Tim Krueger
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Development in the adult (questions from Elsevier Evolve)

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Tim Krueger
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Unit B Review

Question 1 of 30

1

A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of:

Select one of the following:

  • Referral

  • Counseling

  • Health education.

  • Stress-management techniques.

Explanation

Question 2 of 30

1

Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI?

Select one of the following:

  • Chlamydia

  • Syphilis

  • Gonorrhea

  • Herpes zoster

Explanation

Question 3 of 30

1

A patient is laboring with her first baby, who is about to be delivered 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area as a support person to be present during labor?

Select one of the following:

  • Nurse

  • Midwife

  • Geneticist

  • Lay doula

Explanation

Question 4 of 30

1

A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a (n):

Select one of the following:

  • Outpatient referral.

  • Counseling technique.

  • Health promotion activity.

  • Stress-management technique.

Explanation

Question 5 of 30

1

With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of:

Select one of the following:

  • 18

  • 20

  • 25

  • 30

Explanation

Question 6 of 30

1

A 45-year-old woman who is obese tells a nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman’s obesity?

Select one or more of the following:

  • The woman works in an executive position that is very demanding.

  • The woman works out at the corporate gym at 5 am two mornings per week.

  • The woman says that she has little time to prepare meals at home and eats out at least four nights a week.

  • The woman says that she tries to eat “low-cholesterol” foods to help lose weight.

  • The woman says that she vacations annually to reduce stress.

Explanation

Question 7 of 30

1

Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of:

Select one of the following:

  • The sandwich generation.

  • The millennial generation.

  • Generation X.

  • Generation Y.

Explanation

Question 8 of 30

1

A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse assesses for the following:

Select one of the following:

  • Cardiovascular disease

  • Depression

  • Sexually transmitted infection

  • Iron deficiency anemia

Explanation

Question 9 of 30

1

Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits?

Select one or more of the following:

  • Routine screening and diagnostic tests

  • Unprotected sexual activity

  • Regular exercise

  • Excess alcohol consumption

  • Consistent seat belt use

Explanation

Question 10 of 30

1

Intimate partner violence (IPV) is linked to which of the following factors?

Select one or more of the following:

  • Alcohol abuse

  • Marriage

  • Pregnancy

  • Unemployment

  • Drug use

Explanation

Question 11 of 30

1

Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person’s roles and responsibilities during middle adulthood. When assessing the health-related knowledge base of both the middle-age patient with a chronic illness and his family, your assessment includes which of the following?

Select one or more of the following:

  • The medical course of the illness

  • The prognosis for the patient

  • Socioeconomic status

  • Coping mechanisms of the patient and family

  • The need for community and social services

Explanation

Question 12 of 30

1

Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from:

Select one of the following:

  • Lifestyle

  • Community.

  • Family history.

  • Personal hygiene habits.

Explanation

Question 13 of 30

1

A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to:

Select one of the following:

  • Instructing him to return in 2 years.

  • Instructing him in secondary prevention.

  • Instructing him in health promotion activities.

  • Implementing primary prevention with vaccines.

Explanation

Question 14 of 30

1

A single young adult interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. These individuals are viewed as:

Select one of the following:

  • Family.

  • Siblings.

  • Substitute parents.

  • Alternative family structure.

Explanation

Question 15 of 30

1

When determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect his or her compliance with the regimen, including educational level and socioeconomic factors. Which additional factor affects compliance?

Select one of the following:

  • Gender

  • Lifestyle

  • Motivation

  • Family history

Explanation

Question 16 of 30

1

A nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient’s temperature was 37.1° C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient’s temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend first?

Select one of the following:

  • Tell the student that temporary confusion is normal and simply requires reorientation

  • Tell the student to increase the patient’s fluid intake since the urine is concentrated

  • Tell the student that her assessment findings are normal for an older adult

  • Tell the student that he will notify the patient’s health care provider of the findings and recommend a urine culture

Explanation

Question 17 of 30

1

Older adults frequently experience a change in sexual activity. Which best explains this change?

Select one of the following:

  • The need to touch and be touched is decreased.

  • The sexual preferences of older adults are not as diverse.

  • Physical changes usually do not affect sexual functioning.

  • Frequency and opportunities for sexual activity may decline.

Explanation

Question 18 of 30

1

The nurse is completing an admission assessment with an 80-yearold man who experienced a hip fracture following a fall. He is alert, lives alone, and has very poor hygiene. He reports a 20-pound weight loss in the last 6 months following his wife’s death, as well as estrangement from his only child. He admits to falls before this most recent fall. What should the nurse suspect?

Select one of the following:

  • Dementia.

  • Elder abuse.

  • Delirium.

  • Alcohol abuse.

Explanation

Question 19 of 30

1

A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. She notes that the patient is very thin and unkempt, has a stage 3 pressure ulcer to her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son who accompanied her to the hospital. The nurse’s next step is to:

Select one of the following:

  • Call social services to begin nursing home placement.

  • Ask the son to step out of the room so she can complete her assessment.

  • Call adult protective services because you suspect elder mistreatment.

  • Assess patient’s cognitive status.

Explanation

Question 20 of 30

1

A patient’s family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center?

Select one or more of the following:

  • The center needs to be clean, and rooms should look like a hospital room.

  • Adequate staffing is available on all shifts.

  • Social activities are available for all residents.

  • The center provides three meals daily with a set menu and serving schedule.

  • Staff encourage family involvement in care planning and assisting with physical care.

Explanation

Question 21 of 30

1

A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:

Select one of the following:

  • Dementia.

  • Depression.

  • Delirium

  • Hypoglycemic reaction.

Explanation

Question 22 of 30

1

Sexuality is maintained throughout our lives. Which of the following answers best explains sexuality in an older adult?

Select one of the following:

  • When the sexual partner passes away, the survivor no longer feels sexual.

  • A decrease in an older adult’s libido occurs.

  • Any outward expression of sexuality suggests that the older adult is having a developmental problem.

  • All older adults, whether healthy or frail, need to express sexual feelings.

Explanation

Question 23 of 30

1

The nurse is working with an older adult after an acute hospitalization. The goal is to help this person be more in touch with time, place, and person. Which intervention will likely be most effective?

Select one of the following:

  • Reminiscence

  • Validation therapy

  • Reality orientation

  • Body image interventions

Explanation

Question 24 of 30

1

The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer’s disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing:

Select one of the following:

  • Delirium.

  • Depression

  • New-onset dementia.

  • Worsening dementia.

Explanation

Question 25 of 30

1

The nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. The nurse suspects that the woman may have:

Select one of the following:

  • Presbyopia.

  • Presbycusis

  • Cataract(s).

  • Depression.

Explanation

Question 26 of 30

1

A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with:

Select one or more of the following:

  • Driving.

  • Toileting.

  • Bathing

  • Daily exercise.

  • Eating.

Explanation

Question 27 of 30

1

A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are the major concerns for this patient?

Select one or more of the following:

  • The loss of his work role

  • The risk of social isolation

  • A determination if the wife will need to start working

  • How the wife expects household tasks to be divided in the home in retirement

  • The age the patient chose to retire

Explanation

Question 28 of 30

1

A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable at 130/70. The patient does not exercise regularly and states that he experiences weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient?

Select one or more of the following:

  • Impaired vision

  • Residence design

  • Blood pressure

  • Leg weakness

  • Exercise history

Explanation

Question 29 of 30

1

A nurse is caring for a patient preparing for discharge from the hospital the next day. The patient does not read. His family caregiver will be visiting before discharge. What can the nurse do to facilitate the patient’s understanding of his discharge instructions?

Select one or more of the following:

  • Yell so the patient can hear you.

  • Sit facing the patient so he is able to watch your lip movements and facial expressions.

  • Present one idea or concept at a time.

  • Send a written copy of the instructions home with him and tell him to have the family review them.

  • Include the family caregiver in the teaching session.

Explanation

Question 30 of 30

1

During a home health visit a nurse talks with a patient and his family caregiver about the patient’s medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event?

Select one or more of the following:

  • Taking two medications for hypertension

  • Taking a total of eight different medications during the day

  • Having one physician who reviews all medications

  • Patient’s health history of renal disease

  • Involvement of the caregiver in helping with medication administration

Explanation

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