Question 1

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to understand exactly what might be going on, the nurse should ask which of the following questions?

Accepted Answer

A)   "Is someone hurting you?"
B)   "Can you explain what your family life is like?"
C)   "What kind of problems are you having?"
D)   "Can you tell me what's been going on in your life lately?"

Question 2

A nurse is working in a community health office that is often frequented by young adults. In assessing for potential problems, the nurse realises that a leading cause of death in this age group is suicide. Which of the following factors may indicate a problem in this area?

Accepted Answer

A)   Decreased interest in work.
B)   Weight loss.
C)   Depression.
D)   Brain dysfunction, including tumours.
E)   Sleep disturbances.

Question 3

A colleague is telling the community health nurse that their adult child has just moved back in with them. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which of the following contribute to this particular trend?

Accepted Answer

A)   Maladaptive behaviour.
B)   High unemployment rate.
C)   High housing costs.
D)   High incidence of chronic disease. A, B, C

Question 4

A group of middle-aged clients is coming to the community health centre inquiring about health problems inherent in their age group. If the nurse wants to focus on a nutritional aspect in order to address the physiological changes of this age group, the nurse should:

Accepted Answer

A)   give all clients a handout on diets recommended by the Australian Association of Dieticians.
B)   have them write to the Australian Department of Health and Ageing.
C)   provide information on the importance of protein, calcium and vitamin D.
D)   tell the clients to check with their doctor before dieting.

Question 5

The leading cause of death in young adulthood is:

Accepted Answer

A)   injury and poisoning.
B)   sexually transmitted diseases.
C)   substance abuse.
D)   suicide.

Question 6

A nurse is working with a group of middle-aged adults and has decided to set up an educational session regarding the psychosocial development of this age group. According to Erikson's (1963)  theory, what activity would best meet the needs of this stage?

Accepted Answer

A)   Giving the group handouts regarding peer socialisation.
B)   Assisting the group members to look at their life accomplishments.
C)   Helping the members of this group find appropriate civic responsibility.
D)   Providing opportunity to mentor school-age children.

Question 7

The nurse is assisting in a community health project for middle-aged adults and wants to research which members of the community have been successful in the tasks identified by Erikson. Which indicators would the nurse look for in middle-aged adults?

Accepted Answer

A)   Ability to manage a home.
B)   Ability to find an acceptable social group.
C)   Ability to have satisfaction in their volunteer activities.
D)   Satisfaction with rearing children.

Question 8

A community health nurse is doing a screening for cervical cancer at a women's health fair. Which of the following clients would have the highest risk factor for cervical cancer?

Accepted Answer

A)   The client who has a sister with breast cancer.
B)   The client who was married at age 27.
C)   The client who has a history of genital herpes.
D)   The client who had a difficult vaginal delivery two years ago.

Question 9

When working with young adults, the community health nurse realises that the psychosocial developmental tasks include which of the following?

Accepted Answer

A)   Selecting a mate.
B)   Rearing children.
C)   Achieving civic responsibility.
D)   Finding a congenial social group.
E)   Developing adult leisure-time activities.

Question 10

The nurse is working with a group of adults, ages 35 to 45, assisting them with pre-employment physicals at a local industrial plant. This age group is representative of which of the following?

Accepted Answer

A)   Baby Boomers.
B)   Generation X.
C)   Millennials.
D)   Generation Y. B

Question 11

A nurse is working in a community of mostly blue-collar workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:

Accepted Answer

A)   tell this group that smoking is unacceptable.
B)   make sure the group is aware of the increased risk of liver disease and cancer of the oesophagus.
C)   counsel the group regarding addiction.
D)   make available the resources and support service details.

Question 12

A client has been coming to the same clinic for a long time. The nurse can identify movement into Kohlberg's post-conventional level when the client, after being asked about work, makes this statement:

Accepted Answer

A)   "I've done a good job for the company. I'm proud of my years there."
B)   "Work is fine, but my family and friends are so much more important to me."
C)   "Oh, the work isn't so bad anymore. I'm getting close to retirement."
D)   "I don't like to talk about work when I'm not there."

Question 13

The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the Australian Cancer Society, the nurse explains that it is important to:

Accepted Answer

A)   have their technique validated by a health care practitioner at an annual physical examination.
B)   see a doctor if there is a strong family history of breast cancer.
C)   have an annual mammogram.
D)   do monthly breast self-exams.

Question 14

Developmental tasks associated with middle-age clients include all of the following except:

Accepted Answer

A)   parenthood versus self-absorption.
B)   career productivity versus inadequacy.
C)   being needed versus alienation.
D)   intimacy versus isolation.

Question 15

During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding weight loss. The nurse's best response is:

Accepted Answer

A)   "Metabolism slows during middle age, which may result in weight gain."
B)   "Weight loss is no different during this time than any other time of your life."
C)   "As long as you exercise appropriately, weight loss will be ensured."
D)   "Weight loss is always a good idea, regardless of your age."

Question 16

The characteristics tasks of a young adult include all of the following except:

Accepted Answer

A)   separation from parents.
B)   exploration of new identities for the self.
C)   developing leisure time activities.
D)   high-risk behaviour.

Question 17

The nurse is performing a community assessment. Which of the listed assessment data from this community would follow the national norms regarding disease for the middle-aged adult?

Accepted Answer

A)   Coronary heart disease is the leading cause of death.
B)   Injuries and chronic disease are the leading causes of death in this age group.
C)   Cancer is the leading cause of death in the age group from 25 to 64 years.
D)   Leading causes of death include suicide and motor vehicle crashes.

Question 18

Post-formal thought is a cognitive development that includes:

Accepted Answer

A)   Kohler's moral development stage.
B)   creativity, intuition and relative knowledge.
C)   separate self from expectations and rules of others.
D)   a focus on reality and philosophical questions.

Question 19

An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the employees, which group presents with the greatest risk for this problem?

Accepted Answer

A)   Male and female employees, equally.
B)   Non-Indigenous males under 45 years of age.
C)   Women under 55 years of age.
D)   Indigenous males over 45 years of age.

Question 20

A middle-aged client is struggling with life changes, including menopause. The best response by the nurse to this client is:

Accepted Answer

A)   "There is a menopause support group that meets every two weeks."
B)   "Don't worry, menopause can't last forever."
C)   "There are some very good antidepressants you can take."
D)   "What did your mother do to get through menopause?" A

Exam 23: Promoting Health in Young and Middle-Aged Adults

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to understand exactly what might be going on, the nurse should ask which of the following questions?

Correct AnswerverifiedShow Answer

A nurse is working in a community health office that is often frequented by young adults. In assessing for potential problems, the nurse realises that a leading cause of death in this age group is suicide. Which of the following factors may indicate a problem in this area?

Correct AnswerverifiedShow Answer

A colleague is telling the community health nurse that their adult child has just moved back in with them. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which of the following contribute to this particular trend?

Correct AnswerverifiedA, B, C

A group of middle-aged clients is coming to the community health centre inquiring about health problems inherent in their age group. If the nurse wants to focus on a nutritional aspect in order to address the physiological changes of this age group, the nurse should:

Correct AnswerverifiedShow Answer

The leading cause of death in young adulthood is:

Correct AnswerverifiedShow Answer

A nurse is working with a group of middle-aged adults and has decided to set up an educational session regarding the psychosocial development of this age group. According to Erikson's (1963) theory, what activity would best meet the needs of this stage?

Correct AnswerverifiedShow Answer

The nurse is assisting in a community health project for middle-aged adults and wants to research which members of the community have been successful in the tasks identified by Erikson. Which indicators would the nurse look for in middle-aged adults?

Correct AnswerverifiedShow Answer

A community health nurse is doing a screening for cervical cancer at a women's health fair. Which of the following clients would have the highest risk factor for cervical cancer?

Correct AnswerverifiedShow Answer

When working with young adults, the community health nurse realises that the psychosocial developmental tasks include which of the following?

Correct AnswerverifiedShow Answer

The nurse is working with a group of adults, ages 35 to 45, assisting them with pre-employment physicals at a local industrial plant. This age group is representative of which of the following?

Correct AnswerverifiedB

A nurse is working in a community of mostly blue-collar workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:

Correct AnswerverifiedShow Answer

A client has been coming to the same clinic for a long time. The nurse can identify movement into Kohlberg's post-conventional level when the client, after being asked about work, makes this statement:

Correct AnswerverifiedShow Answer

The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the Australian Cancer Society, the nurse explains that it is important to:

Correct AnswerverifiedShow Answer

Developmental tasks associated with middle-age clients include all of the following except:

Correct AnswerverifiedShow Answer

During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding weight loss. The nurse's best response is:

Correct AnswerverifiedShow Answer

The characteristics tasks of a young adult include all of the following except:

Correct AnswerverifiedShow Answer

The nurse is performing a community assessment. Which of the listed assessment data from this community would follow the national norms regarding disease for the middle-aged adult?

Correct AnswerverifiedShow Answer

Post-formal thought is a cognitive development that includes:

Correct AnswerverifiedShow Answer

An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the employees, which group presents with the greatest risk for this problem?

Correct AnswerverifiedShow Answer

A middle-aged client is struggling with life changes, including menopause. The best response by the nurse to this client is:

Correct AnswerverifiedA

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A, B, C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A