Chapter 22 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 22

Question 1

Type: MCSA

The nurse is providing pre-employment physicals to a group of adults, aged 30 to 40. This age group is representative of :

1. Baby Boomers

2. Generation X

3. Generation Y

4. Millennials

Correct Answer: 2

Rationale 1: The Baby Boomers were born in the years 1945 to 1964.

Rationale 2: Generation X includes individuals born in years 1965 to 1978.

Rationale 3: Generation Y were born between the years 1979 and 2000.

Rationale 4: Millennialswere born between the years 1979 and 2000.

Global Rationale: Page Reference: 400

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Compare and contrast the following generational groups: baby boomers, Generation X, and Generation Y.

Question 2

Type: MCSA

A colleague is telling the community health nurse that their adult child has just moved back in with them. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which of the following contribute to this particular trend?

1. Maladaptive behavior

2. High unemployment rate

3. High housing costs

4. High incidence of chronic disease

Correct Answer: 1,2,3

Rationale 1: These young adults, known as Boomerang Kids, have moved back into their parents homes after an initial period of independent living. Another factor that has contributed to this trend is high divorce rates. Chronic disease is not in high incidence among this age group.

Rationale 2: These young adults, known as Boomerang Kids, have moved back into their parents homes after an initial period of independent living. Another factor that has contributed to this trend is high divorce rates. Chronic disease is not in high incidence among this age group.

Rationale 3: These young adults, known as Boomerang Kids, have moved back into their parents homes after an initial period of independent living. Another factor that has contributed to this trend is high divorce rates. Chronic disease is not in high incidence among this age group.

Rationale 4: These young adults, known as Boomerang Kids, have moved back into their parents homes after an initial period of independent living. Another factor that has contributed to this trend is high divorce rates. Chronic disease is not in high incidence among this age group.

Global Rationale: Page Reference: 400

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 09 List examples of health promotion topics for young and middle adulthood.

Question 3

Type: MCSA

A nurse works with young adults engaged in discussions regarding working schedules over the holidays. They will be able to balance the emotional as well as logical side of the discussion based on which of the following?

1. Formal operational stage

2. Postformal thought process

3. Kohlbergs theory of moral development

4. Fowlers spiritual development theory

Correct Answer: 2

Rationale 1: Young adults are able to use formal operations, characterized by the ability to think abstractly.

Rationale 2: Postformal thought, sometimes called the problem finding stage, is characterized by creative thought, realistic thinking, problem forming, and solving. Postformal thinkers are able to comprehend and balance arguments created by both logic and emotion.

Rationale 3: Young adults enter the postconventional level of Kohlbergs moral theory.

Rationale 4: This would not be considered a spiritual dilemma, so Fowlers theory would not be utilized.

Global Rationale: Page Reference: 401

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Identify characteristic tasks of psychosocial development during young and middle adulthood.

Question 4

Type: MCSA

A nurse is working in a community health office that is often frequented by young adults. In assessing for potential problems, the nurse realizes that a leading cause of death in this age group is suicide. Which of the following factors may indicate a problem in this area?

1. Decreased interest in work

2. Weight loss

3. Depression

4. Brain dysfunction, including tumors

5. Sleep disturbances

Correct Answer: 1,2,3,5

Rationale 1: Other factors indicating problems include a variety of physical complaints, digestive disorders, increase in isolation, problems with close relationships, and financial failure. Brain tumors are not an indicator for suicide.

Rationale 2: Other factors indicating problems include a variety of physical complaints, digestive disorders, increase in isolation, problems with close relationships, and financial failure. Brain tumors are not an indicator for suicide.

Rationale 3: Other factors indicating problems include a variety of physical complaints, digestive disorders, increase in isolation, problems with close relationships, and financial failure. Brain tumors are not an indicator for suicide.

Rationale 4: Other factors indicating problems include a variety of physical complaints, digestive disorders, increase in isolation, problems with close relationships, and financial failure. Brain tumors are not an indicator for suicide.

Rationale 5: Other factors indicating problems include a variety of physical complaints, digestive disorders, increase in isolation, problems with close relationships, and financial failure. Brain tumors are not an indicator for suicide.

Global Rationale: Page Reference: 402

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.

Question 5

Type: MCSA

An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the employees, the primary focus group of the intervention is:

1. Male and female, equally

2. African American males

3. Asian American females

4. White females

Correct Answer: 2

Rationale 1: This is not a statement that is evidence based.

Rationale 2: Hypertension is a major problem for young African American adults, particularly men. The causes for this are unknown.

Rationale 3: This is not a statement that is evidence based.

Rationale 4: This is not a statement that is evidence based.

Global Rationale: Page Reference: 402

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.
09 List examples of health promotion topics for young and middle adulthood.

Question 6

Type: MCSA

A nurse is working in a community of factory workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:

1. become more aware of marketing efforts by tobacco companies.

2. tell this group that smoking is unacceptable.

3. make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.

4. counsel the group regarding addiction.

Correct Answer: 1

Rationale 1: Smoking is a type of drug abuse prevalent in this age group, which can lead to lung cancer and cardiovascular disease.The nurses role regarding smoking is to serve as a role model by not smoking, provide educational information regarding the dangers of smoking (not just tell or counsel about it), help make smoking socially unacceptable, suggest resources such as hypnosis, and assist with lifestyle training and behavior modification to clients who desire to stop smoking.

Rationale 2: The nurses role regarding smoking does not include making judgement statements.

Rationale 3: There is not current research to support the role of tobacco in the development of liver and esophagus cancers.

Rationale 4: The nursing rolein this situation is to educate not counsel.

Global Rationale: Page Reference: 402

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.

Question 7

Type: MCSA

During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding typically experienced weight changes. The nurses best response is:

1. Weight loss is no different during this time than any other time of your life.

2. Metabolism slows during middle age, which may result in weight gain.

3. As long as you exercise appropriately, weight loss will be ensured.

4. Weight loss is always a good idea, regardless of your age.

Correct Answer: 2

Rationale 1: The nurse should educate clients regarding physical changes occurring in their bodies. Statements that generalize weight loss with all other age groups are neither accurate nor helpful to the person asking the question.

Rationale 2: The nurse should educate clients regarding physical changes occurring in their bodies. Age does make a difference in how the body responds to diet and exercise, and it is important for nurses to be well informed and educated regarding age-related changes.

Rationale 3: There are other factors in addition to exercise that can affect weight in this age group.

Rationale 4: Statements that generalize weight loss with all other age groups are neither accurate nor helpful to the person asking the question.

Global Rationale: Page Reference: 407

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 List examples of health promotion topics for young and middle adulthood.

Question 8

Type: MCSA

A client comes to the clinic with a history of pain in his testicle. During the interview assessment, which of the following should be of concern to the nurse?

1. The client works as an auto-detailer.

2. He smokes half a pack of cigarettes per week.

3. He has not had a yearly exam for 5 years.

4. He does not perform testicular self-exam.

Correct Answer: 3

Rationale 1: There is no current evidence to support such work as a risk factor for such symptoms.

Rationale 2: There is no current evidence to support smoking as a risk factor for such symptoms.

Rationale 3: Testicular cancer is the most common neoplasm in men between the ages of 20 and 34. Monthly testicular self-examination, a means of early identification of malignancy, used to be recommended for all men. More recent recommendations from the American Cancer Society (ACS) are that men should have a testicular exam as part of a yearly physical exam.

Rationale 4: While monthly testicular self-examination, a means of early identification of malignancy, used to be recommended for all men that recommendation has recently been updated.

Global Rationale: Page Reference: 408

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 9

Type: MCSA

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to best assess the client, the nurse asks:

1. can you tell me whats been going on in your life lately?

2. what kind of problems are you having?

3. is someone hurting you?

4. can you explain what your family life is like?

Correct Answer: 3

Rationale 1: Generalized questions about life do not adequately address the clients needs during this assessment.

Rationale 2: Generalized questions about life problems do not adequately address the clients needs during this assessment.

Rationale 3: A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine.

Rationale 4: Generalized questions about family life do not adequately address the clients needs during this assessment.

Global Rationale: Page Reference: 402

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.
08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 10

Type: MCSA

The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the American Cancer Society, the nurse explains that it is important for these women to:

1. Do monthly breast self-exams.

2. Have a yearly mammogram.

3. See a physician if there is a strong family history of breast cancer.

4. Have an annual breast exam performed by a health care provider.

Correct Answer: 4

Rationale 1: Breast self-exam is no longer recommended for all women.

Rationale 2: Yearly mammography for all women over the age of 40 is encouraged as it decreases the mortality from breast cancer.

Rationale 3: While a family history of breast canceris a risk factor it is not the sole reasons to monitor for breast cancer.

Rationale 4: The American Cancer Society recommends a health care practitioner perform a breat examination at a yearly physical exam.

Global Rationale: Page Reference: 404

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Identify developmental assessment guidelines for young and middle-aged adults.
09 List examples of health promotion topics for young and middle adulthood.

Question 11

Type: MCSA

A community health nurse is doing a screening for cervical cancer at a womens health fair. Which of the following clients would have the highest risk factor for cervical cancer?

1. The client who had a difficult vaginal delivery 2 years ago

2. The client who has a history of genital herpes

3. The client who was married at age 27

4. The client who has a sister with breast cancer

Correct Answer: 2

Rationale 1: There is not current evidence to support this option.

Rationale 2: High risk factors for cervical cancer include sexual activity at an early age, multiple sexual partners, and a history of syphilis, herpes genitalis, or Trichomonas vaginitis.

Rationale 3: There is not current evidence to support this option.

Rationale 4: There is not current evidence to support this option.

Global Rationale: Page Reference: 403-404

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 12

Type: MCSA

A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations. The nurse should recommend that the client:

1. Have a tetanus booster if the client has not had one within the last 5 years.

2. Have the hepatitis B immunization series.

3. Receive a meningococcal vaccine if the client did not receive one as a teen.

4. Not worry about immunizations as they are not recommended for this age group.

Correct Answer: 3

Rationale 1: Recommended immunizations for this age group include tetanus-diphtheria booster every 10 years.

Rationale 2: The hepatitis B series would not be recommended for travel within the United States.

Rationale 3: Recommended immunizations for this age group include meningococcal vaccine if not given in early adolescence.

Rationale 4: This option is not true since there are recommended immunizations for this age group.

Global Rationale: Page Reference: 404

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 13

Type: MCSA

A nurse is presenting an educational session regarding the psychosocial development to a group of middle-aged adults.. According to Eriksons theory, what activity would best meet the needs of this stage?

1. Providing opportunity to mentor school-age children

2. Giving the group handouts regarding peer socialization

3. Helping the members of this group find appropriate civic responsibility

4. Assisting the group members to look at their life accomplishments

Correct Answer: 1

Rationale 1: 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.

Rationale 2: Erikson viewed the developmental choice of the middle-aged adult as generativity versus stagnation. Peer socialization is a task of the young adult and adolescent.

Rationale 3: 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. Finding civic responsibility is a task of the young adult and adolescent.

Rationale 4: Taking inventory of past accomplishments is the task of the older adult.

Global Rationale: Page Reference: 406

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 03 Identify characteristic tasks of psychosocial development during young and middle adulthood.

Question 14

Type: MCSA

The nurse is assisting in a community health project for middle-aged adults attempting to identify which members of the community have been successful in the tasks identified by Erikson. The nurse looks for the :

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

Correct Answer: 1

Rationale 1: 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.

Rationale 2: Erikson identifies this stage as generativity versus stagnation. This option identifies tasks associated with the young adult stage.

Rationale 3: Erikson identifies this stage as generativity versus stagnation. This option identifies tasks associated with the young adult stage.

Rationale 4: Erikson identifies this stage as generativity versus stagnation. This option identifies tasks associated with the young adult stage.

Global Rationale: Page Reference: 406

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Identify characteristic tasks of psychosocial development during young and middle adulthood.

Question 15

Type: MCSA

The nurse is providing assistance at a community health fair that targets the middle-aged client. Which of the following statements is true for this age group?

1. The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process.

2. Adults make the transition into this stage easily and without problems.

3. Physical capabilities and functions decrease with age, but mental and social capacities tend to increase in the latter part of life.

4. Cognitive and intellectual abilities are somewhat decreased due to slower reaction time, loss of memory, and changes in perception and problem solving.

Correct Answer: 3

Rationale 1: Cognitive and intellectual abilities change very little during this time.

Rationale 2: Transition into middle life can be as critical as during adolescence. Some refer to the midlife crisis and call the decade between 35 and 45 years the deadline decade.

Rationale 3: Physical capabilities and functions do decrease with age, but the mental and social capacities actually increase in the latter part of life.

Rationale 4: Cognitive and intellectual abilities change very little during this time.

Global Rationale: Page Reference: 405-406

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 16

Type: MCSA

The nurse can identify movement into Kohlbergs postconventional level when the client, after being asked about work, makes this statement:

1. Oh, the work isnt so bad anymore. Im getting close to retirement.

2. Work is fine, but my family and friends are so much more important to me.

3. Ive done a good job for the company. Im proud of my years there.

4. I dont like to talk about work when Im not there.

Correct Answer: 2

Rationale 1: According to Kohlberg, the extensive experience of personal moral choice and responsibility is required to move into the postconventional level. A statements about work not being so bad shows a complacency about work that is not reflective of the postconventional level.

Rationale 2: According to Kohlberg, the extensive experience of personal moral choice and responsibility is required to move into the postconventional level. 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 precedenceas in the statement that work is OK, but family and friends are more important.

Rationale 3: Stating that the person has pride about work and the time spent doing it would be an example of Eriksons stage of integrity versus despair.

Rationale 4: According to Kohlberg, the extensive experience of personal moral choice and responsibility is required to move into the postconventional level. A statement about not wanting to talk about work shows a complacency about work that is not reflective of the postconventional level.

Global Rationale: Page Reference: 406-407

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe moral development according to Kohlberg throughout adulthood.

Question 17

Type: MCSA

Which of the listed statements support the national norms regarding disease for the middle-aged adult?

1. Cancer is the leading cause of death in the age group from 25 to 64 years.

2. Coronary heart disease is the leading cause of death.

3. Leading causes of death include suicide and motor vehicle crashes.

4. Injuries and chronic disease are the leading causes of death in this age group.

Correct Answer: 4

Rationale 1: Cancer is the second leading cause of death among people between the ages of 25 and 64 years.

Rationale 2: Coronary heart disease is the leading cause of death among all age groups in the United States.

Rationale 3: There is no evidence to support this statement regarding suicide.

Rationale 4: Motor vehicle crashes as well as occupational injuries along with chronic disease such as cancer and cardiovascular disease combined make up the leading causes of death in the middle-aged adult group.

Global Rationale: Page Reference: 407

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.

Question 18

Type: MCSA

A middle-aged client is struggling with life changes, including menopause. The best response by the nurse to this client is:

1. Dont worry, menopause cant last forever.

2. There are some very good antidepressants you can take.

3. What did your mother do to get through menopause?

4. There is a menopause support group that meets every 2 weeks.

Correct Answer: 4

Rationale 1: Telling a client who is struggling not to worry is not therapeutic and does not address the problem.

Rationale 2: Advice about medications is not within nurses scope of practice, since they do not prescribe.

Rationale 3: Comparing this clients situation to her mothers is neither relevant nor therapeutic. Her mothers age group was going through experiences in a different time and culture.

Rationale 4: Clients experiencing developmental stressors like menopause, the climacteric, aging, impending retirement, or any other situational stressors may experience anxiety and depression. These clients may benefit from support groups or individual therapy to help them cope with specific crises.

Global Rationale: Page Reference: 408

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 09 List examples of health promotion topics for young and middle adulthood.

Question 19

Type: MCSA

A group of middle-aged clients are inquiring about nutritional related health problems inherent in their age group. In order to best address these concerns of this specific age group, the nurse will:

1. Provide information, including a website, regarding age specific diet plans.

2. Give all clients a handout on diets recommended by the ADA.

3. Tell the clients to check with their physician before dieting.

4. Have them write to the U.S. Department of Agriculture.

Correct Answer: 1

Rationale 1: Decreased metabolic activity and decreased physical activity mean a decrease in caloric needs. This particular age group must be educated regarding nutrition, exercise, and the relationship to chronic diseases such as diabetes mellitus and heart problems.

Rationale 2: This option does not necesaily address the concerns of this specific age group.

Rationale 3: While this information is not incorrect, is the nurses responsibility to provide general information, education, and sources for clients seeking improvement in their nutritional lives that would include but not be limited to encouragement to check with their physician before dieting.

Rationale 4: While encouraging the individuals to write of information is not incorrect, in this situation t is the nurses responsibility to provide information, education, and sources for clients seeking improvement in their nutritional lives.

Global Rationale: Page Reference: 407

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 07 Identify selected health risks associated with young and middle-aged adults.
08 Identify developmental assessment guidelines for young and middle-aged adults.

Question 20

Type: MCMA

When working with young adults, the community health nurse realizes that the psychosocial developmental tasks include which of the following?

Standard Text: Select all that apply.

1. Selecting a mate.

2. Rearing children.

3. Achieving civic responsibility.

4. Finding a congenial social group.

5. Developing adult leisure-time activities.

Correct Answer: 1,2,4

Rationale 1: Selecting a mate is a task appropriate for this age group.
Other tasks include learning to live with a partner, starting a family, managing a home, getting started in an occupation, and taking on civic responsibility. Achieving civic responsibility and developing adult leisure-time activities are tasks of the middle-aged adult.

Rationale 2: Rearing children is a task appropriate for this age group.

Rationale 3: Achieving civic responsibility is a task of the middle-aged adult.

Rationale 4: Finding a congenial social group is a task appropriate for this age group.

Rationale 5: Developing adult leisure-time activities is a task of the middle-aged adult.

Global Rationale:

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:

Question 21

Type: MCMA

The nurse recognizes a Baby Boomer when the client:

Standard Text: Select all that apply.

1. Acknowledges consistently that she is working for all the overtime I can get.

2. Is uncomfortable when told she must turn off her cell phone.

3. Proudly wears the watch he earned as employee of the month.

4. Plans to retire from the company for which she is working now.

5. Feels that corporate America doesnt value its employees.

Correct Answer: 1,3,4

Rationale 1: Baby Boomers tend toward a workaholic orientation.

Rationale 2: Generation Y (or Millennials) are technologically sophisticated (and dependent).

Rationale 3: Baby Boomers want to be respected at work, and are loyal and dedicated.

Rationale 4: Baby Boomers want to be respected at work, and are loyal and dedicated.

Rationale 5: Generation X-ers are less impressed with corporate values.

Global Rationale: Page Reference: 400

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Compare and contrast the following generational groups: baby boomers, Generation X, and Generation Y.

Question 22

Type: MCMA

The nurse is confident that the young adult has successfully achieved psychosocial development when the client:

Standard Text: Select all that apply.

1. Discusses his plans to expand his exercise routine to include running.

2. Is optimistic about finding a new job since losing his last month.

3. Shares that he volunteers weekly at the local senior center.

4. Recognizes that while he enjoys playing basketball recreationally, he will never play professionally.

5. Laughs that next year hell be too bald to play Santa Claus.

Correct Answer: 1,2,4

Rationale 1: Psychosocial development of a young adult would include keeping good health habits.

Rationale 2: Psychosocial development of a young adult would include the ability to cope with stressors appropriately.

Rationale 3: Psychosocial development of a middle-aged adult would include pursuing charitable and altruistic activities.

Rationale 4: Psychosocial development of a young adult would include having a realistic self-concept.

Rationale 5: Psychosocial development of a middle-aged adult would include accepting his aging body.

Global Rationale: Page Reference: 400-401

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Identify characteristic tasks of psychosocial development during young and middle adulthood.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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