Fundamentals Nursing Active Learning 1st Edition Yoost Crawford
Fundamentals Nursing Active Learning 1st Edition Yoost Crawford
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Chapter 18: Human Development Young Adult to Older Adult
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Cross-linking theory of aging |
| b. | Wear-and-tear theory |
| c. | Gould’s theory on adult development |
| d. | Senescence theory of aging |
ANS: B
The wear-and-tear theory states that body cells are damaged from years of hard use. The cross-linking theory relates changes of aging to cross-linked and connected cells and systems become hardened over time, decreasing function. Gould’s theory is a psychosocial one looking at tasks the adult completes, not physical changes. “Senescence” means biologic aging; there is no senescence theory of aging.
DIF: Remembering REF: pp. 258-259 OBJ: 18.01
TOP: Teaching/Learning
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Development
| a. | Patient describes moving out of his parents’ house into an apartment. |
| b. | Patient reminisces about past life events and accomplishments. |
| c. | Patient questions his life choices such as profession and decision not to marry. |
| d. | Patient expresses satisfaction in having his own family and successful career. |
ANS: D
According to Gould, this patient is in the midlife decade, which occurs after the upheaval of entering the adult world and questioning one’s decisions, but prior to reconciling one’s life and becoming stabilized. The patient who has moved out of his parents’ house is demonstrating activities seen in the early adulthood stage in which leaving the parents’ world is paramount. Reminiscing about the past life occurs as part of the reconciliation stage, seen in an older person. Questioning and re-examining are typically seen in the stage for 28- to 34-year-olds.
DIF: Analyzing REF: p. 259 OBJ: 18.1 TOP: Evaluation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Development
| a. | Young adults may not see a health provider regularly. |
| b. | Young adults are so diversified that a screening tool may not be appropriate. |
| c. | Young adults have too many risky lifestyle behaviors to make education relevant. |
| d. | Young adults are too busy with their lives to see a health care provider regularly. |
ANS: A
Since young adults are at the peak of their physical development and abilities, they may not see a health care provider on a regular basis. Screening tools can be used with any population. The more risky behaviors demonstrated, the more education is needed. Time constraints are generally not the main reason young adults do not have regular medical care.
DIF: Analyzing REF: p. 262 OBJ: 18.3 TOP: Analysis
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Development
| a. | “Do you find yourself doing familiar tasks in new ways to accomplish them?” |
| b. | “Please count backwards from 100 by 7s, such as 100, 93, and so on.” |
| c. | “What occupation have you chosen for your life’s work?” |
| d. | “Do you still have a good relationship with your parents and siblings?” |
ANS: C
According to Havighurst, one of the tasks of the young adult is to select an occupation. Changing the way one performs familiar tasks is seen in the middle adult stage. Seriation activities test fluid intelligence and are often used in middle adulthood. Although for Havighurst, achieving emotional independence from parents is important, that does not preclude having a good relationship with them.
DIF: Applying REF: p. 267 | p. 271 OBJ: 18.1
TOP: Assessment MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Development
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