Question 1

The nurse suspects that a patient is experiencing despair.Which characteristics did the nurse recognize in this patient? (Select all that apply.)

Accepted Answer

An indication of unsuccessful completion of prior developmental stages can result in feelings of despair that life has been lived in vain and a fear of death.A.C.E.F.Socializing and exercise are indicative of positive adjustments and an active and productive lifestyle.

Question 2

A patient with a chronic illness is receiving care at home by a caregiver.What should the nurse discuss with the patient and caregiver about respite care? (Select all that apply.)

Accepted Answer

The caregiver needs personal time to be alone and de-stress or perform activities such as shopping to cope as a caregiver.Caregivers who are too stressed by the caregiver role may become neglectful which can be a form of patient abuse,although they do not intentionally mean to abuse the patient.Rather,they have become overwhelmed with their caregiver role.B.Respite care is not used to evaluate the health of the patient.

Question 3

The nurse is working with a patient and family to achieve wellness goals.What actions should the nurse take when creating this plan? (Select all that apply.)

Accepted Answer

Working together,the patient,family,and members of the health care team develop a plan of care that includes wellness goals and a plan of action to accomplish those goals.The plan of care should focuses on mobilizing resources,recognizing potential crises,providing an adaptable environment,and helping the patient learn about his or her health problem and treatment.D.The patient and family's concerns should not be minimized.

Question 4

The nurse is contributing to a staff education program about chronic illness.What should the nurse include as being congenital diseases? (Select all that apply.)

Accepted Answer

Malabsorption syndrome and spina bifida are congenital diseases.C.D.E.These are genetic disorders.A.Cancer is an acquired disease.

Question 5

A middle-aged patient is upset that her oldest daughter is moving out of state and her parents are getting older and need more assistance.What terms should the nurse use to describe the situations in which this patient is experiencing? (Select all that apply.)

Accepted Answer

The term empty nest has been used to describe the middle-aged couple's home after their children have left.The middle-aged adult generation has been labeled the sandwich generation because of the need to care for their children and their aging parents at the same time.A.Ageism is a term that describes stereotypical misconceptions about older adults in society.C.Baby boomer is a term used to describe a generation of individuals born after the last World War.D.Digital immigrant is a term used to describe a person who is learning how to use electronic devices without the benefit from learning them in school.

Question 6

The nurse is contributing to a staff education program about chronic illness.Which illnesses should the nurse explain as being acquired (not congenital or genetic)chronic illnesses? (Select all that apply.)

Accepted Answer

Acquired chronic illnesses include cancer,cataracts multiple sclerosis,and chronic obstructive pulmonary disease.D.E.Muscular dystrophy and Huntington's disease are genetic illnesses.

Question 7

The nurse is reinforcing teaching to assist the patient adapt to a chronic illness.What should the nurse include in the teaching? (Select all that apply.)

Accepted Answer

Appointments and rest periods,for example,must be considered in the patient's schedule.To prevent complications,it is essential to understand the medical regimen.Planning for methods to adapt to limitations is very helpful for successful adaptation.C.Symptoms should not be ignored to prevent complications.A.To prevent isolation,maintain social contacts and activities.

Question 8

The nurse is assisting in the care of a patient with small cell lung cancer who regrets a long-term history of smoking and verbalizes a desire to stop smoking.Which intervention should the nurse recommend be included in the patient's plan of care? (Select all that apply.)

Accepted Answer

The patient with chronic lung disease who smokes can make a choice to smoke or to quit smoking.Providing patients with knowledge to make informed decisions empowers them to take control of their lives and reach for their greatest potential.Establishing short-term goals or self-care activities that allow them to participate or have small successes are important nursing actions that can increase self-esteem.Assessment of previous attempts to stop smoking is an important part of assisting the patient to choose effective health promotion strategies.F.Health promotion is possible and necessary at all levels of age or disability.A.Electroshock therapy is not used to promote smoking cessation.

Question 9

The nurse is participating in the creation of a teaching seminar about healthy behaviors for the young adult.What topics should the nurse suggest be included in this seminar? (Select all that apply.)

Accepted Answer

Young adults should understand the importance of diet and exercise in maintaining health for themselves and their children.Lifelong positive health practices help prevent long-term health complications.Avoiding sun exposure and using sunscreen are important to avoid sunburn,permanent sun damage to the skin,and increased risk of skin cancer.Tobacco use started in the teen years is often carried on throughout young adulthood and is linked to chronic bronchitis,emphysema,and oral,throat,and lung cancer in later life.Additional preventive measures that may be taught at this stage include breast self-examination (BSE)for women and testicular self-examination (TSE)for men.D.Restricting hours of sleep is not a healthy behavior.

Question 10

During a health history,the nurse learns that a young adult smokes cigarettes,drinks alcohol,and does not exercise routinely.What should this information suggest to the nurse? (Select all that apply.)

Accepted Answer

Overeating,alcohol use,drug use,cigarette smoking,and violence are risky lifestyle choices and poor coping mechanisms for stress.A.B.There is not enough information to determine if the patient is isolated or is having a crisis with intimacy.E.Positive coping mechanisms for stress include exercise,support groups,music,and meditation.

Question 11

The nurse is caring for a patient with a chronic illness and whose spouse is the caregiver.What should the nurse do to assist the caregiver with coping? (Select all that apply.)

Accepted Answer

These actions offer the caregiver encouragement and methods for coping as a caregiver.C.False hope does not help the caregiver with coping needs.

Question 12

The nurse is caring for a patient who has been working on issues related to the developmental stage of young adulthood.Which behaviors indicate to the nurse that the patient has resolved developmental task issues? (Select all that apply.)

Accepted Answer

Developing intimacy versus isolation is the sixth psychological developmental stage.The young adult's task is to develop relationships with a spouse,family,or friends which are warm,affectionate,and developed through fondness,understanding,caring,or love.F.When this stage is not successfully resolved,the individual often experiences isolation from others.B.C.In the middle adult years,the psychological developmental stage is developing generativity versus self-absorption.Generativity includes a sense of productivity and creativity and is demonstrated by a concern and support for others,along with a vision for future generations.A.The developmental stage for older adults is integrity versus despair.In this stage,the older adult looks back and evaluates what has been done with his or her life.Integrity refers to accepting responsibility for one's life so far and reflecting on it in a positive way.

Quiz 14: Developmental Considerations in the Nursing Care of Adults