ch 13: young and middle adults

With the exception of pregnant or lactating women, by what age has the young adult usually completed physical growth?

20

What is the normal duration of the postpartum period?

6 weeks

The nurse explains substance abuse to a group of nursing students. The nurse explains that a legalized drug is readily available on the market and is in chocolate and some over-the-counter drugs for colds, coughs, and allergies. Which drug do these substances have in common?

Caffeine

The nurse is teaching a group of young adults about the prevention of sexually transmitted infections (STIs). Which intervention by the participants best indicates effective teaching?

Demonstrating the proper application of a condom

Which statement about perimenopause is true?

Menstrual cycles become irregular.

Which factor, aside from educational level and socioeconomic status, affects a patient's compliance with a prescribed course of therapy?

Motivation

Sharing eating utensils with a person who has a contagious illness is an example of a health risk resulting from which factor?

Personal hygiene habits

A patient who delivered a baby 2 days ago is irritable, has mood swings, and is experiencing overall emotional instability. These signs are indicative of which condition?

Postpartum depression

Which people would benefit from a Lamaze class?

Pregnant women

Which action falls under the role of a lay doula?

Provide emotional support and physical assistance to the patient in labor.

Which term is often applied to people who find themselves balancing responsibilities related to employment, family life, care of children, and care of aging parents?

The sandwich generation

The nurse assesses a patient with Raynaud's disease. On assessment, the nurse finds that the patient is a jackhammer operator by profession. Which factor is the likely cause of this disorder?

Vibrations

In addition to a routine health assessment, which other tests would the nurse provide for a patient who is a glass worker?

Visual acuity

Which statement is correct regarding physical changes that occur in younger and older adults?

Younger adults have less severe physical illnesses than older adults.

A patient with a history of substance abuse who has developed fluid-filled vesicles on the penis has been admitted to a hospital. Which question would the nurse include in the initial investigation?

a) "Are you suffering from urinary incontinence?" b) "Have you had unprotected sexual intercourse?"

Which question would the nurse ask while performing a job assessment of a patient who is extremely stressed?

a) "Do you get irritated frequently?" b) "Could you please describe your work?" c) "Has there been any change in sleep patterns recently?"

Which question would the nurse ask while performing a personal lifestyle assessment?

a) "What is your occupation?" b) "Do you have pets at home?" c) "How much time do you devote to exercising?"

Which hallmark of emotional health indicates successful maturation in a young adult?

a) A sense of meaning and direction in life b) Satisfaction with friendships c) Generally cheerful attitude d) Attainment of several long-term goals

A pregnant patient in her first trimester expresses concern about her husband because his sexual needs are not fulfilled. Which information would the nurse provide to this patient to overcome this psychosocial stress?

a) Advise cuddling and holding. b) Explain that a woman's sexual activity is influenced by body image. c) Reassure the couple that sexual activity does not harm the fetus.

Which factor has been linked to intimate partner violence (IPV)?

a) Alcohol abuse b) Pregnancy c) Unemployment d) Drug use

Which condition is linked to obesity?

a) Asthma b) Psoriatic arthritis c) Hypercholesterolemia

Which common issue might the nurse observe while assessing patients who are between 35 and 64 years of age?

a) Career-related changes b) Caring for aging parents

Which health screening is covered during prenatal care checkups?

a) Counseling about child care b) Counseling about exercise and diet c) Screening for sexually transmitted infections (STIs) and vaginal infections d) Physical assessment at scheduled intervals

Which phrase regarding the long-term effects of exercise are correct?

a) Decreases insomnia b) Decreases fatigue c) Helps decrease the resting heart rate

Which pathophysiological change caused by smoking can increase the risk of cardiac disease in young adults?

a) Deposition of fats in coronary arteries b)Coronary vasoconstriction c)Peripheral vasoconstriction

Which factor affects a young adult's adherence to decisions about smoking cessation?

a) Desire to learn b) Education level c) Socioeconomic status

Which factor may influence how well a patient with diabetes adheres to a self-care and drug regimen?

a) Education level of the patient b) Socioeconomic status of the patient c) Motivation level of the patient

Which visible normal physical change appears in patients in the age-group of 35 to 64 years?

a) Graying hair b) Wrinkling skin c) Thickening waist

The nurse suspects that a wife is a victim of intimate partner violence (IPV) based on the bruises on her neck, arms, and legs. Which observation of the husband may have led the nurse to suspect that he abuses his wife?

a) He is a drug addict. b) He is unemployed. c) He has borderline personality traits.

Which physiological change would the nurse expect to find in a pregnant patient in her first trimester?

a) Morning sickness b) Breast tenderness

Which finding would indicate that a patient is mature for the developmental age of a young adult?

a) Not sensitive to criticism b) Satisfied with friends and family c) Satisfied with personal growth and development

Which professional is permitted to perform a prenatal assessment of a pregnant woman?

a) Obstetrician b) Certified midwife c) Nurse practitioner

Which nursing intervention would be helpful in changing the smoking habit of a middle-aged patient who has been smoking for 10 years?

a) Offer positive reinforcement. b) Explain physiological principles of changing habits. c) Provide information about the effect of this behavior on health

Which intervention would the nurse include in the plan of care for a middle-aged patient who is overweight and is at increased risk of cardiovascular disease?

a) Providing foods with higher nutritional value b) Encouraging the patient to engage in some form of physical activity

. Which intervention would the certified nurse midwife include in prenatal care?

a) Routine physical assessment b) Teaching diet for pregnant women c) Assessing for the presence of any genital or urinary tract infections

Which positive health habit may prevent the development of chronic illness later in life?

a) Routine screening and diagnostic tests b) Regular exercise

A middle-aged patient who has been smoking for the past 10 years expresses that it is hard to quit this habit. The patient also seems to smoke more during times of stress. Which strategy would the nurse implement to help the patient tackle the stress?

a) Teach relaxation therapy. b) Teach ways to increase stress resistance. c) Emphasize minimizing the frequency of stress-producing situations.

Which factor would the nurse assess when determining the knowledge base of a middle-aged adult with chronic illness and his or her family?

a) The medical course of the illness b) The prognosis for the patient c) Coping mechanisms of the patient and family d) The need for community and social services

Which adverse health outcome would the nurse expect a pregnant woman who is a victim of intimate partner violence (IPV) to have? Select all that apply.

a) Vaginal bleeding b) Preterm delivery of baby c) Low-birth-weight infant

Which assessment finding is considered abnormal for a 50-year-old patient?

a) Very thin skin b) Patchy hair loss c) Enlarged scrotal sac

A single young adult interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. Which describes how the young adult views these individuals?

family

A 50-year-old patient has elevated cholesterol profile values that increase the patient's cardiovascular risk factor. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. Which form of nursing activity does this represent?

health education