Chapter 12 Adulthood and the Family

Chapter 12  Adulthood and the Family

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is aware that according to Schaie’s theory of development, the most significant event in the life of a 26-year-old single woman who is graduating from graduate school would be:
a.
marriage and starting a family.
b.
academic recognition for her high grades.
c.
employment in a prestigious business.
d.
a long-term relationship with a significant other.

ANS: C
According to Schaie, the achievement stage is satisfied by young adults being able to apply what they have learned to increase their competence and increase their career choices.

DIF: Cognitive Level: Comprehension REF: p. 161 OBJ: Theory #2
TOP: Schaie’s Theory, Young Adulthood
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention of Disease and Early Detection of Disease

2. The nurse assesses a 36-year-old clinic patient as having slightly elevated blood pressure and being overweight by approximately 20 pounds. The most motivating suggestion the nurse could make would be:
a.
“If you could lose that extra weight in the next month, your blood pressure would probably be back to normal.”
b.
“The chances of you having a stroke or heart attack will increase if you don’t lose some weight and bring your blood pressure down.”
c.
“You’ll need to take lifelong medications if diet and exercise don’t reduce your blood pressure.”
d.
“Exercise and diet modification started now, even in small amounts, can improve your overall health and delay the onset of aging.”

ANS: D
Research has established that healthy exercise and eating patterns delay the onset of aging and help control blood pressure.

DIF: Cognitive Level: Application REF: p. 166
OBJ: Clinical Practice #1 TOP: Exercise for Weight Loss
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention of Disease and Early Detection of Disease

3. A 48-year-old married father of two teens is involved with his children’s sports teams as a coach and referee. He manages a large fast-food franchise, which employs a number of teenagers whom he trains. The nurse recognizes that this lifestyle is conducive to:
a.
generativity from contact with young persons.
b.
self-absorption because he focuses on his recreational and business activities.
c.
isolation because of limited contact with people close to his age.
d.
stagnation based on repetitiveness of his work and recreation.

ANS: A
Generativity is the positive psychosocial outcome in adulthood that comes from educating and guiding the younger generation. Isolation occurs when people fail to develop intimate relationships; stagnation results from not being involved in the younger generation’s life.

DIF: Cognitive Level: Application REF: p. 169 OBJ: Theory #3
TOP: Psychosocial Development, Middle Adulthood
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

4. When caring for a child from another culture, the nurse takes into consideration the child’s family because families:
a.
are disruptive to the child’s therapy.
b.
shape how the child reacts to other people.
c.
may create a break in confidentiality.
d.
bring inappropriate foods to the child.

ANS: B
Families from all cultures shape cultural values and how the child interacts with others.

DIF: Cognitive Level: Comprehension REF: p. 161 OBJ: Theory #4
TOP: Families KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

5. A recently divorced young mother tells the nurse in the well child clinic that her 5-year-old has become very withdrawn since the divorce. The nurse’s best response to this concern would be:
a.
“He probably misses his dad. Young children adjust quickly though.”
b.
“He may be acting out his resentment toward you for the breaking up of the family unit.”
c.
“Young children frequently feel they are to blame for the family breakup.”
d.
“You should explain to him why the marriage was no longer sustainable.”

ANS: C
Young children frequently feel that they are to blame for the family breakup and experience guilt feelings. The other three items are subjective.

DIF: Cognitive Level: Application REF: p. 162
OBJ: Clinical Practice #5
TOP: Psychosocial Development, Young Adulthood
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation