Chapter 15: Problems of Adulthood

Chapter 15: Problems of Adulthood

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A 25-year-old man has yet to graduate from college, has changed his major area of study three times since entering college at the age of 18, and cannot maintain a personal relationship. This individual most likely is struggling with:

ANS:  B

Developmental tasks of young adulthood include choosing a career or vocation, establishing long-term goals, developing the ability to commit to personal relationships, and being able to function independently. It is obvious from this scenario that this individual has not conquered at least the first three tasks mentioned. There is no indication from the information given that he is struggling with self-esteem issues, gender identity, or depression.

DIF:    Cognitive Level: Analysis                REF:   Page 159        OBJ:   1

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

MSC:  Client Needs: Health Promotion and Maintenance

2. 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?

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:   Page 160        OBJ:   2

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

MSC:  Client Needs: Psychosocial Integrity

3. __________ 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.

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:   Page 160        OBJ:   3

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

MSC:  Client Needs: Psychosocial Integrity

4. 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?

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:   Page 162        OBJ:   4

TOP:   Personal Identity

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

MSC:   Client Needs: Psychosocial Integrity