Chapter 013

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 during the second trimester of
pregnancy. Increased urinary frequency is commonly seen in the third trimester of
pregnancy. Edematous ankles and dyspnea may be experienced during the third trimester
of pregnancy.
DIF: A
REF: 183
OBJ: Comprehension
TOP: Nursing Process: Assessment
MSC: NCLEX test plan designation: Health Promotion and
Maintenance/Ante/Intra/Postpartum and Newborn Care; Physiological
Integrity/Reduction of Risk Potential/Specific Systems Assessment
2. To determine how the client, who is a single parent of three children, will be able to cope
with the current pregnancy, the nurse should ask the client:
1. Have you ever been married?
2. Where do you currently work?
3. Has anyone ever taught you about contraception?
4. Who do you have for support during this pregnancy?
ANS: 4
This could be a situational crisis for a single-parent family. The nurse should assess
environmental and familial factors, including support systems and coping mechanisms
commonly used. Asking the client whether she has ever 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 environmental factors that may place her pregnancy at risk, but
it does not assess her ability to cope with the pregnancy. This would not be the most
opportune time to discuss contraception with the client and may convey a message of
disapproval. Nor does asking the client about contraception assess her ability to cope with
the pregnancy.
DIF: B
REF: 181
OBJ: Analysis
MSC: NCLEX test plan designation: Psychosocial Integrity/Stress Management
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.
Test Bank
13-2
3. The nurse is performing a physical examination on a 40-year-old adult client. The 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. Decreased hearing acuity
2. Decreased sense of smell
3. Decreased strength of abdominal muscles
4. Decreased function of the various cranial nerves
ANS: 3
A physiological change related to normal aging in the middle adult would be decreased
strength of abdominal muscles. The middle adult should have normal auditory structures
and acuity. The middle adult should have a normal sense of smell. The middle adult
should have normal functioning of the cranial nerves.
DIF: A
REF: 185
OBJ: Comprehension
MSC: NCLEX test plan designation: Physiological Integrity/Reduction of Risk
Potential/Specific Systems Assessment
4. A 49-year-old client is experiencing problems with depression. She has come to the clinic
showing signs of malnutrition and fatigue. Which of the following is the best initial
statement for the nurse to make in the assessment phase?
1. How much weight have you lost over the past month?
2. Have you recently been experiencing menopausal symptoms?
3. Depression is something to expect at your age, and with assistance you will get
better.
4. Your depression is somewhat uncommon. Can you tell me what has happened
recently to cause it?
ANS: 2
Mood changes and depression are common phenomena during menopause, and this client
is in the expected age range to be experiencing menopause. Asking the client about
weight loss may be an indication to verify depression; however, it is not the best initial
response. Depression is not something to expect, although it can occur. Depression is not
uncommon during menopause.
DIF: C
REF: 186
OBJ: Analysis
MSC: NCLEX test plan designation: Psychosocial Integrity/Stress Management
5. The nurse, trying to promote positive health habits regarding stress management is aware
of the external influences on young and middle adult clients. With this knowledge, the
nurse recognizes that an effective strategy for this age-group is:
1. Teaching clients to abstain from all alcohol consumption
2. Demonstrating how to take an accurate blood pressure measurement
3. Determining an effective daily exercise schedule for stress reduction
Test Bank
13-3
4. Describing the types of medications commonly used for treating depression

ANS: 3
Exercise on a routine basis can be an effective strategy to reduce the stress experienced
by young and middle adults. Exercise is a positive health habit for this age-group. Clients
do not have to abstain from all alcohol consumption. Teaching clients to abstain from
excessive alcohol consumption is important, but it is not a proactive positive health habit
to help reduce stress. Monitoring ones blood pressure may be important, but it is not a
proactive positive health habit to help reduce stress. Teaching clients about types of
medication used for treating depression does not help the client develop positive health
habits for reducing stress.
DIF: A
REF: 182
OBJ: Knowledge
TOP: Nursing Process: Planning
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Lifestyle
Choices
6. Individuals at the young adult point in their life are generally expected to, according to
developmental patterns:
1. Continue physical growth
2. Experience severe illnesses
3. Ignore physical symptoms
4. Seek frequent medical care
ANS: 3
Young adults generally are quite active, experience severe illnesses less commonly than
older age-groups, tend to ignore physical symptoms, and often postpone seeking health
care. Young adults generally do not continue their physical growth. Young adults
experience severe illnesses less commonly than older age-groups. Young adults often
postpone seeking health care.
DIF: A
REF: 178
OBJ: Knowledge
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Growth and
Development
7. A nurse is preparing an education program on safety for a young adult group. Based on
the major cause of mortality and morbidity for this age-group, the nurse should focus on:
1. Birth control
2. Automobile safety
3. Occupational hazards
4. Prevention of heart disease
ANS: 2
Test Bank
13-4
Violence is the greatest cause of mortality and morbidity in the young adult population.
Deaths and injury from motor vehicle accidents are significant among this age-group.
Unplanned pregnancies may be a source of stress but is not the major cause of mortality
and morbidity in the young adult population. Exposure to work-related hazards or agents
may cause diseases and cancer, but it is not the major cause of mortality and morbidity in
this age-group. Developing healthy habits to prevent heart disease later in life is
important, but heart disease is not the leading cause of mortality and morbidity for the
young adult.
DIF: A
REF: 181
OBJ: Comprehension
Development/Lifestyle Choices
8. A nurse is working in the health office at a local college where most of the students are
young adults. Being aware of the major concerns for this age-group, the nurse includes
assessment of these clients:
1. Current marital history status
2. Lifestyle and leisure activities
3. Experience with chronic disease
4. History of childhood accidents
ANS: 2
The young adult client may benefit from a personal lifestyle assessment to help identify
habits that increase the risk for cardiac, malignant, pulmonary, renal, or other chronic
diseases. Assessing a clients marital status does not offer much information about the
clients health or risk for future illnesses. Assessing a clients experience with chronic
disease is less appropriate for this age-group. Assessing the clients history of childhood
accidents does not offer much information about the clients current health or risk for
future illnesses.
DIF: A
REF: 179
OBJ: Comprehension
9. As an individual enters middle adulthood health problems generally become more
prevalent. The middle adult may be influenced by chronic illness that results in:
1. Decreased health care tasks
2. Reinforcement of family roles
3. Changed sexual behavior habits
4. Improvement of family relationships
ANS: 3
Test Bank
13-5
A few examples of the problems experienced by clients who develop debilitating chronic
illness during adulthood include role reversal, changes in sexual behavior, and alterations
in self-image. Chronic illness would result in increased health care tasks. Family roles are
often changed with chronic illness, not reinforced. Strained family relationships may
result from chronic illness.
DIF: A
REF: 186
OBJ: Knowledge
Development
10. The nurse is performing a physical examination on a 58-year-old adult client. The 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. Palpable thyroid lobes
2. Decreased skin turgor
3. Reduced pupillary reaction
4. Increased range of joint motion
ANS: 2
There is a slow, progressive decrease in skin turgor in the middle adult. The thyroid lobes
should not be palpable in the middle adult. Pupillary reaction to light and accommodation
should not change in the middle adult. A normal change in the middle adult is a decreased
range of joint motion.
DIF: A
REF: 221
OBJ: Comprehension
Development
11. The nurse is alert to stressors that may have an influence on the young adult client. One
example of a common stressor for this age-group is:
1. Occupational pursuits
2. Health-related matters
3. Coping with cognitive changes
4. Caring for the older adult parent
ANS: 1
A common stressor for the young adult is job stress. Health-related matters are not
common stressors for the young adult. Coping with cognitive changes is not a common
stressor for the young adult. Caring for older adult parents is more often seen with the
middle adult, not the young adult.
DIF: A
REF: 182-183
OBJ: Knowledge
Development; Psychosocial Integrity/Stress Management
Test Bank
13-6
12. A client who works in a dry cleaning establishment comes to the clinic for a regular
check-up. Based on this information, the nurse assesses the client for:
1. Asbestosis
2. Dermatitis
3. Tendonitis
4. Raynauds phenomenon
ANS: 2
Persons who work in dry cleaning establishments are exposed to solvents that may cause
dermatitis or liver disease. Asbestosis is more likely to be found as an occupational
hazard for automobile workers and insulators. Tendonitis may result from repetitive wrist
motion as seen in office computer workers. Raynauds phenomenon may result from
vibration as seen with jackhammer operators.
DIF: C
REF: 182
OBJ: Analysis
13. The nurse is completing a physical exam for a 45-year-old client who has come to the
family practice office. In evaluating the observations made during the examination, the
nurse recognizes that an expected finding for a client in this age-group is:
1. Hepatomegaly
2. Visual acuity below 20/50
3. An oral temperature of 39 C
4. Increased amount of skin turgor
ANS: 2
The visual acuity tested by the Snellen chart should be less than 20/50. Hepatomegaly is
not an expected finding and would be considered abnormal. Oral temperature should be
36.1 to 37.6 C. The expected finding would be a slow, progressive decrease in skin
turgor.
DIF: A
REF: 221
OBJ: Comprehension
14. When discussing the stressors felt by a single mother in her 30s, the nurse recognizes that
the greatest financial impact on this family is caused by:
1. The ever-rising cost of living in the United States
2. The realization that a female earns 25% less than her male co-worker
3. Court-ordered child support is often times inadequate.
4. Daycare expenses are a strain on a single wage earner family
ANS: 2
Test Bank
13-7
According to the AFL-CIO (2004) workers union, women in the United States are paid
76 cents for every dollar men receive for comparable work. This fact has an allencompassing effect on the single-parent household. The cost of living is rising; it is not
unique to the single mother. While court-ordered support often is inadequate, it does not
have the impact that earning power has on the family income. While daycare expenses
can be a strain, does not have the impact that earning power has on the family income.
DIF: C
REF: 178
OBJ: Analysis
MSC: NCLEX test plan designation: Health Promotion and Maintenance/Family
Dynamics
15. Because young adults are less likely to experience serious illness, which of the following
nursing interventions is most effective in determining risk for illness in this age-group?
1. Health screenings
2. Personal lifestyle assessment
3. Full body systems assessment
4. Cardiopulmonary focal assessment
ANS: 2
A personal lifestyle assessment (see Chapter 6) helps nurses and clients identify habits
that increase the risk for cardiac, malignant, pulmonary, renal, or other chronic diseases.
Health screening helps detect the presence of disease processes. Full body systems
assessment would determine deviation from normal but not necessarily identify risk for
illness. Cardiopulmonary focal assessment would determine deviation from normal but
not necessarily identify risk for illness.
DIF: B
REF: 178
OBJ: Analysis
MSC: NCLEX test plan designation: Health Promotion and Maintenance/High Risk
for Injury; Physiological Integrity/Specific System Assessment
16. Research has shown that certain postpartum factors negatively affect a womans general
health status after pregnancy. Which of the following women has the greatest risk factor
for poor postpartum health?
1. A mother with complaints of fatigue, loss of appetite, and insomnia
2. A practicing attorney who has reluctantly taken a 3-month maternity leave
3. A stay-at-home mom who gave birth 2 months ago and whose husband recently lost
his job
4. A mother of a 3-week-old and a 2-year-old whose military husband is currently
deployed overseas
ANS: 4
Test Bank
13-8
Postpartum stress and depression have significant effects on postpartum womens health.
In addition, a lack of social support can affect womens health adversely. This woman is
the most likely mother to be experiencing depression and economic stressors as well as a
lack of support. While fatigue, loss of appetite, and insomnia may be reflective of
depression, there are no indications of the other high-risk factors. While this woman may
be experiencing anxiety over being away from her career for 3 months, there is no
indication of the other risk factors. While this mother may well be at risk for depression
and possible financial stressors, there is no indication of a lack of support.
DIF: C
REF: 180
OBJ: Analysis
Systems
17. The nurse is preparing to discuss postpartum depression as a part of discharge teaching
with the parents of a newborn. Which of the following nursing actions would be most
therapeutic regarding early detection of this postpartum condition?
1. Helping the couple understand the importance of social interaction with other
adults
2. Providing the couple with a video that tells the story of a new mothers experience
with depression
3. Encouraging the couple to attend parenting classes designed to minimize the
stressors of parenting an infant
4. Having a discussion with the father in which he identifies the signs and symptoms
of postpartum depression
ANS: 4
Educating both new mothers and their families regarding the signs and symptoms of
postpartum stress and depression will facilitate early detection and treatment of the
condition. While preventing social isolation is important to the prevention of generalized
depression, it has little impact on detecting the signs and symptoms of the condition.
While the video may be informative it is not the most therapeutic option because it lacks
interaction between the nurse and the clients. While Option 3 is appropriate in regard to
minimizing the risk of developing depression stemming from postpartum stressors, it
does not directly impact the identification of the signs and symptoms of the condition.
DIF: C
REF: 180
OBJ: Analysis
Systems; Psychosocial Integrity/Stress Management/Crisis Intervention
18. Which of the following young adults is at greatest risk for experiencing death or injury?
1. An 18-year-old with a father who is an alcoholic
2. A 30-year-old who is a professional rodeo rider
3. A 20-year-old living in an urban housing project
4. A 26-year-old riding a motorcycle across the country
Test Bank
13-9
ANS: 3
Violence is the greatest cause of mortality and morbidity in the young adult population.
Factors that predispose individuals to violence, injury, or death include poverty, family
breakdown, child abuse and neglect, repeated exposure to violence, and ready access to
guns. This option represents an individual who most likely is both poor and exposed to an
environment of repeated violent acts. While Option 1 represents a potential for physical
and mental abuse, it does not present the level of potential violence existing in Option 3.
While Option 2 represents a potential for physical injury and possible death, it does not
present the level of potential violence existing in Option 3. While Option 4 represents a
potential for physical injury and possible death, it does not present the level of potential
violence existing in Option 3.
DIF: C
REF: 181
OBJ: Analysis
for Injury
19. The most serious risk for death for a young adult living in rural poverty is:
1. Suicide
2. Homicide
3. Poor health maintenance practices
4. Family history of chronic illnesses
ANS: 1
A young adult is more likely to die of self-inflicted injury when living at or below the
poverty level when no other risk factors (i.e., a violent environment, drug abuse, etc.) are
present. In 2002 the death rate (per 100,000 population) for 25- to 34-year-olds in the
United States caused by homicide was 11.2; the death rate caused by accidents was 31.5;
and the death rate caused by suicide was 12.6 (U.S. Department of Health and Human
Services [USDHHS]).
DIF: C
REF: 13
OBJ: Analysis
MSC: NCLEX test plan designation: Psychosocial Integrity/Stress Management/Crisis
Intervention
20. During a routine physical assessment a 27-year-old client acknowledges the suspension
of his drivers license because of an arrest for driving under the influence of alcohol. This
admission should prompt the nurse to discuss which of the following in detail with the
client?
1. Use of illegal drugs
2. History of depression
3. Unprotected sexual experiences
4. Tendency toward violent behavior
ANS: 1
Test Bank
13-10
Reports of arrests because of driving while intoxicated, wife or child abuse, or disorderly
conduct are reasons for you to investigate the possibility of drug abuse more carefully. A
history of depression is not necessarily a risk factor for illegal drug abuse. Unprotected
sex is not necessarily a risk factor for illegal drug abuse. A tendency toward violent
behavior is not necessarily a risk factor for illegal abuse.
DIF: C
REF: 181
OBJ: Comprehension
Behaviors; Psychosocial Integrity/Chemical Dependency
21. In preparing to discuss safe sex practices with a 20-year-old, it is most important that the
nurse shares with the client that in addition to physical symptoms of genital pain and
discharge, sexually transmitted diseases:
1. Can lead to chronic illness and infertility
2. Are particularly common in young adults
3. Respond well to treatment when detected early
4. May be effectively controlled through the use of condoms
ANS: 2
Sexually transmitted diseases (STDs) remain a major public health problem for sexually
active persons, with almost half of all new infections occurring in men and women
younger than 24 years of age (USDHHS, CDC, 2004). While Option 1 is true, it is
vitally important that the nurse first share the high probability of contracting a STD to a
sexually active young adult who practices unprotected sex. While some STDs respond
well to early treatment, some, such as genital herpes and human immunodeficiency virus
(HIV), can only be managed because no cure is currently available. While Option 4 may
be true, it is vitally important that the nurse first share the high probability of contracting
a STD in a sexually active young adult who practices unprotected sex.
DIF: C
REF: 181
OBJ: Analysis
Behaviors
22. Which of the following lifestyle choices poses the greatest risk for chronic illness to the
young adult?
1. Alcohol and tobacco use
2. Ignoring seat belt and helmet laws
3. Unprotected sex with multiple partners
4. Poor nutrition and a lack of structured exercise
ANS: 1
Test Bank
13-11
Lifestyle choices of young adults (e.g., use of tobacco or alcohol) put them at risk for
chronic illnesses or disabilities during their middle or older adult years. While ignoring
seat belt and helmet laws represents a risk factor for injury or death it is not directly
related to chronic illness. While unprotected or multiple-partner sex option does
represent a risk factor for chronic disease in the form of STDs, the greater risk comes
from alcohol and tobacco use. While poor nutrition and lack of exercise do represent risk
factors for chronic disease such as heart disease and obesity, the greater risk comes from
alcohol and tobacco use.
DIF: C
REF: 181
OBJ: Analysis
Behaviors
23. Which of the following client responses shows the best understanding regarding the
management of risk factors for chronic illness among young adults?
1. Unprotected sex is just plain dangerous.
2. Everyone riding in my car wears a seatbelt.
3. Im a vegetarian, but I eat nonanimal protein.
4. Ive never smoked and I drink only occasionally.
ANS: 4
Tobacco use and the abuse of alcohol put young adults at high risk for chronic illnesses in
middle and older adult years. While Option 1 shows an understanding of the risk factor
for chronic disease in the form of STDs, the greater risk comes from alcohol and tobacco
use. While Option 2 shows an understanding of the risk factor for injury and death caused
by vehicular accidents, it is not directly related to chronic illness.
DIF: C
REF: 181
OBJ: Analysis
Behaviors
24. Which of the following lifestyle choices poses the greatest risk for chronic illness to the
young adult?
1. Alcohol and tobacco use
2. Ignoring seat belt and helmet laws
3. Unprotected sex with multiple partners
4. Poor nutrition and a lack of structured exercise
ANS: 1
Lifestyle choices of young adults (e.g., use of tobacco or alcohol) put them at risk for
chronic illnesses or disabilities during their middle or older adult years.
DIF: C
REF: 180-181
OBJ: Analysis
Test Bank
13-12
Behaviors
management of risk factors for chronic illness among young adults?
1. Unprotected sex is just plain dangerous.
2. Everyone riding in my car wears a seat belt.
3. Im a vegetarian, but I eat non-animal protein.
4. Ive never smoked, and I drink only occasionally.
ANS: 4
Tobacco use and the abuse of alcohol put young adults at high risk for chronic illnesses in
their middle and older adult years.
DIF: C
REF: 180-181
OBJ: Analysis
Behaviors
management of risk factors for acquiring a sexually transmitted disease (STD) among
young adults?
1. I may want to have children someday, so I need to be careful.
2. Even though there are treatments for STDs, I dont take chances.
3. There is certainly enough literature out there on the use of condoms.
4. Having unprotected sex with someone my age is very risky business.
ANS: 4
Sexually transmitted diseases (STDs) remain a major public health problem for sexually
active persons, with almost half of all new infections occurring in men and women
younger than 24 years of age (USDHHS, CDC, 2004).
While it is true that some STDs can result in infertility, this option doesnt show the
greatest understanding since it focuses on only one outcome.
While some STDs respond well to early treatment, some STDs, such as genital herpes
and human immunodeficiency virus (HIV), can only be managed since a cure is not
currently available.
DIF: C
REF: 181
OBJ: Analysis
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: : Health Promotion and Maintenance/High Risk
Behaviors
27. Which of the following statements made by a 27-year-old client shows the greatest need
for further nursing assessment regarding the potential use of illegal drugs?
1. Whether you wear a helmet or not should be the choice of the motorcyclist.
2. I fractured my hand 3 years ago when I got so mad I hit a wall in my dorm room.
3. I like to drink a bit too much, and I lost my license once for drinking and driving.
4. My father suffered from depression when he lost his job, and he still takes
Test Bank
13-13
medication for it.

ANS: 3
Reports of arrests because of driving while intoxicated, wife or child abuse, or disorderly
conduct are reasons for you to investigate the possibility of drug abuse more carefully.
A tendency toward high-risk behavior such as extreme sports or not using safety
equipment is not necessarily a risk factor for illegal drug use.
A tendency toward violent behavior is not necessarily a risk factor for illegal drug abuse.
A family history of depression is not necessarily a risk factor for illegal drug abuse.
DIF: C
REF: 181
OBJ: Comprehension
Behaviors
28. Which of the following statements made by the parents of a newborn best reflects an
understanding regarding the diagnosis of postpartum depression?
1. I helped my sister when she was depressed after the birth of her second child.
2. I have a wonderfully supportive family who will be there if I start feeling
depressed.
3. Weve read over the literature, and Ill be able to recognize any signs of
depression in my wife.
4. Most new moms get a little depressed, but we will be sure to pay attention to any
real indications of a problem.
ANS: 3
Having someone in close contact with the new mom available to assess her for possible
signs of postpartum depression shows both an understanding of the condition as well as a
desire to manage it if it occurs.
DIF: C
REF: 180
OBJ: Cognitive Level: Analysis
MSC: NCLEX test plan designation: Health Promotion and Maintenance/ Family
Systems; Psychosocial Integrity/Stress Management/Crisis Intervention
29. Which of the following questions asked by the nurse best assesses for the signs of
pregnancy most likely observed in the second trimester?
1. Have you had any problems climbing steps?
2. Have you noticed any cramping in your abdomen?
3. Have you experienced any nausea in the morning?
4. Have you had any problems with shoes that dont seem to fit?
ANS: 2
Braxton-Hicks contractions are noted during the second trimester of pregnancy.
Edematous ankles and dyspnea may be experienced during the third trimester of
pregnancy.
Test Bank
13-14
Amenorrhea and nausea are physiological changes that may indicate pregnancy in the
first trimester. Edematous ankles and dyspnea may be experienced during the third
trimester of pregnancy.
DIF: C
REF: 183
MSC: NCLEX test plan designation: Health Promotion and Maintenance/
Ante/Intra/Postpartum and Newborn Care; Physiological Integrity/ Reduction of Risk
30. Which of the following client statements would be the best evidence that this young adult
has adopted a positive strategy to promote his own personal emotional health?
1. I drink alcohol only on special occasions and then moderately.
2. I run at least three times a week; it seems to help me stay relaxed.
3. I watch for the signs of depression since my mother experienced it.
4. I know stress can affect my blood pressure, so I have it taken regularly.
ANS: 2
Exercise on a routine basis can be an effective strategy to reduce the stress experienced
by young and middle adults. Exercise is a positive emotional health habit for this age
group.
Drinking alcohol in moderation is certainly a positive health habit, but it does not have
the strongest impact on emotional health of the available options.
DIF: C
REF: 181
Choices; Psychosocial Integrity/Coping Mechanisms
31. Which of the following client statements, made by a young adult regarding health
promotion habits, reflects a need for further client education by the nurse?
1. I go to the gym and work out 3 times a week with friends.
2. My dad has high cholesterol, so I have mine checked yearly.
3. Diabetes runs in my family, so I watch my carbohydrate intake.
4. I drink alcohol only on weekends, when it doesnt interfere with work.
ANS: 4
The correct answer reflects a poor understanding of alcohol abuse. The primary criterion
for healthy alcohol consumption is not drinking only when it will not affect work. Further
education regarding responsible alcohol consumption and alcoholism is appropriate. The
other options reflect a good understanding of health promotion habits.
DIF: C
REF: 181
Choices; Psychosocial Integrity/Coping Mechanisms
Test Bank
13-15
32. Which of the following nursing assessment questions is best directed toward determining
the presence of a normal physiological change experienced by a middle-aged client?
1. Any problems with your teeth or gums?
2. Any family history of thyroid problems?
3. Do you have a skin-moisturizing routine?
4. Are you having a problem with driving at night?
ANS: 3
There is a slow, progressive decrease in skin turgor in the middle-aged adult.
Dental problems are not a normal physiological change seen in the middle-aged adult.
Thyroid problems are not a normal physiological change seen in the middle-aged adult.
Night blindness is not a normal physiological change seen in the middle-aged adult.
DIF: C
REF: 185
Development
the presence of an occupational hazard-related condition specific for a client working in a
dry cleaning establishment?
1. Do you have any problems with rashes or itching?
2. How long have you worked in the dry cleaning business?
3. Do you treat the minor burns you experience?
4. Do you drive the company van to make deliveries?
ANS: 1
Persons who work in dry cleaning establishments are exposed to solvents that may cause
dermatitis or liver disease. While asking about the length of time employed is an
appropriate assessment question, it is not directed toward identifying a response to any
specific risk factor. While burns may be a risk factor for those working in the dry
cleaning industry, the risk is not as specific as assessing for contact dermatitis.
While automobile accident-related injuries may be a risk factor in this case, the risk is not
as specific as assessing for contact dermatitis.
DIF: C
REF: 182
MSC: NCLEX test plan designation: Physiological Integrity/ Reduction of Risk
the presence of career stressors in a young adult?
1. What do you do to relieve stress for yourself?
2. What is the most stressful part of your daily job?
3. Career-wise, where would you like to be in 2 years?
4. Do you miss much work as a result of injuries or illness?
ANS: 2
Test Bank
13-16
The correct option is an open-ended question that encourages the client to identify and
discuss work-related stressors, which are a major source of stress for this age group.
DIF: C
REF: 182-183
Development; Psychosocial Integrity/Stress Management
35. Which of the following statements concerning health promotion habits made by a young
adult best reflects an understanding regarding the primary cause of death and injury
among that age group?
1. Eating a healthy, low-fat diet is very important to me.
2. AIDS is nothing to mess with, so I always practice safe sex.
3. Regardless of what my friends say, I always wear a seat belt.
4. I enjoy mountain biking, but I always wear the right protection gear.
ANS: 3
Deaths and injury from motor vehicle accidents are significant among this age group.
Developing healthy habits to prevent heart disease later in life is important, but heart
disease is not the leading cause of mortality and morbidity for the young adult.
Sexually transmitted diseases are a risk factor for this age group, but they do not
represent the greatest risk for death and injury.
An injury related to occupation and recreation is a risk factor, but it is not the major cause
of mortality and morbidity in this age group.
DIF: C
REF: 181

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Potter & Perry: Fundamentals of Nursing, 7th Edition

4. Describing the types of medications commonly used for treating depression

medication for it.

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