Growth And Development Across The Lifespan 2nd Edition By Leifer MA RN CNE – Test Bank

Chapter 11: Young Adulthood
Test Bank

MULTIPLE CHOICE

1. The school nurse plans a class in men’s health needs in order to:
a. balance the amount of information about female health needs.
b. encourage the organization of gender-specific health-care providers.
c. interest insurance carriers in supporting preventative health measures for men.
d. sensitize males to health concerns.

ANS: D
Men need to be aware of their health-care needs and methods to prevent illness. Men do not seek health care as often as females do. Men rarely seek medical assistance until a specific problem arises.

DIF: Cognitive Level: Analysis REF: p. 175 OBJ: 6
TOP: Men’s health care KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

2. High schools and junior high schools are now offering classes in money management and parenting for the purpose of:
a. keeping adolescents interested in school.
b. giving minority populations increased insight to finances.
c. helping adolescents transition more easily to adulthood.
d. discouraging teen pregnancy.

ANS: C
Schools are offering classes in money management, family life classes, and parenting classes to help adolescents move into adulthood.

DIF: Cognitive Level: Application REF: p. 176 OBJ: 8
TOP: School classes KEY: Nursing Process Step: NA
MSC: NCLEX: NA

3. Women’s health care should include safe-sex practices. The purpose of this is to:
a. make sure no unwanted pregnancies occur.
b. identify persons who are not using safe-sex practices.
c. encourage healthy lifestyles to prevent sexually transmitted diseases (STDs).
d. reduce teen pregnancies.

ANS: C
The consistent practice of safe sex reduces the incidence of STDs, which, untreated, can lead to women’s health problems such as pelvic inflammatory disease, acute illness, and ectopic pregnancies.

DIF: Cognitive Level: Application REF: p. 173 OBJ: 4
TOP: Safe-sex practices KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

4. The health-care worker suspecting a woman who comes to the clinic is in an abusive relationship teaches the woman about partner abuse because the health-care worker knows that all women should be informed:
a. about the health-care worker’s ethical responsibility to protect women.
b. that women’s legal rights cannot be controlled by men.
c. about the submissive nature of women who stay in abusive relationships.
d. about the cycle of violence that indicates once violence begins, it continues and escalates over time.

ANS: D
Intimate partner violence is an epidemic and contributes to the mortality and morbidity statistics of young adult women. Once begun, the cycles of violence have fewer “honeymoon” phases and the tension and battering phases last longer, increasing the risk of lasting harm to the woman.

DIF: Cognitive Level: Application REF: p. 175, Fig. 11-5
OBJ: 4 TOP: Women’s health issues
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: coping and adaptation

5. The college health-care worker planning a health promotion class plans to support the goals of Health People 2020 and focus on:
a. nutrition, family planning, and physical fitness.
b. vaccine-preventable disease and osteoporosis prevention.
c. periodontal disease and chronic lung disease.
d. breastfeeding and sudden infant death syndrome (SIDS) prevention.

ANS: A
Healthy People 2020 has identified several priority areas for health promotion during young adulthood, including maintaining physical activity, nutrition, family planning, and reducing the use of tobacco and alcohol.

DIF: Cognitive Level: Application REF: p. 171 OBJ: 4
TOP: Health Promotion KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

6. The health-care worker planning a men’s health clinic at a local college plans to give a priority focus on a booth that will provide information about:
a. career counseling.
b. family planning.
c. immunizations.
d. testicular self-examination.

ANS: D
The highest rate of testicular cancer is between the ages of 17 and 35 years, so early teaching programs in this clinic should include testicular self-examination.

DIF: Cognitive Level: Application REF: p. 176 OBJ: 6 | 7
TOP: Testicular cancer KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

7. Using Erikson’s developmental stages as a guide, the home health-care worker identifies the person at risk for delayed development as the:
a. 22-year-old man finishing his degree at night school so he can work in the daytime to support his wife and child.
b. 23-year-old divorced woman in a committed lesbian relationship who works as a medical assistant in a busy physician’s office.
c. 24-year-old woman who is still living at home and spends most of her time involved in computer social media.
d. 25-year-old man living in the garage apartment behind his parent’s house as he and his wife work and go to school to finish their advanced degrees.

ANS: C
The developmental tasks according to Erikson are to become independently self-supporting and develop an intimate relationship and a stable lifestyle.

DIF: Cognitive Level: Analysis REF: p. 167 OBJ: 2
TOP: Developmental tasks of the young adult
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

8. At a routine yearly physical, an 18-year-old woman states, “I never check my breasts. I think I am too young to worry about that.” The most helpful response would be:
a. “There is no need to check your breasts at your age.”
b. “Most women would be interested in their own health.”
c. “You should practice checking your breasts the first day of your monthly period.”
d. “All women should check their breasts every month.”

ANS: D
The health-care worker should encourage the woman to perform monthly breast self-examination.
The exam is usually done 1 week after the cessation of their monthly period.

DIF: Cognitive Level: Application REF: p. 173 OBJ: 7
TOP: Breast self-exam KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

9. An occupational health-care worker is teaching a class of health-promoting behaviors to a group of young adults when a member of the group asks why this class is necessary, since they are all healthy young adults. The health-care worker’s best response is:
a. “Major health changes occur from young adulthood to middle age, so it is necessary to learn health behaviors to cope with these changes.”
b. “Because you all will face chronic illness as older adults, you need to learn coping strategies now.”
c. “Good health habits formed as young adults show striking effects on the prevention of illness and disease as you grow older.”
d. “In order to maintain your company health insurance, it is necessary for you to attend this class.”

ANS: C
Positive health behaviors practiced in young adulthood may significantly reduce the development of chronic illness and serious disease in older adulthood.

DIF: Cognitive Level: Comprehension REF: p. 171 OBJ: 14
TOP: Teaching techniques for the young adult
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease

10. The college health-care worker cautions the 20-year-old male about an adverse effect of overtraining, which is:
a. excessive secretion of testosterone.
b. loss of strength.
c. uncontrolled rise in blood glucose.
d. reduced libido.

ANS: B
Overtraining can result in loss of strength, dehydration, and muscle and joint injury.

DIF: Cognitive Level: Comprehension REF: p. 176 OBJ: 4
TOP: Overtraining KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: reduction of risk