Chemistry Life and Health

224K & E Chapter 22 Health Young-Middle Aged Adults Study Guide STUDENTS COPY 1.The nurse is confident that a young adult has successfully achieved psychosocial development. What observations about the client did the nurse make to come to this conclusion? Select all that apply. 1. Discusses plans to expand his exercise routine to include running 2. Is optimistic about finding a new job 3. Volunteers weekly at the local senior center 4. Recognizes that professional sports may be enjoyed but does not aspire to participating 5. May be “too bald” to play Santa Claus Pg.354 The correct answer is 1, 2, 4 because the psychosocial development of a young adult would include keeping good health habits. The incorrect answer is 3 because the psychosocial development of a middle-aged adult would include pursuing charitable and altruistic activities. The incorrect answer is 5 because the psychosocial development of a middle-aged adult would include accepting his aging body. 2. The nurse is providing pre-employment physicals to a group of adults, aged 30 to 40. In which generation should the nurse categorize these adults? 1. Baby Boomers 2. Generation X 3. Generation Y 4. Millennials 5. Pg. 353 The correct answer is 2 because Generation X includes individuals born in the years 1965 to 1978. The incorrect answer is 1 because Baby Boomers were born in the years 1945 to 1964. The incorrect answer is 3 because Generation Y includes individuals born between the years 1979 and 2000. 3. While assisting in a community health project for middle-aged adults, the nurse attempts to identify members of the community who have been successful in the tasks identified by Erikson. What characteristic should the nurse identify in the community members? 1. Ability to have satisfaction in their volunteer activities 2. Ability to find an acceptable social group 3. Satisfaction with rearing children 4. Ability to manage a home Pg.359 The correct answer is 1 because Erikson identiﬁes this stage as generativity versus stagnation. Generative middle-aged persons are able to feel a sense of comfort in their lifestyle and receive gratiﬁcation from charitable endeavors. The incorrect answer is 2, 3 4 because this option identifies tasks associated with the young adult stage. 4. A colleague is telling the community health nurse that his adult child has just moved back in with him and his wife. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which factor is least likely contributing to this particular trend? 1. Maladaptive behavior- young adults, known as Boomerang kids have moved from home from living independently and is a factor that contributes to this trend. 2. High unemployment rate- a high unemployment rate is a factor that contributes to the trend after the adult child has moved back home after living independently. 3. High housing costs- These young adults, known as "Boomerang Kids," have moved back into their parents' homes after an initial period of independent living. A factor that has contributed to this trend is high housing costs. 4. High incidence of chronic disease - this is not a contributing factor to this trend (page 353, 354) 5. A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults. According to Erikson's theory, what activity should the nurse select to best meet the needs of this stage? 1. Providing opportunities to mentor school-age children- Erikson viewed the developmental choice of the middle-aged adult as generativity versus stagnation. Generativity is defined as concern for establishing and guiding the next generation. This could be accomplished through a mentor program with school- age children. 2. Giving the group handouts regarding peer socialization- Peer socialization is a task of the young adult and adolescent. 3. Helping the members of this group find appropriate civic responsibility- Finding civic responsibility is a task of the young adult and adolescent 4. Assisting the group members to look at their life accomplishments- Taking inventory of past accomplishments is the task of the older adult. (page 354) 6. The nurse can identify movement into Kohlberg's postconventional level when the client, after being asked about work, makes which statement? 1. "Oh, the work isn't so bad anymore. I'm getting close to retirement."- According to Kohlberg, the extensive experience of personal moral choice and responsibility is required to move into the postconventional level. A statement about work not being so bad shows a complacency about work that is not reflective of the postconventional level. 2. "Work is fine, but my family and friends are so much more important to me."- Movement from a law-and-order orientation to a social contract orientation requires that the individual move to a stage in which rights of others take precedence—as in the statement that work is OK, but family and friends are more important

CHEM | 104 | Chemistry Life and Health | study guides | 224K & E Chapter 22 Health You

the correct answer is2 because Although colon cleansing is a controversial method of detoxification, establishing a baseline regarding the clients knowledge regarding the process is most appropriate. the incorrect answer is1 because Although colon cleansing is a controversial method of detoxification, and there tends to be no middle group in the beliefs about the usefulness of colonics, that option does not appropriately address the clients concerns. the incorrect answer is 3because Colonics is the procedure for washing the inner wall of the colon by filling it with water or herbal solutions and then draining it. Colon cleansing is a controversial method of detoxification and the issue requires further discussion. the incorrect answer is4 because This option defers the clients concerns to the doctor, which is inappropriate because the nurse should be prepared to discuss the issue with the client. 10. A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St. John's wort. Which vital sign should the nurse assess for possible adverse effects? 1. Temperature 2. Respiratory rate 3. Oxygen saturation 4. Pulse rate pg299 the correct answer is 4because St. Johns wort may potentiate antidepressant medications, causing severe agitation, nausea, confusion, and possible cardiac problems. the incorrect answer is 123because St. Johns wort would not affect the hypothalamus. 11. A client visits a clinic that integrates Western medicine with complementary therapies. Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level? 1 . Acupressure and reflexology 2. Therapeutic touch and Reiki 3. Aromatherapy and naturopathic remedies 4. Chiropractic and massage therapy pg301 the correct answer is 1because Reflexology and acupressure are treatments rooted in the traditional Eastern philosophy that qi, or life energy, flows through the body along pathways known as meridians. When the flow of energy becomes blocked or congested, people experience discomfort or pain on a physical level. They may feel frustrated or irritable on an emotional level and may experience a sense of vulnerability or lack of purpose in life on a spiritual level. the incorrect answer is 2because Therapeutic touch and Reiki use the hands to alter the biofield or energy field. the incorrect answer is 3because Aromatherapy and naturopathic remedies utilize essential oils and plants for health benefits.

CHEM | 104 | Chemistry Life and Health | study guides | the correct answer is2 because

224K_amp__E_Chapter_17_Study_Guide.docx-K & E Chapter 17 Health

The incorrect answer is 4 because bone size is one of the indicators of growth. 10. The nurse is assessing a child's growth and development. What questions should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes? Select all that apply. 1. How tall the parents are 2. Whether noises seem to bother their child 3. How many ounces of formula their child drinks daily 4. What their yearly income is 5. Whether their child will receive day-care services pg. The correct answer is 123because the genetic inheritance of an individual is established at conception. It remains unchanged throughout life, and determines such characteristics as gender and physical characteristics . Temperament sets the stage for the interactive dynamics of growth and development.   Adequate nutrition is an essential component of growth and development. The incorrect answer is 4because although adequate family income allows for sufficient nutrition, housing, and other needs, it is not generally considered a factor affecting growth and development. The incorrect answer is5 because being cared for by individuals other than ones parents is not generally considered as a factor unless care is neglected by whoever   is   responsible. 11. A young adult has never lived away from his parents and feels unable to make decisions on his own. According to Freud's theory of development, the nurse should suspect that this person would be fixated at which stage of development? 1. Phallic 2. Latency 3. Genital 4. Anal pg.315 The correct answer is3 because  Freuds genital stage is characterized by energy that is directed toward full sexual maturity and function and development of skills needed to cope with the environment. It occurs during puberty and extends beyond. Implications of this stage include separation from parents, achievement of independence, and decision making. Fixation occurs at any stage and is the immobilization or the inability of the personality to proceed to the next stage because of anxiety. The incorrect answer is 1because the phallic stage is from 4 to 6 years of age, and fixation would be related to the individuals genital organs and the pleasure sensations they create. The incorrect answer is 2because the latency stage is 6 years to puberty. Energy is directed to physical and intellectual activities. Sexual impulses tend to be repressed. The incorrect answer is 4because the anal stage is from 11/2 to 3 years.   The anus and bladder are the sources of pleasure (sensual satisfaction, self-control). 12. A client is being seen in the mental health clinic for antisocial behavior. According to Erikson's stages of development, the nurse realizes that this client is dealing with which task of development? 1. Initiative versus guilt 2. Industry versus inferiority 3. Intimacy versus isolation 4 . Identity versus role confusion pg.316 The correct answer is 4 because ac cording to Erik Erikson, the adolescent stage is from 12 to 20 years and the central task is identity versus role confusion. Positive resolution indicates sense of self with plans to actualize ones abilities. Negative resolution indicates feelings of confusion, indecisiveness, and possible antisocial behavior. The incorrect answer is1 because i nitiative versus guilt is the late childhood stage and occurs from age 3 to 5 years. Industry versus inferiority occurs from 6 to 12 years, during the school-age stage The incorrect answer is2 because industry versus inferiority occurs from 6 to 12 years, during the school-age stage. The incorrect answer is3 because intimacy versus isolation is the task during young adulthood and occurs from 18 to 25 years. 13. A college-age client shares that he is struggling with feelings of both independence and dependence regarding his family. The nurse recognizes this as which stage of development, according to Roger Gould? 1. Stage 2 2. Stage 3 3. Stage 4 4. Stage 5 pg.317 The correct answer is 1because  Roger Gould studied adult development and described seven stages. Stage 2 (ages 1822) is where individuals have established autonomy, feel it is in jeopardy, and feel they could be pulled back into their families. The incorrect answer is2 because Roger Gould studied adult development and described seven stages. Stage 3 (ages 2228) is when individuals feel established as adults and autonomous from their

CHEM | 104 | Chemistry Life and Health | study guides | The incorrect answer is 4 beca

collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care. This is not the model described in the scenario. 10. A young adult client recovering from an injury that resulted in partial paralysis plans to live independently as before the injury. Which referral should the nurse identify as being the best for this client? A) Paramedical technologist B) Physical therapist C) Occupational therapist D) Case manager Pg. The correct answer is because The incorrect answer is because The incorrect answer is because The incorrect answer is because 11. A client is in the end stages of cancer. Which type of service should the nurse consider as being the best for this client? A) Rehabilitation B) Health restoration C) Acute care D) Palliative care Pg.94 The correct answer is c because An occupational therapist assists clients with impaired function to gain the skills necessary for activities of daily living. The therapist teaches skills that are therapeutic but at the same time provide fulfillment. Helping a client with paralysis learn to use equipment or different methods of doing daily tasks will enable the client to be as independent as possible. The incorrect answer is a because The term paramedical technologist includes laboratory technologists, radiological technologists, and nuclear medicine technologists. This title is given to those professionals having some connection with medicine. This referral would not meet the clients needs regarding independent living. The incorrect answer is b because A physical therapist helps clients regain physical strength and mobility. In this case, the client would probably also see a physical therapist, but not for the focus on independent living. The incorrect answer is d because A case managers role is to ensure that clients receive fiscally sound, appropriate care in the best setting. This client may well have a case manager to coordinate all the necessary care, but the question focuses on the return to independent living. 12. A client being discharged from an acute care hospital requires IV antibiotics, is not able to complete activities of daily living without assistance, and has no family available to assist in the recovery phase. Which type of recommendation should the nurse make for this client? A) Stay in the hospital until the client is fully capable of self-care. B) Remain in the hospital until the antibiotic course is completed. C) Be discharged to an extended care facility. D ) Go to a nursing home. Pg.92 The correct answer is c because Extended care facilities provide care for clients who require rehabilitation and custodial care after discharge from an acute care hospital. Because this client still receives antibiotic therapy and requires some custodial care, this type of facility can provide the best care until the client is ready for discharge home. The incorrect answer is a because An acute care hospital stay is no longer required because the needs of the client could be met in another facility. The incorrect answer is b because The antibiotic therapy and custodial care can be provided in a more suitable facility The incorrect answer is d because The client may require a nursing home or long-term care facility at some point, but it is too early in the recovery to make this decision.

All courses in CHEM

Popular Documents