Chapter 12: Adulthood and the Family

DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams

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Chapter 12: Adulthood and the Family

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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

 

  1. 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

 

  1. 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

 

  1. 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

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