Chapter 18: Human Development Young Adult to Older Adult

Chapter 18: Human Development Young Adult to Older Adult

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse working in long-term care knows that there are multiple theories regarding aging. The one the nurse most identifies with proposes that the body’s cells are leading to damaged organs and organ systems. This description is congruent with which theory?

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

2. A nurse is obtaining a history from a 37-year-old patient.  What statement by the patient indicates that he has met the age-appropriate developmental task according to Gould?

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

3. The nurse plans to develop a comprehensive screening tool to use with young adults, assessing their lifestyles and healthy living habits.  What barrier must the nurse plan to overcome in order to make this screening successful?

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

4. A nurse who uses Havighurst’s theory of development is assessing a young adult. What question does the nurse ask to provide the most relevant information about this person’s successful negotiation of this developmental stage?

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