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Chapter 013

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 13: Young to Middle Adult MULTIPLE CHOICE 1. A client thinks that she might be pregnant. Which first trimester physiological changes would most likely indicate this? 1. Amenorrhea and nausea 2. Braxton Hicks contractions 3. Increased urinary frequency 4. Edematous ankles and dyspnea ANS: 1 Amenorrhea and nausea are physiological changes that may indicate pregnancy in the first trimester. Braxton Hicks contractions are noted d
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 1: !oung to iddle #dult $%TP%E C'(CE 1.A client thinks that she might be pregnant. Which first trimester physiological changes would most likely indicate this?1.Amenorrhea and nausea2.Braxton Hicks contractions.!ncreased urinary fre uency#.$dematous ankles and dyspneaA%&'1Amenorrhea and nausea are physiological changes that may indicate pregnancy in the first trimester. Braxton Hicks contractions are noted during the second trimester of  pregnancy. !ncreased urinary fre uency is commonly seen in the third trimester of  pregnancy. $dematous ankles and dyspnea may be experienced during the third trimester of pregnancy.(!)'A*$)'1+,B-'omprehension/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' Health 0romotion and aintenance5Ante5!ntra50ostpartum and %ewborn are6 0hysiological !ntegrity5*eduction of *isk 0otential5&pecific &ystems Assessment2./o determine how the client7 who is a single parent of three children7 will be able to cope with the current pregnancy7 the nurse should ask the client'1.8Ha9e you e9er been married?:2.8Where do you currently work?:.8Has anyone e9er taught you about contraception?:#.8Who do you ha9e for support during this pregnancy?:A%&'#/his could be a situational crisis for a single;parent family. /he nurse should assess en9ironmental and familial factors7 including support systems and coping mechanisms commonly used. Asking the client whether she has e9er been married does not assess her ability to cope with the pregnancy. Asking the client where she works may help determine if there are any en9ironmental factors that may place her pregnancy at risk7 butit does not assess her ability to cope with the pregnancy. /his would not be the most opportune time to discuss contraception with the client and may con9ey a message of disappro9al. %or does asking the client about contraception assess her ability to cope withthe pregnancy.(!)'B*$)'1+1,B-'Analysis/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' 0sychosocial !ntegrity5&tress anagement osby items and deri9ed items < 2==>7 2== by osby7 !nc.7 an affiliate of $lse9ier !nc.  /est Bank ./he nurse is performing a physical examination on a #=;year;old adult client. /he nurse will most likely find that the client of this age is experiencing which one of the following  physiological changes related to normal aging?1.(ecreased hearing acuity2.(ecreased sense of smell.(ecreased strength of abdominal muscles#.(ecreased function of the 9arious cranial ner9esA%&'A physiological change related to normal aging in the middle adult would be decreased strength of abdominal muscles. /he middle adult should ha9e normal auditory structures and acuity. /he middle adult should ha9e a normal sense of smell. /he middle adult should ha9e normal functioning of the cranial ner9es.(!)'A*$)'1+,B-'omprehension/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' 0hysiological !ntegrity5*eduction of *isk 0otential5&pecific &ystems Assessment#.A #>;year;old client is experiencing problems with depression. &he has come to the clinicshowing signs of malnutrition and fatigue. Which of the following is the best initial statement for the nurse to make in the assessment phase?1.8How much weight ha9e you lost o9er the past month?:2.8Ha9e you recently been experiencing menopausal symptoms?:.8(epression is something to expect at your age7 and with assistance you will get  better.:#.8@our depression is somewhat uncommon. an you tell me what has happened recently to cause it?:A%&'2ood changes and depression are common phenomena during menopause7 and this clientis in the expected age range to be experiencing menopause. Asking the client about weight loss may be an indication to 9erify depression6 howe9er7 it is not the best initial response. (epression is not something to expect7 although it can occur. (epression is not uncommon during menopause.(!)'*$)'1+,B-'Analysis/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' 0sychosocial !ntegrity5&tress anagement./he nurse7 trying to promote positi9e health habits regarding stress management is aware of the external influences on young and middle adult clients. With this knowledge7 the nurse recognies that an effecti9e strategy for this age;group is'1./eaching clients to abstain from all alcohol consumption2.(emonstrating how to take an accurate blood pressure measurement.(etermining an effecti9e daily exercise schedule for stress reduction osby items and deri9ed items < 2==>7 2== by osby7 !nc.7 an affiliate of $lse9ier !nc. 1;2  /est Bank #.(escribing the types of medications commonly used for treating depressionA%&' $xercise on a routine basis can be an effecti9e strategy to reduce the stress experienced  by young and middle adults. $xercise is a positi9e health habit for this age;group. lientsdo not ha9e to abstain from all alcohol consumption. /eaching clients to abstain from excessi9e alcohol consumption is important7 but it is not a proacti9e positi9e health habit to help reduce stress. onitoring oneCs blood pressure may be important7 but it is not a  proacti9e positi9e health habit to help reduce stress. /eaching clients about types of medication used for treating depression does not help the client de9elop positi9e health habits for reducing stress.(!)'A*$)'1+2,B-'Dnowledge/,0'%ursing 0rocess' 0lanning&'%$34 test plan designation' Health 0romotion and aintenance5ifestyle hoices.!ndi9iduals at the young adult point in their life are generally expected to7 according to de9elopmental patterns'1.ontinue physical growth2.$xperience se9ere illnesses.!gnore physical symptoms#.&eek fre uent medical careA%&'@oung adults generally are uite acti9e7 experience se9ere illnesses less commonly than older age;groups7 tend to ignore physical symptoms7 and often postpone seeking health care. @oung adults generally do not continue their physical growth. @oung adults experience se9ere illnesses less commonly than older age;groups. @oung adults often  postpone seeking health care.(!)'A*$)'1E+,B-'Dnowledge/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' Health 0romotion and aintenance5Frowth and (e9elopmentE.A nurse is preparing an education program on safety for a young adult group. Based on the maGor cause of mortality and morbidity for this age;group7 the nurse should focus on'1.Birth control2.Automobile safety.,ccupational haards#.0re9ention of heart diseaseA%&'2 osby items and deri9ed items < 2==>7 2== by osby7 !nc.7 an affiliate of $lse9ier !nc. 1;  /est Bank iolence is the greatest cause of mortality and morbidity in the young adult population. (eaths and inGury from motor 9ehicle accidents are significant among this age;group. Inplanned pregnancies may be a source of stress but is not the maGor cause of mortality and morbidity in the young adult population. $xposure to work;related haards or agents may cause diseases and cancer7 but it is not the maGor cause of mortality and morbidity in this age;group. (e9eloping healthy habits to pre9ent heart disease later in life is important7 but heart disease is not the leading cause of mortality and morbidity for the young adult.(!)'A*$)'1+1,B-'omprehension/,0'%ursing 0rocess' 0lanning&'%$34 test plan designation' Health 0romotion and aintenance5Frowth and (e9elopment5ifestyle hoices+.A nurse is working in the health office at a local college where most of the students are young adults. Being aware of the maGor concerns for this age;group7 the nurse includes assessment of these clientsC'1.urrent marital history status2.ifestyle and leisure acti9ities.$xperience with chronic disease#.History of childhood accidentsA%&'2/he young adult client may benefit from a personal lifestyle assessment to help identify habits that increase the risk for cardiac7 malignant7 pulmonary7 renal7 or other chronic diseases. Assessing a clientCs marital status does not offer much information about the clientCs health or risk for future illnesses. Assessing a clientCs experience with chronic disease is less appropriate for this age;group. Assessing the clientCs history of childhood accidents does not offer much information about the clientCs current health or risk for future illnesses.(!)'A*$)'1E>,B-'omprehension/,0'%ursing 0rocess' Assessment&'%$34 test plan designation' Health 0romotion and aintenance5Frowth and (e9elopment5ifestyle hoices>.As an indi9idual enters middle adulthood health problems generally become more  pre9alent. /he middle adult may be influenced by chronic illness that results in'1.(ecreased health care tasks2.*einforcement of family roles.hanged sexual beha9ior habits#.!mpro9ement of family relationshipsA%&' osby items and deri9ed items < 2==>7 2== by osby7 !nc.7 an affiliate of $lse9ier !nc. 1;#

Chapter 020

Jul 23, 2017

Chapter 023

Jul 23, 2017
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