Deck 15: Problems of Adulthood

Question 1

A newly married couple residing in a large city is expecting the birth of their first child in three months.The wife wishes to maintain her career and remain in their apartment.The husband has expressed the desire to relocate to a more suburban setting to raise their child.Their ability to successfully face this challenge depends upon their ability to:

A)Negotiate a mutually satisfying solution
B)Employ appropriate coping mechanisms
C)Avoid conflict by dealing with the issue at a later time
D)Maintain a firm sense of individuality

Answer 1

Negotiate a mutually satisfying solution

Question 2

A 49-year-old woman who has been the owner of a successful large business for several years decides to sell her business and move to a remote island to open a small dress shop.She most likely has made this decision based on her need to:

A)Avoid becoming stagnant in her life
B)Earn more money
C)Prevent another company from taking over her business
D)Improve her social development

Answer 2

Avoid becoming stagnant in her life

Question 3

An adult male client is admitted to a mental health facility with the diagnosis of depression following the breakup of a long-term engagement.He states that he couldn't "commit to marriage." In conducting his admission assessment,the nurse learns that during his childhood he did not feel guided,nurtured,or accepted by his parents.One of the goals for this client is to help him develop a positive personal identity.Which intervention should the nurse implement to meet this goal?

A)Improve his strength in the ability to adapt to new situations
B)Develop the ability to establish and maintain an intimate relationship
C)Discern his feelings about relationship choices and level of commitment
D)Outline his life's dream

Answer 3

Discern his feelings about relationship choices and level of commitment

Question 4

A 37-year-old client who has been divorced for several years recently lost joint custody of a 10-year-old daughter because of drug and alcohol use,along with nonpayment of child support.The client is referred to the clinic as the result of a court order.When arriving at the clinic,the client has been on a drinking binge for 2 days.What is the most appropriate nursing diagnosis for this client?

A)Health-seeking behaviors
B)Family processes,readiness for enhanced
C)Coping,ineffective
D)Hopelessness

Question 5

A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money.He subsequently seeks mental health care for stress-related disorders.Which characteristic of a successful adult is this client lacking?

A)Acceptance of self
B)Finding a balance between giving and taking
C)Making sound decisions
D)Learning from past decisions

Question 6

__________% of the adult population in the United States has a mental health disorder.

A)5
B)11
C)25
D)39

Question 7

A 68-year-old woman tells the nurse that since she retired a few months ago,she has been "taking it easy" by sleeping later and staying around the house to rest.She has recently noticed that she is having a little trouble with remembering things.The nurse is aware that intellectual development is continuous and suggests to the client:

A)"You might think about volunteering somewhere to keep your mind sharp."
B)"You are probably just tired from all those years at work."
C)"After you have gotten used to being at home,I am sure your memory will improve."
D)"Sometimes we must accept the fact that as we get older,we sometimes become more forgetful."

Question 8

An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job "in a big city." She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small hometown and face her family and friends as a "failure." What is the nurse's first response?

A)"Would you like me to call your family to assist you in deciding what is best for you to do?"
B)"I am sure you will make friends once you find a steady job that you like."
C)"Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?"
D)"Let me give you a list of some social groups that might be of interest to you."

Question 9

__________ is a major challenge for adults because energies are not concentrated on the self,and the demands can create feelings of anxiety,isolation,inadequacy,and helplessness.

A)Adulthood
B)Adolescence
C)Childhood
D)Parenting

Question 10

An obese woman is seen in the emergency department complaining of headaches.Her blood pressure is 150/92.Also present are her 4-year-old son and 2-year-old daughter.When the nurse offers to call a family member to pick up the children,the woman states that they are living alone in a women's shelter.What is the most appropriate action for the nurse to take?

A)Instruct the client on proper nutrition and educate her regarding the dangers of hypertension.
B)Make a referral for the client to a weight loss center.
C)Assist the client to plan better coping strategies.
D)Assess the family's daily living needs and consult social work for community resources.

Question 11

The nurse is caring for an adult male client who lacks a strong sense of personal identity.With which area of development will this client most likely struggle the most?

A)Social
B)Intellectual
C)Emotional
D)Vocational

Question 12

An increasing number of ______ are the head of the household of families in the United States.

A)Married couples
B)Single women
C)Single men
D)Relatives

Question 13

A 35-year-old woman in a managerial position has had a number of employees under her supervision resign or transfer to other departments over the past year.In addition,she has rarely had a close personal relationship for more than a few months.She feels other people "just don't measure up to my expectations." Her situation is the result of a possible:

A)Cognitive disorder
B)Somatoform disorder
C)Anxiety disorder
D)Personality disorder

Question 14

A 45-year-old woman is admitted to an inpatient mental health facility with the diagnosis of severe depression.She lives by herself and has been very active in her community for many years.During the past 6 months,she has become increasingly withdrawn from her family and friends and was terminated from her job because of excessive absenteeism.When she arrives on the unit,she makes little eye contact with the nurse,has a flat affect,and answers with one or two words.What is the most appropriate nursing diagnosis for this patient?

A)Diversional activity,deficient
B)Coping,ineffective
C)Fatigue
D)Hopelessness

Question 15

How many people in the United States have a severe mental illness?

A)500,000
B)1.3 million
C)5.4 million
D)10 million

Question 16

The parents of a 21-year-old who attended church services on a consistent basis are concerned when their child returns home from college and announces she is converting to another religion.This individual is most likely experiencing:

A)A personality disorder
B)The need to challenge a value and belief system
C)Instability due to dysfunctional parenting
D)Regression to an unresolved developmental task

Question 17

The nurse is caring for a client who is a single mother of two young children,has no financial or parental support from her ex-husband,is troubled by her financial circumstances and future,and works at a local fast-food restaurant.She is seeking help for depression.What is the nurse's best action?

A)Assist the client in seeking educational and/or vocational programs for single parents
B)Encourage the client to explore her feelings related to the reasons for her divorce
C)Persuade the client to contact her ex-husband for financial and parental support
D)Share information with the client regarding support groups for single mothers

Question 18

When the nursing care plan for a client with a mental health disorder is developed,what is the most likely reason that interventions are ineffective and goals are not met?

A)The client sees his goals as less important.
B)The client's family is not supportive.
C)The client's disorder is difficult to treat.
D)The client's medications are being adjusted.

Question 19

AFRAIDS is a condition that most likely would be seen in:

A)The homosexual population
B)Sexually promiscuous heterosexuals
C)Individuals in a heterosexual monogamous relationship
D)Persons who have a chemical dependency on illegal intravenous drugs

Question 20

The term "sandwich generation" best describes adults:

A)Caught between adulthood and late adulthood
B)Caring for their children and aging parents
C)Caring for their children and grandchildren
D)Caught between young adulthood and adulthood

Question 21

Therapeutic interventions are effective in the prevention of mental and emotional disorders and assisting the client to cope.Which of the following interventions assist in providing for a positive personal identity? (Select all that apply. )

A)Continue to define identity in terms of role in nuclear family
B)Develop career path and goals
C)Recognize how emotions influence achievement of goals and relationships
D)Maintain personal distance in relationships

Question 22

The __________ environment defines stressful or anxious situations.

Question 23

Adulthood is defined as beginning at age __________ years and ending at age ____________ years.

Question 24

One of the ways in which the social development of adults can be assessed is by observing the individual's ability to effectively communicate with whom? (Select all that apply. )

A)His or her significant other
B)His or her physician
C)His or her children
D)His or her co-workers

Question 25

Which statements describe the adult who has achieved the successful emotional development of adulthood? (Select all that apply. )

A)The adult is able to function effectively in a stressful environment.
B)The adult possesses effective intellectual and abstract problem-solving skills.
C)The adult is able to adapt to growing older.
D)The adult sets realistic personal and professional goals.