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:

Accepted Answer

Compromise involves a willingness to negotiate and enter into interactions in which neither person wins or loses.Conflicts are resolved by defining and solving the problem.The focus is kept on the issue.Couples who compromise,communicate openly,listen carefully,and try to understand their partner's point of view find that their relationship is respected and cherished.

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:

Accepted Answer

Making a dramatic change in one's adult life prevents an individual from becoming dormant in his or her daily life.People who are unhappy tend to develop mental health disorders.

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?

Accepted Answer

Discerning his feelings about relationship choices and commitment best meets the needs of this client at this time in his life.Improving his ability to adapt and developing his ability to establish and maintain an intimate relationship are not indicated in the scenario as an issue.Outlining his life's dream assists in building a positive personal identity but is too broad a task for this client at this time.

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?

Accepted Answer

This client is using drugs and alcohol as coping mechanisms.It is unlikely that the client is choosing these actions as a health-seeking mechanism.The client is not ready to work on family processes,and there is not enough evidence to suggest 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?

Accepted Answer

Making sound decisions and learning from past decisions describe this client's situation,but learning from past decisions applies the most in that he has made the wrong decision numerous other times in the past.Acceptance of self is not addressed in this scenario,and finding a balance between giving and taking refers to maintaining a balance between caring for others and taking care of oneself.

Question 6

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

Accepted Answer

This percentage refers to diagnosable mental health disorders.

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:

Accepted Answer

To maintain intellectual development,individuals must engage in productive activities at all ages.

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?

Accepted Answer

The nurse must first clarify what the client's statement is referring to so as to eliminate the possibility that the client is thinking of harming herself.Once this is clarified,and if it is not what the client is indicating,a list of social groups might be supplied later in the conversation.Offering to call the client's family and assuring her that she will make friends are disregarding what the client is telling the nurse she feels.Social isolation is not a healthy state for an individual.

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.

Accepted Answer

Most of a parent's energy is focused on the child or children every minute of every day.The responsibility is immense and can cause various emotions,especially if the parent works outside the home.Adulthood,adolescence,and childhood do not have a primary focus on others as parenting does.

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?

Accepted Answer

It is crucial to learn about the client's living conditions and work within the reality of their situation.Instruction on nutrition and health practices and development of coping strategies cannot be addressed until basic needs for food,clothing,and shelter are met.

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?

Accepted Answer

If an individual has little or no sense of identity,it is difficult to establish relationships with others.Lack of personal identity will not affect the other areas of development as strongly as it does social development.Vocation is not one of the areas of development;choosing a vocation or career is a core task of young adulthood.

Question 12

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

Accepted Answer

This statistic sometimes can lead to stress-related mental health disorders caused by the pressure of multiple responsibilities.

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:

Accepted Answer

Problems with interpersonal relationships can extend to work and social environments.Individuals who have little or no ability to see how their attitudes and behaviors affect other people often have difficulties with long-term relationships.They become superficial and unwilling to consider the feelings of others.Small problems with social relationships can balloon into serious mental health problems.

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?

Accepted Answer

The complete picture of this client indicates hopelessness as the most accurate nursing diagnosis at this time.The other three options may apply to her at a later time after further evaluation.

Question 15

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

Accepted Answer

It is important for the nurse to realize that the number of individuals needing care for mental health issues is growing.

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:

Accepted Answer

Development within the spiritual dimension focuses on defining one's value system and belief system.Young adults often challenge their current religious practices by changing churches or refusing to attend services.This is not seen as a personality disorder or a result of dysfunctional parenting.This task is expected during this phase of development.

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?

Accepted Answer

Assisting the client in finding programs for single parents helps the client by giving her support as she tries to better her financial situation in a way that will improve her self-esteem,independence,and personal identity and will help her to secure her financial future.Exploring feelings related to the divorce and having the client contact her ex-husband are not going to help her depression at this time.Sharing information about support groups will be helpful in the future but does not meet her immediate need.

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?

Accepted Answer

Unrealistic goals set the client up for failure.Even the best interventions will not be successful in this circumstance.The nurse must be sure to accurately assess the client's life situation when working with the client to set realistic goals.The other options must be considered when a care plan is being developed,but if taken into consideration,they do not hinder the outcome as much as the client not seeing importance in his goals.Therapeutic actions will have greater results if goals are as important to the client.

Question 19

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

Accepted Answer

This term stands for acute fear regarding acquired immunodeficiency syndrome (AIDS).It is seen in individuals whose behaviors based on their lifestyle put them at very little risk of contracting HIV/AIDS.Individuals in a heterosexual monogamous relationship most likely would demonstrate AFRAIDS.The other populations are at higher risk for contracting the disease based on the behaviors associated with their lifestyle.

Question 20

The term "sandwich generation" best describes adults:

Accepted Answer

This generation can be a problem for many adults in that they face multiple responsibilities,resulting in increased levels of stress.

Quiz 15: Problems of Adulthood