Chapter 15: Problems of Adulthood

Chapter 15: Problems of Adulthood

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is caring for an adult male client who lacks a strong sense of personal identity. With which area of development will this client most likely struggle the most?

a.	Social
b.	Intellectual
c.	Emotional
d.	Vocational

 

 

ANS:  A

If an individual has little or no sense of identity, it is difficult to establish relationships with others. Lack of personal identity will not affect the other areas of development as strongly as it does social development. Vocation is not one of the areas of development; choosing a vocation or career is a core task of young adulthood.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 170             OBJ:   2

TOP:   Adult Growth and Development       KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

2. __________ is a major challenge for adults because energies are not concentrated on the self, and the demands can create feelings of anxiety, isolation, inadequacy, and helplessness.

a.	Adulthood
b.	Adolescence
c.	Childhood
d.	Parenting

 

 

ANS:  D

Most of a parent’s energy is focused on the child or children every minute of every day. The responsibility is immense and can cause various emotions, especially if the parent works outside the home. Adulthood, adolescence, and childhood do not have a primary focus on others as parenting does.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 170             OBJ:   3

TOP:   Adult Growth and Development       KEY:  Nursing Process Step: Evaluation

MSC:  Client Needs: Psychosocial Integrity

 

3. An adult male client is admitted to a mental health facility with the diagnosis of depression following the breakup of a long-term engagement. He states that he couldn’t “commit to marriage.” In conducting his admission assessment, the nurse learns that during his childhood he did not feel guided, nurtured, or accepted by his parents. One of the goals for this client is to help him develop a positive personal identity. Which intervention should the nurse implement to meet this goal?

a.	Improve his strength in the ability to adapt to new situations.
b.	Develop the ability to establish and maintain an intimate relationship.
c.	Discern his feelings about relationship choices and level of commitment.
d.	Outline his life’s dream.

 

 

ANS:  C

Discerning his feelings about relationship choices and commitment best meets the needs of this client at this time in his life. Improving his ability to adapt and developing his ability to establish and maintain an intimate relationship are not indicated in the scenario as an issue. Outlining his life’s dream assists in building a positive personal identity but is too broad a task for this client at this time.

 

DIF:    Cognitive Level: Analysis                REF:   p. 171             OBJ:   4

TOP:   Personal Identity

KEY:  Nursing Process Step: Planning | Nursing Process Step: Intervention

MSC:  Client Needs: Psychosocial Integrity

 

4. The term “sandwich generation” best describes adults:

a.	Caught between adulthood and late adulthood
b.	Caring for their children and aging parents
c.	Caring for their children and grandchildren
d.	Caught between young adulthood and adulthood

 

 

ANS:  B

This generation situation can be a problem for many adults in that they face multiple responsibilities, resulting in increased levels of stress.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 172             OBJ:   5

TOP:   Guiding the Next Generation           KEY:  Nursing Process Step: Assessment

MSC:  Client Needs: Health Promotion and Maintenance