Chapter 14. Developmental Considerations in the Nursing Care of Adults

Chapter 14. Developmental Considerations in the Nursing Care of Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is caring for a patient with a chronic illness. What would be a priority outcome for this patient?

a.	Decreasing social isolation
b.	Decreasing stress levels in the family
c.	Achieving optimal personal level of health
d.	Controlling personal health care decisions

 

 

____     2.   The nurse is contributing to a community health-promotion educational event for middle-aged adults. What information should the nurse include in this presentation?

a.	Dementia
b.	Pneumonia
c.	Heart disease
d.	Hypoglycemia

 

 

____     3.   While obtaining a personal history from a 72-year-old patient being admitted to a long-term care facility the nurse notices that the patient seems depressed. Which intervention should the nurse recommend be included in the patient’s plan of care?

a.	Tell the patient to look forward and not back at the past.
b.	Remind the patient to be accepting of help from family members.
c.	Explain to the patient that some level of depression is normal with aging.
d.	Guide the patient in reminiscing about the past with a focus on the positives.

 

 

____     4.   The nurse is caring for a patient who has a chronic illness and is depressed over being a burden to others. Which nursing action would increase the self-esteem of this patient?

a.	Establishing long-term patient goals
b.	Allowing the patient self-care opportunities
c.	Performing activities of daily living for the patient
d.	Encouraging the family to provide supportive patient care

 

 

____     5.   The nurse is caring for a patient who has a chronic illness. What should the nurse encourage the patient to use as a coping resource?

a.	Empower caregivers.
b.	Develop a power base.
c.	Be hopeful for a disease cure.
d.	Develop a realistic, hopeful attitude.

 

MULTIPLE CHOICE

 

1. ANS:  C

The goal of nursing care for any patient, including a patient with chronic illness, can best be defined as helping a patient achieve his or her highest possible level of wellness. A. B. D. These might be personal goals for a patient with a chronic illness however may not be a priority.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Application

 

2. ANS:  C

Hypertension and heart disease are major health concerns for middle-aged adult Americans. A. B. D. These health problems are not a major concern for this population.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Application

 

3. ANS:  D

The developmental goal for people age 65 or older is integrity versus despair. Reminiscence is one way for the nurse to assist the older adult in passing through this stage. Depression is not normal with aging. A. B. C. These actions do not support the developmental goal for this age group.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

4. ANS:  B

Establishing short-term goals or self-care activities that allow patients to participate or have small successes are important nursing actions that can increase their self-esteem. A. Long-term goals would not be appropriate at this time. C. D. Performing actions for the patient or encouraging the family to do so would strengthen this patient’s feelings of being a burden.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application

 

5. ANS:  D

Before coping resources can be used, hope must be established by the patient. False hope is not beneficial and should be replaced with realistic hope. Providing patients with accurate knowledge regarding their fears helps do this. C. Hope should not be directed toward a cure that may not be possible, but rather at living a quality life with the functional capacity that the patient has. A. B. Empowering caregivers and developing a power base are not strategies to cope with a chronic illness.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Psychosocial Integrity | Cognitive Level: Application