkins, South Beach, or Jenny Craig diets.
B
Menopause usually occurs between:
a.
20 and 40 years
c.
45 and 55 years
b.
35 and 45 years
d.
25 and 35 years
C
A nurse is educating a teen on BSE (breast self exam). Which statement should the nurse include into the teaching.
a.
Immediately after menstruation
c.
Immediately before menstruation
b.
1 week after menstruation
d.
1 week before menstruation
B
The pediatric clinic nurse in interviewing a 17-year old female client during a yearly physical examination. The client’s mother is in the room. Which action should the nurse implement?
a.
Determine if the client want’s her mother in the room.
c.
Request the client’s mother to leave the room.
b.
Ask her mother how gets along with her daughter.
d.
Discuss the client’s relationship’s with her parents.
C
The nurse is educating a patient on ways to prevent muscle strength. Which of the following statements should she include?
a.
“You must stay active.
c.
“Are you using relaxation exercises.
b.
“You need to start taking your vitamin daily.”
d.
“You need to supplement your diet with energy drinks.
A
The nurse in a community setting provides guidance and educates middle-aged clients as to the developmental tasks of this stage, including (select all that apply):
a.
Adjusting to menopause
d.
Establishing leisure interests
b.
Establishing a positive influence on one’s children and community
e.
Possibly changing careers
c.
Adjusting to role changes
f.
Adjusting to changes in sexuality
A, B, C, D, E
A nurse on a pediatric unit is caring for an adolescence who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply).
a.
Suggest that the guardians bring in video games to play.
d.
Allow the adolescent to perform morning self-care.
b.
Provide a television and movies for the adolescent to watch.
e.
Involve the adolescent in treatment decision when possible.
c.
Limit visitors to the adolescents immediate family.
A, B, D, E
To promote self-esteem in the adolescent, the nurse should teach the parents which of the following? (Select all that apply.)
a.
The nurse needs to teach the parents on how to be sensitive.
d.
The nurse needs to teach the parents on how to be combative.
b.
The nurse needs to teach the parents on how to be respectful.
e.
The nurse needs to teach the parents on how to be supportive.
c.
The nurse needs to teach the parents on how to be demanding.
A, B, E
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
a.
Irritability
d.
Low self-esteem
b.
Euphoria
e.
Chronic pain
c.
Insomnia
A, C, D
Menopause may be caused by a decline in the production of?
...