Exam 3: NUR208 / NUR 208 Mental Health Nursing | Latest 2026–2027 Update | Questions & Answers | Grade A | 100% Correct (Verified Solutions) – Fortis

Exam 3: NUR208 / NUR 208 Mental Health Nursing | Latest 2026–2027 Update | Questions & Answers | Grade A | 100% Correct (Verified Solutions) – Fortis 2026 / 2027 Academic Year Q: 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. D. sensitize males to health concerns. Q: 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. C. helping adolescents transition more easily to adulthood. Q: 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. C. encourage healthy lifestyles to prevent sexually transmitted diseases (STDs). Q: 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 D. about the cycle of violence that indicates once violence begins, it continues and escalates over time Q: 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. A. nutrition, family planning, and physical fitness. Q: 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 D. testicular self-examination Q: 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. C. 24-year-old woman who is still living at home and spends most of her time involved in computer social media. Q: 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." D. "All women should check their breasts every month." Q: 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." C. "Good health habits formed as young adults show striking effects on the prevention of illness and disease as you grow older." Q: 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. B. loss of strength. Q: A health-care worker preparing a class on nutrition for a group of young adults explains that MyPlate is a nutritional guide that: A. spells out food exchanges. B. recommends that 30% of a plate be fruits and vegetables. C. directs nutritional intake to be 50% protein. D. helps limit portion size. D. helps limit portion size. Q: Health maintenance instruction during young adulthood should be directed toward: A. preparing for the inevitable physical decline. B. halting age-related physiological changes. C. teaching how to cope with chronic illness. D. preventing illnesses caused by lifestyle choices. D. preventing illnesses caused by lifestyle choices. Q: A new mother tells the home health-care worker that she feels "really stupid" about caring for her newborn, as her mother-in-law does everything for the baby. The best approach to facilitate instruction would be: A. "Let's talk about what you already know about infant care, then we can plan from there." B. "Tell your mother-in-law that she has to teach you everything she knows." C. "You and your husband should sign up for child-care classes at the YMCA." D. "You and your husband should read up on infant care." A. "Let's talk about what you already know about infant care, then we can plan from there." Q: Young adulthood, or early adulthood, is most often defined as the time of age 20 years to _____ years. A. 25 B. 30 C. 35 D. 40 D. 40 Q: The goal of intimacy for the young adult means that the young adult has achieved: A. a satisfying sexual relationship. B. an open and trusting relationship with another person. C. a casual relationship with several close friends. D. a clear sense of identity. B. an open and trusting relationship with another person. Q: The signs of a mid-life crisis" in a 39-year-old man suggest that he may be experiencing the negative influence of Levinson's stage of: A. structure period. B. concrete period. C. operational phase. D. transitional phase. D. transitional phase. Q: According to Piaget, the stage of development that is necessary for effective problem solving skills in adulthood is the _______________ stage. A. integrative B. preoperational C. concrete operational D. post-formal operational D. post-formal operational Q: According to Kohlberg, young adults should develop moral reasoning as they mature; this moral reasoning is characterized by: A. conforming to rules to gain recognition or reward. B. taking responsibility for care of others. C. obeying rules to avoid punishment. D. maintaining a sense of life achievement B. taking responsibility for care of others. Q: A young woman pregnant with her first child is in the second trimester. The health care worker will direct instruction toward: A. detailed information about the birth process. B. possible abnormalities of the fetus. C. preparations about the physical environment for the expected infant. D. birth-control measures after delivery. C. preparations about the physical environment for the expected infant. Q: A woman in the third trimester of pregnancy expresses fear about her impending labor and how she will manage. The best response would be: A. "Don't worry about it, you'll do fine." B. "Labor is scary to think about, but the actual experience isn't." C. "You can have an epidural. You won't feel anything." D. "It's normal to be anxious. Let's go over what happens after you are admitted." D. "It's normal to be anxious. Let's go over what happens after you are admitted." Q: A young adult man says that his 3-year-old son wants to do many things the parent thinks is dangerous. The most helpful suggesting the health-care worker could give about this toddler's behavior is: A. "Let him do what he wants. He won't break." B. "Allow him his independence, but keep an eye out for safety." C. "Your child should be limited in his explorations as his judgment is immature." D. "Parents of toddlers need to continue to do things for their children." B. "Allow him his independence, but keep an eye out for safety." Q: Teaching to increase self care is effective when the adult learner makes which statement? A. "I'll do whatever you say; you're the professional." B. "I don't think I can quit smoking." C. "I exercise for 30 minutes 5 times a week." D. "What do you think I should do?" C. "I exercise for 30 minutes 5 times a week." Q: In the United States, at age 18, young adults are able to: (Select all that apply.) A. vote. B. purchase a license for a shotgun. C. marry without parental consent. D. purchase alcohol. E. be drafted into military. A. vote. B. purchase a license for a shotgun. C. marry without parental consent. E. be drafted into military. Q: Signs of intimate partner violence include: (Select all that apply.) A. absolute financial control by partner. B. erratic prenatal care. C. self-blame for marital problems. D. cycle of violence in partner. E. substance abuse in partner. B. erratic prenatal care. C. self-blame for marital problems. D. cycle of violence in partner. E. substance abuse in partner. Q: The health-care worker recommends that the young adult take up weight training for fitness and counsels that such activity should be: (Select all that apply.) A. moderate to high intensity. B. performed 2 or more days a week. C. intense enough to involve all major muscle groups. D. supervised and directed by a trainer. E. prescribed by a physician. A. moderate to high intensity. B. performed 2 or more days a week. C. intense enough to involve all major muscle groups. Q: Most young adults have ceased to grow when the __________ of the long bones fuse. epiphyses Q: The health-care worker cautions the 30-year-old woman that at her age there is an increased risk for injuries due to muscle mass being replaced by_________. fat Q: Health maintenance during middle adulthood should be directed toward: A. preventing illnesses due to lifestyle and physiological changes. B. stopping the physiological aging process. C. preparing for inevitable physical decline. D. maintaining strength and endurance at the young adult level. A. preventing illnesses due to lifestyle and physiological changes. Q: According to Erikson, the primary task of middle adulthood is contributing positively to family and community, also known as _________________. Failure to achieve this task may result in stagnation. A. intimacy B. integrated C. generativity D. ego integrity C. generativity Q: A 50-year-old woman visits the women's health clinic stating her last menstrual period was 6 months ago. Since that time, she has been experiencing palpitations and hot flashes. The health-care worker should suspect that her symptoms are related to: A. pregnancy. B. menopause. C. a cardiac disorder. D. neurosis. B. menopause. Q: Many middle-aged adults desire to return to school to continue an education interrupted by career, family, and childrearing. When counseling these adults, an important factor to consider is that: A. intelligence declines after age 30, so it may be too difficult to resume schooling at this age. B. it may take more time to learn and assimilate new material, but once learned, the content is remembered with greater accuracy. C. without family responsibilities or pressures, learning capability will quickly return to young adult levels. D. there should be no difficulty in keeping up with the younger students in the class. B. it may take more time to learn and assimilate new material, but once learned, the content is remembered with greater accuracy. Q: When assessing a middle-aged person, the health-care worker should be sensitive to the fact that these persons are uniquely challenged by: A. metabolic changes in their aging bodies. B. attempting to meet the needs of both their children and their parents. C. inadequate income and job insecurity in an unstable economy. D. the need to find their place in their community. B. attempting to meet the needs of both their children and their parents Q: While discussing health promotion and maintenance to a group of middle-aged men, the health-care worker advises that men should make as a priority to have an annual: A. screen for prostate cancer. B. sperm count for infertility. C. skin assessment for cancer. D. assessment for testosterone level. A. screen for prostate cancer Q: To enhance success for health teaching to middle-aged adults, the health-care worker should: A. provide information related to health concerns and stressors common to the age-group. B. begin with concepts about teaching and learning techniques. C. incorporate structured learning activities that keep all group members learning at the same rate. D. direct members to seek independent learning without formal instruction. A. provide information related to health concerns and stressors common to the age-group. Q: A middle-aged man says that he is taking up a strenuous exercise program to increase his testosterone level and his libido. The best response to this information would be: A. "That is great! You will begin to feel better and enjoy an increased libido." B. "While exercising, you should wear tight fitting underwear and an athletic support." C. "To get the result you want, you will have to exercise every day." D. "Excessive exercise may actually decrease your testosterone level." D. "Excessive exercise may actually decrease your testosterone level." Q: The term climacteric refers to a time in life in which: A. women have erratic menstrual cycles. B. men have a decrease in libido. C. women have completed menopause. D. men become permanently impotent. B. men have a decrease in libido. Q: A 52-year-old woman who is recently divorced and has just sent her last child to college says she just does not understand why she is feeling so "low and alone." She states she is not sleeping well and has no energy for anything. These most likely are symptoms of: A. worsening depression related to early menopause. B. pathologic depression related to the divorce. C. the "empty nest" syndrome related to the children being gone from home and stress from the recent divorce. D. indicative of her need to go out and get a job. C. the "empty nest" syndrome related to the children being gone from home and stress from the recent divorce. Q: A middle-aged man is considering testosterone replacement therapy to increase his strength and sense of well-being. A deficit of testosterone therapy is that the therapy: A. is very expensive. B. does not correct erectile dysfunction. C. increases accumulation of body fat. D. may cause hypertension. B. does not correct erectile dysfunction. Q: A 55-year-old man has recently purchased a sports car, had a hair transplant, and taken up skydiving as a hobby. The term for this behavior as an attempt to challenge the inevitability of the future is known as: A. generativity. B. identity accommodation. C. male climacteric. D. midlife crisis. D. midlife crisis. Q: Middle adulthood is considered the period of development after young adulthood but before retirement and is categorized as age 40 to _____ years. A. 50 B. 55 C. 60 D. 65 C. 60 Q: The health-care worker clarifies that the concept of generativity means that the middle adult: A. provides care for elderly parents. B. has generated the next generation. C. contributes positively to family and community. D. expresses total concern for his well-being. C. contributes positively to family and community. Q: As adults move from middle adulthood into older and late adulthood, a productive level of functioning is more likely to be maintained if the person feels: A. useful and loved. B. dependent and closely watched. C. wanted and dependent. D. financially secure and physically active. A. useful and loved. Q: A middle-aged woman says that her husband does not seem to want to make love to her anymore. She says he makes excuses every night and she is afraid he no longer loves her. The health-care worker recognizes that most likely: A. he may be having an affair and is too tired for his wife. B. the physiological changes occurring in his wife's body have made her unattractive to him. C. he is working too hard and is too tired at night for anything but sleep. D. he is concerned about his sexual performance and is afraid to try for fear of failure. D. he is concerned about his sexual performance and is afraid to try for fear of failure. Q: The health-care worker assesses for the physiological changes in the middle-aged person, which include: (Select all that apply.) A. redistribution of fat. B. increased muscle tone. C. loss of skin elasticity. D. thinning hair. E. increasing energy. A. redistribution of fat. C. loss of skin elasticity. D. thinning hair. In addition to the Eriksonian crisis, middle-aged persons have other developmental tasks, which include: (Select all that apply.) A. managing finances. B. nurturing their marriage. C. maintaining social relationships. D. managing the household. E. developing an ego ideal. A. managing finances. B. nurturing their marriage. C. maintaining social relationships. D. managing the household. A. Sandwich generation stress B. Lack of intimacy The health-care worker reminds a group of middle-aged men that they should take preventative measures to reduce the risk of cardiovascular disorders resultant from their lifestyle, which includes which factor(s)? (Select all that apply.) C. Smoking D. Inadequate exercise E. Hormonal changes A. Sandwich generation stress C. Smoking D. Inadequate exercise E. Hormonal changes The health-care worker reminds the 55-year-old executive that, although he is busy, he should find time to engage in the recommended _____ hours of moderate exercise a week. 2.5 ______________ is a part of every phase of life and involves beliefs and behaviors that surround physiological responses, emotions, and cultural values. sexuality To help the older adult maintain independence, Healthy People 2020 advocates the promotion of services that provide: A. prescription drug delivery. B. food banks for the older adult. C. transportation. D. day care for persons suffering from dementia. C. transportation. The home health-care worker recognizes that memory loss related to depression as compared to normal age-related memory loss is that depression-related memory loss: A. progresses slowly. B. has a rapid onset. C. affects all areas of memory. D. usually becomes permanent. B. has a rapid onset. The home health care worker suggests a lifestyle change that would be supportive to memory retention such as: A. completing a crossword puzzle. B. listening to "oldies" music. C. subscribing to a travel magazine. D. working on a jigsaw puzzle. A. completing a crossword puzzle. The most effective nursing intervention for health promotion in the older adult is primarily focused on: A. managing disease. B. providing a sense of control over health problems. C. controlling symptoms of illness. D. teaching positive health behaviors. D. teaching positive health behaviors. The health-care worker is taking the health history of an older adult with the assistance of the patient's daughter, who is the caregiver. The assessment that would suggest that the patient may be abused is the: A. patient is disoriented. B. daughter has little knowledge of the patient's medical condition. C. daughter handles the patient's finances. D. daughter is involved in many community activities. B. daughter has little knowledge of the patient's medical condition. The health-care worker identifies age-related memory impairment in the older adult who says: A. "I just can't remember my telephone number." B. "I forgot I went to the store this morning and didn't realize it until I went again this afternoon." C. "I forget the names of movie stars more often now, but I can remember them later." D. "I simply cannot remember how to set my alarm clock anymore." C. "I forget the names of movie stars more often now, but I can remember them later." When access to health care is blocked, the major negative impact is that: A. communities will not develop broader health services. B. minorities will be the most neglected. C. insurance payments will be impacted. D. preventative health-care measures are neglected. D. preventative health-care measures are neglected. When teaching an older adult, the health-care worker promotes learning by providing: A. detailed verbal explanations. B. information that relates to the person's actual experiences. C. a review of basic concepts, because long-term memory is impaired. D. numerous repetitive presentations to promote memory retention. B. information that relates to the person's actual experiences. A 65-year-old woman who recently lost her husband comes to the clinic for her first examination in 5 years. To facilitate a positive health-care experience, the health-care worker should: A. remind the woman that she is long overdue for an examination. B. reassure this woman that her examination should be normal as she has no symptoms. C. listen carefully and allow for extra time for her health history interview. D. encourage the woman to talk about the death of her husband. C. listen carefully and allow for extra time for her health history interview. To prevent or decrease age-related postmenopausal osteoporosis, the health-care worker recommends that the 66-year-old woman include in her lifestyle: A. taking vitamins E and B-complex supplements. B. increasing intake foods rich in iron. C. maintaining annual health assessments. D. performing regular aerobic, weight-bearing exercise. D. performing regular aerobic, weight-bearing exercise. The health-care worker recommends cardiovascular screening for the 60-year-old man who: A. smokes a cigar after Sunday dinner. B. has a high low-density lipid level. C. has a blood pressure of 136/78. D. exercises strenuously every day. B. has a high low-density lipid level. When a 66-year-old woman comes into the health clinic complaining of dyspareunia, the sensitive health-care worker would: A. say, "I believe you can get relief from the use of lubricating creams." B. ask, "Has this affected your sexual activity?" C. ask, "Have you considered hormone replacement therapy?" D. inform her, "There are many CAM therapies that can help." B. ask, "Has this affected your sexual activity?" In cultures in which respect and inclusion of the older adult in family life is the norm, the older adult demonstrates greater: A. authoritarian dominance. B. fiscal responsibility. C. emotional competency. D. life expectancy. C. emotional competency. The health-care worker plans to use the CAGE alcohol use assessment tool to assess the older adult. This tool is a questionnaire consisting of _____ questions. A. 4 B. 5 C. 8 D. 10 A. 4 A 70-year-old woman has been newly diagnosed with cancer. She says that if the treatment is not successful, she has had a productive life and will have no regrets. This is: A. denial of the severity of her disease. B. an example of repression. C. lack of faith in the effectiveness of treatment. D. indication of a satisfactory and fulfilling life. D. indication of a satisfactory and fulfilling life. A provision of the controversial Health Care Affordability Act of 2010 was to: A. ration health care to the elderly. B. provide wider health-care coverage. C. limit hospital stays. D. set up more community health clinics. B. provide wider health-care coverage When discussing the basic needs for the older adult, the health-care worker uses the term ___________ to indicate effective interactions. A. autonomy B. disengagement C. competence D. relatedness C. competence When planning health promotion classes for people in late adulthood, the health-care worker should include information about: A. motor vehicle accidents. B. stress management. C. sexually transmitted diseases. D. vitamin supplements. B. stress management. When a 65-year-old woman comes to the health clinic with postmenopausal symptoms, the health-care worker will encourage a high dietary intake of: A. potassium. B. sodium. C. calcium. D. vitamin C. C. calcium. The home health care worker will make a point to make frequent blood pressure assessments on a 67-year-old man who has been put on a new hypertensive drug because the older adult: A. will be curious about the effectiveness of the drug. B. has sudden changes in blood pressure. C. may reject a medication change. D. has decreased liver and kidney function. D. has decreased liver and kidney function. Health goals established for older adults by Healthy People 2020 include: (Select all that apply.) A. eradication of dementia. B. reduction of morbidity from flu and pneumonia. C. disease prevention. D. reduction of occurrence of hip fractures. E. food banks for the needy. B. reduction of morbidity from flu and pneumonia. C. disease prevention. D. reduction of occurrence of hip fractures. When designing a plan of care for the older adult, the health-care worker should consider the older adult's: (Select all that apply.) A. income. B. previous employment. C. educational level. D. date of retirement. E. living arrangements. A. income. C. educational level. E. living arrangements. The health-care worker recommends the practice of Tai Chi to an older adult to enhance ___________ strength. muscle The baseline goal for moderate to vigorous physical activity is ______ hours a week. 2.5 The term geriatrics refers to the study of: A. the elderly. B. care of aging persons. C. human adaptation to aging. D. biological, psychological, physiological, and sociological aspects of aging. D. biological, psychological, physiological, and sociological aspects of aging. The theory of aging that attributes the age-related cellular changes to an unpaired ion is the theory of: A. wear and tear. B. free radical. C. immune. D. apoptosis. B. free radical. Columbia University developed an assessment tool for persons with Alzheimer's that: A. aids in the planning of care for the person with Alzheimer's disease. B. sets a drug protocol for the treatment of Alzheimer's. C. lists specific effective interventions for care of a person with Alzheimer's. D. measures the deterioration of the cerebral cortex. A. aids in the planning of care for the person with Alzheimer's disease. In cultures where ageism prevails, the elderly are: A. respected and are valued for their contribution to society. B. used as role models for the younger generation. C. avoided and made to feel useless. D. disallowed to take part in community and civic organizations. C. avoided and made to feel useless. The White House Conference of 2005 stimulated the: A. broadening of the definition of elder abuse. B. increase in the number of assisted living facilities. C. development of training programs for caregivers. D. passing of the Older American Act, which supported long-term care strategies. D. passing of the Older American Act, which supported long-term care strategies. A woman tells the health-care worker that her 85-year-old father is frequently confused about medication doses and frequently forgets to take his medicines. He usually eats crackers for dinner and sweet snacks for lunch. The daughter lives in a two-bedroom apartment with her two children and works full time. The health-care worker suggests that the most appropriate placement for him would be in: A. the daughter's home. B. a nursing home. C. an assisted-living home. D. a retirement center. C. an assisted-living home The health-care worker recommends the utilization of a senior center for a 79-year-old widow because in addition to a meal, a senior center can provide: A. transportation to and from the center. B. prescription drugs. C. a venue for socialization. D. a nurse counselor. C. a venue for socialization. A health-care worker passing an open door sees a nursing home resident having sexual intercourse with another resident. The most appropriate response is to say: A. "What are you doing? Please remember where you are!" B. "Let me shut the door to give you more privacy." C. "I need to notify your physician. Remember your heart condition." D. "You should wait until all the other residents are in their rooms." B. "Let me shut the door to give you more privacy." A 70-year-old man retired 6 months ago after a long career as a newsman. His wife tells the health-care worker that she is concerned because her husband has stopped going to church, turned over the bill-paying duties to her, and spends most of the time listening to the radio. The health-care worker recognizes this as: A. normal in the newly retired. B. necessary for adjustment to retirement. C. signs of disengagement and possible early depression. D. preparation for transition to advanced old age. C. signs of disengagement and possible early depression. Among the goals for the aged from Healthy People 2020 is an increased access for the elderly to acquire: A. comprehensive dental care. B. preventative health-care services. C. spiritual counseling. D. legal assistance. B. preventative health-care services. An appropriate strategy when teaching geriatric adults is to: A. ask them to repeat what they heard because of possible hearing deficits. B. use many videos and charts to keep their interest. C. present all the material in one long session rather than two short ones. D. speed up the presentation because of the short attention span. A. ask them to repeat what they heard because of possible hearing deficits. An appropriate nursing action helpful to older adults with insulin-dependent diabetes mellitus is to: A. avoid discussing future lifestyle changes. B. assure the elder that the condition is stable. C. encourage confidence in the elder as a competent manager of the disease. D. assign the responsibility for insulin injections and blood testing to a home health-care worker. C. encourage confidence in the elder as a competent manager of the disease. An elder who lives alone at home says to the home health care worker, "My children haven't visited me in weeks, and I've had no phone calls either. I don't even have any news about my new granddaughter. I think they have forgotten me." Which response would be most helpful at this time? A. "I'm sure they didn't forget you. They must be very busy with your new granddaughter." B. "Why don't you give them a call and find out what's happening?" C. "It sounds as if you are feeling a little neglected at this time." D. "Well, let's see what your blood pressure is doing. I bet it is low." C. "It sounds as if you are feeling a little neglected at this time." When developing a teaching plan for elders, the health-care worker may include family members and significant others because: A. family support affects the elder's sense of well-being. B. family members are responsible for care of the elder. C. the family members may have conflicting views regarding health teaching topics. D. families need to know how to foster dependence in the elder to prevent serious injury. A. family support affects the elder's sense of well-being. An important consideration in the rehabilitation of a geriatric patient to prevent loss of function from inactivity and immobility is: A. using assistive devices such as walkers and canes. B. teaching good nutrition to prevent loss of muscle mass. C. performing active exercises daily. D. assessing for safe environment. C. performing active exercises daily. The health-care worker is planning a discussion about sexual responses in the aging population. The health-care worker would make a point to include information relative to that fact that: A. menopause decreases the sexual response in females. B. erotic response of the nipple and clitoris decrease. C. sperm motility is not affected by reduced testosterone. D. males retain their fertility into the eighth decade of life. D. males retain their fertility into the eighth decade of life. Because of changes in the blood vessels, which become narrow with fatty deposits, the geriatric elder is at risk for: A. hypotension. B. stroke. C. increased heart muscle tone. D. rapid response to anxiety. B. stroke. The immune theory of aging proposes that: A. the aging body becomes immune to the restorative properties of nutritious food, adequate sleep, and exercise. B. as body parts begin to age and become dysfunctional, they become immune to the body's attempt to repair them. C. the aging person's immune system cannot differentiate between healthy and defective cells and destroys both kinds. D. the geriatric elder becomes immune to many therapeutic remedies and can receive no protection from infection from them. C. the aging person's immune system cannot differentiate between healthy and defective cells and destroys both kinds. The term old-old senescence is categorized as a person who is: A. 65 to 75 years of age. B. 76 to 84 years of age. C. 85 to 99 years of age. D. over 100 years of age. C. 85 to 99 years of age During an assessment, an 80-year-old man says that his wife died a year ago, his only child moved to another city, and he recently moved into an apartment in a new neighborhood so he stays indoors most of the time and watches TV. This man: A. has an opportunity for new social contacts. B. may be at risk for suicide. C. should go live with his child. D. needs the services of Meals on Wheels. B. may be at risk for suicide. When planning health-promotion classes for geriatric adults, the health-care worker should include information pertinent to: A. vitamin supplements, folic acid. B. hormone replacement therapy, contraception. C. homicide, motor vehicle accidents. D. safe home environment, immunizations. D. safe home environment, immunizations. Regarding cataracts, the most important point is that they: A. are rare and are symptoms of other medical conditions. B. block some of the light to the eye but do not cause blindness. C. are a normal part of aging; most older people have cataracts in both eyes. D. occur in both eyes and vision deteriorates at the same rate. C. are a normal part of aging; most older people have cataracts in both eyes. An 83-year-old senior in a nursing home spends a great deal of time telling stories about past accomplishments and life experiences. The health-care worker recognizes that: A. reminiscing about positive life experiences is therapeutic and helps bring a feeling of achievement and satisfaction to the elder adult. B. this may be early senility, as the elder cannot remember from one time to the next what stories have been told. C. this story-telling needs to be curtailed to allow others to participate. D. the reminiscences should not be encouraged, to prevent feelings of bitterness or anxiety. A. reminiscing about positive life experiences is therapeutic and helps bring a feeling of achievement and satisfaction to the elder adult. Interventions to promote health in the geriatric elder that follow the goals of Healthy People 2020 are primarily focused on: A. providing a sense of mastery over health problems. B. managing disease and disability. C. teaching positive health behaviors. D. controlling symptoms of illness. C. teaching positive health behaviors. The health-care worker encourages the 84-year-old to engage in some physical activity for at least 30 minutes a day. Such natural activities appropriate for the able geriatric person include: (Select all that apply.) A. weight training. B. dancing. C. swimming. D. walking. E. jogging. B. dancing. C. swimming. D. walking. E. jogging. The health-care worker assessing an 85-year-old man for his ability to manage the activities of daily living (ADLs) would assess his ability to: (Select all that apply.) A. feed himself. B. manage his own finances. C. cook a simple meal. D. shop for himself. E. manage some form of transportation. A. feed himself. C. cook a simple meal. D. shop for himself. According to Sanderson (2008), gerontologists list old age as when the prospects of living another ____ years is not realistic. 15 According to the _______ theory, a recently retired person who finds satisfaction in hobbies, travel, or volunteering is adjusting to life after retirement. activity 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. sensitize males to health concerns. 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. helping adolescents transition more easily to adulthood. 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. encourage healthy lifestyles to prevent sexually transmitted diseases (STDs). 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. about the cycle of violence that indicates once violence begins, it continues and escalates over time. 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. nutrition, family planning, and physical fitness. 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. testicular self-examination. 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. 24-year-old woman who is still living at home and spends most of her time involved in computer social media. 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." "All women should check their breasts every month." 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." "Good health habits formed as young adults show striking effects on the prevention of illness and disease as you grow older." 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. loss of strength. A health-care worker preparing a class on nutrition for a group of young adults explains that MyPlate is a nutritional guide that: a. spells out food exchanges. b. recommends that 30% of a plate be fruits and vegetables. c. directs nutritional intake to be 50% protein. d. helps limit portion size. helps limit portion size. Health maintenance instruction during young adulthood should be directed toward: a. preparing for the inevitable physical decline. b. halting age-related physiological changes. c. teaching how to cope with chronic illness. nting illnesses caused by lifestyle choices. preventing illnesses caused by lifestyle choices. A new mother tells the home health-care worker that she feels "really stupid" about caring for her newborn, as her mother-in-law does everything for the baby. The best approach to facilitate instruction would be: a. "Let's talk about what you already know about infant care, then we can plan from there." b. "Tell your mother-in-law that she has to teach you everything she knows." c. "You and your husband should sign up for child-care classes at the YMCA." d. "You and your husband should read up on infant care." "Let's talk about what you already know about infant care, then we can plan from there." 14. Young adulthood, or early adulthood, is most often defined as the time of age 20 years to _____ years. a. 25 b. 30 c. 35 d. 40 40 The goal of intimacy for the young adult means that the young adult has achieved: a. a satisfying sexual relationship. b. an open and trusting relationship with another person. c. a casual relationship with several close friends. d. a clear sense of identity. an open and trusting relationship with another person. The signs of a mid-life crisis" in a 39-year-old man suggest that he may be experiencing the negative influence of Levinson's stage of: a. structure period. b. concrete period. c. operational phase. d. transitional phase. transitional phase. According to Piaget, the stage of development that is necessary for effective problem solving skills in adulthood is the _______________ stage. a. integrative b. preoperational c. concrete operational d. post-formal operational post-formal operational According to Kohlberg, young adults should develop moral reasoning as they mature; this moral reasoning is characterized by: a. conforming to rules to gain recognition or reward. b. taking responsibility for care of others. c. obeying rules to avoid punishment. d. maintaining a sense of life achievement. taking responsibility for care of others. A young woman pregnant with her first child is in the second trimester. The health-care worker will direct instruction toward: a. detailed information about the birth process. b. possible abnormalities of the fetus. c. preparations about the physical environment for the expected infant. d. birth-control measures after delivery. preparations about the physical environment for the expected infant. A woman in the third trimester of pregnancy expresses fear about her impending labor and how she will manage. The best response would be: a. "Don't worry about it, you'll do fine." b. "Labor is scary to think about, but the actual experience isn't." c. "You can have an epidural. You won't feel anything." d. "It's normal to be anxious. Let's go over what happens after you are admitted." "It's normal to be anxious. Let's go over what happens after you are admitted." A young adult man says that his 3-year-old son wants to do many things the parent thinks is dangerous. The most helpful suggesting the health-care worker could give about this toddler's behavior is: a. "Let him do what he wants. He won't break." b. "Allow him his independence, but keep an eye out for safety." c. "Your child should be limited in his explorations as his judgment is immature." d. "Parents of toddlers need to continue to do things for their children." "Allow him his independence, but keep an eye out for safety." Teaching to increase self care is effective when the adult learner makes which statement? a. "I'll do whatever you say; you're the professional." b. "I don't think I can quit smoking." c. "I exercise for 30 minutes 5 times a week." d. "What do you think I should do?" "I exercise for 30 minutes 5 times a week." Health maintenance during middle adulthood should be directed toward: preventing illnesses due to lifestyle and physiological changes. According to Erikson, the primary task of middle adulthood is contributing positively to family and community, also known as _________________. Failure to achieve this task may result in stagnation. generativity A 50-year-old woman visits the women's health clinic stating her last menstrual period was 6 months ago. Since that time, she has been experiencing palpitations and hot flashes. The health-care worker should suspect that her symptoms are related to: menopause. Many middle-aged adults desire to return to school to continue an education interrupted by career, family, and childrearing. When counseling these adults, an important factor to consider is that: it may take more time to learn and assimilate new material, but once learned, the content is remembered with greater accuracy. When assessing a middle-aged person, the health-care worker should be sensitive to the fact that these persons are uniquely challenged by: attempting to meet the needs of both their children and their parents. While discussing health promotion and maintenance to a group of middle-aged men, the health-care worker advises that men should make as a priority to have an annual: screen for prostate cancer. To enhance success for health teaching to middle-aged adults, the health-care worker should: provide information related to health concerns and stressors common to the age-group. A middle-aged man says that he is taking up a strenuous exercise program to increase his testosterone level and his libido. The best response to this information would be: "Excessive exercise may actually decrease your testosterone level." The term climacteric refers to a time in life in which: men have a decrease in libido. A 52-year-old woman who is recently divorced and has just sent her last child to college says she just does not understand why she is feeling so "low and alone." She states she is not sleeping well and has no energy for anything. These most likely are symptoms of: the "empty nest" syndrome related to the children being gone from home and stress from the recent divorce. A middle-aged man is considering testosterone replacement therapy to increase his strength and sense of well-being. A deficit of testosterone therapy is that the therapy: does not correct erectile dysfunction. A 55-year-old man has recently purchased a sports car, had a hair transplant, and taken up skydiving as a hobby. The term for this behavior as an attempt to challenge the inevitability of the future is known as: midlife crisis. Middle adulthood is considered the period of development after young adulthood but before retirement and is categorized as age 40 to _____ years. 60 The health-care worker clarifies that the concept of generativity means that the middle adult: contributes positively to family and community. As adults move from middle adulthood into older and late adulthood, a productive level of functioning is more likely to be maintained if the person feels: useful and loved. A middle-aged woman says that her husband does not seem to want to make love to her anymore. She says he makes excuses every night and she is afraid he no longer loves her. The health-care worker recognizes that most likely: he is concerned about his sexual performance and is afraid to try for fear of failure. To help the older adult maintain independence, Healthy People 2020 advocates the promotion of services that provide: transportation. The home health-care worker recognizes that memory loss related to depression as compared to normal age-related memory loss is that depression-related memory loss: has a rapid onset. The home health care worker suggests a lifestyle change that would be supportive to memory retention such as: completing a crossword puzzle. The most effective nursing intervention for health promotion in the older adult is primarily focused on: teaching positive health behaviors. The health-care worker is taking the health history of an older adult with the assistance of the patient's daughter, who is the caregiver. The assessment that would suggest that the patient may be abused is the: daughter has little knowledge of the patient's medical condition. The health-care worker identifies age-related memory impairment in the older adult who says: "I forget the names of movie stars more often now, but I can remember them later." When access to health care is blocked, the major negative impact is that: preventative health-care measures are neglected. When teaching an older adult, the health-care worker promotes learning by providing: information that relates to the person's actual experiences. A 65-year-old woman who recently lost her husband comes to the clinic for her first examination in 5 years. To facilitate a positive health-care experience, the health-care worker should: listen carefully and allow for extra time for her health history interview. To prevent or decrease age-related postmenopausal osteoporosis, the health-care worker recommends that the 66-year-old woman include in her lifestyle: performing regular aerobic, weight-bearing exercise. The health-care worker recommends cardiovascular screening for the 60-year-old man who: has a high low-density lipid level. When a 66-year-old woman comes into the health clinic complaining of dyspareunia, the sensitive health-care worker would: ask, "Has this affected your sexual activity?" In cultures in which respect and inclusion of the older adult in family life is the norm, the older adult demonstrates greater: emotional competency. The health-care worker plans to use the CAGE alcohol use assessment tool to assess the older adult. This tool is a questionnaire consisting of _____ questions. 4 A 70-year-old woman has been newly diagnosed with cancer. She says that if the treatment is not successful, she has had a productive life and will have no regrets. This is: indication of a satisfactory and fulfilling life. A provision of the controversial Health Care Affordability Act of 2010 was to: provide wider health-care coverage. When discussing the basic needs for the older adult, the health-care worker uses the term ___________ to indicate effective interactions. competence When planning health promotion classes for people in late adulthood, the health-care worker should include information about: stress management. When a 65-year-old woman comes to the health clinic with postmenopausal symptoms, the health-care worker will encourage a high dietary intake of: calcium. The home health care worker will make a point to make frequent blood pressure assessments on a 67-year-old man who has been put on a new hypertensive drug because the older adult: has decreased liver and kidney function. The term geriatrics refers to the study of: biological, psychological, physiological, and sociological aspects of aging. The theory of aging that attributes the age-related cellular changes to an unpaired ion is the theory of: free radical. Columbia University developed an assessment tool for persons with Alzheimer's that: aids in the planning of care for the person with Alzheimer's disease. In cultures where ageism prevails, the elderly are: avoided and made to feel useless. The White House Conference of 2005 stimulated the: passing of the Older American Act, which supported long-term care strategies. A woman tells the health-care worker that her 85-year-old father is frequently confused about medication doses and frequently forgets to take his medicines. He usually eats crackers for dinner and sweet snacks for lunch. The daughter lives in a two-bedroom apartment with her two children and works full time. The health-care worker suggests that the most appropriate placement for him would be in: an assisted-living home. The health-care worker recommends the utilization of a senior center for a 79-year-old widow because in addition to a meal, a senior center can provide: a venue for socialization. A health-care worker passing an open door sees a nursing home resident having sexual intercourse with another resident. The most appropriate response is to say: "Let me shut the door to give you more privacy." A 70-year-old man retired 6 months ago after a long career as a newsman. His wife tells the health-care worker that she is concerned because her husband has stopped going to church, turned over the bill-paying duties to her, and spends most of the time listening to the radio. The health-care worker recognizes this as: signs of disengagement and possible early depression. Among the goals for the aged from Healthy People 2020 is an increased access for the elderly to acquire: preventative health-care services. An appropriate strategy when teaching geriatric adults is to: ask them to repeat what they heard because of possible hearing deficits. An appropriate nursing action helpful to older adults with insulin-dependent diabetes mellitus is to: encourage confidence in the elder as a competent manager of the disease. An elder who lives alone at home says to the home health care worker, "My children haven't visited me in weeks, and I've had no phone calls either. I don't even have any news about my new granddaughter. I think they have forgotten me." Which response would be most helpful at this time? "It sounds as if you are feeling a little neglected at this time." When developing a teaching plan for elders, the health-care worker may include family members and significant others because: family support affects the elder's sense of well-being. An important consideration in the rehabilitation of a geriatric patient to prevent loss of function from inactivity and immobility is: performing active exercises daily. The health-care worker is planning a discussion about sexual responses in the aging population. The health-care worker would make a point to include information relative to that fact that males retain their fertility into the eighth decade of life. Because of changes in the blood vessels, which become narrow with fatty deposits, the geriatric elder is at risk for: stroke. The immune theory of aging proposes that: the aging person's immune system cannot differentiate between healthy and defective cells and destroys both kinds. The term old-old senescence is categorized as a person who is: 85 to 99 years of age. Regarding cataracts, the most important point is that they: are a normal part of aging; most older people have cataracts in both eyes. During an assessment, an 80-year-old man says that his wife died a year ago, his only child moved to another city, and he recently moved into an apartment in a new neighborhood so he stays indoors most of the time and watches TV. This man: may be at risk for suicide. When planning health-promotion classes for geriatric adults, the health-care worker should include information pertinent to: safe home environment, immunizations. An 83-year-old senior in a nursing home spends a great deal of time telling stories about past accomplishments and life experiences. The health-care worker recognizes that: reminiscing about positive life experiences is therapeutic and helps bring a feeling of achievement and satisfaction to the elder adult. Interventions to promote health in the geriatric elder that follow the goals of Healthy People 2020 are primarily focused on: teaching positive health behaviors. The sensitive health-care worker can demonstrate therapeutic presence by: remaining near the patient and family. The statement that best depicts the preschooler's understanding of death is: "I know that my brother got taken because I had a fight with him." A 90-year-old West Indian man is dying, and 20 family members fill the hall as they try to crowd into the room. The culturally competent health-care worker will: move out unnecessary furniture to make room for the family. The health-care worker can support grieving families at the time of death by: allowing the family time to stay with the loved one after the death. When parents ask if their school-age child should attend the funeral of their grandmother, the health-care worker would base a response on the understanding that attendance will: provide an closure for the child. The primary goal of end-of-life care is: comfort and care to promote death with dignity. A terminally ill patient is unresponsive and having periods of apnea. The patient's family is arguing at the bedside about where the funeral should be held. The health-care worker should: take the family members aside and explain that the patient may be able to hear them. The document naming the person or persons who should make health-care decisions if a patient cannot make informed decisions for him- or herself is the: durable power of attorney. The grieving mother whose adolescent son died last week tells the home health-care worker that her 5-year-old has begun to wet the bed. The health-care worker's most helpful response would be: "Regression to less mature forms of behavior are not unusual after a death." The health-care worker caring for a dying 78-year-old Hispanic woman understands that in Hispanic families when death is near, the family will: prohibit pregnant women and children from the bedside. As a Native American elder is dying, a young health-care worker complains to her supervisor that the eldest son is not at his father's bedside and is nowhere to be found. The culturally competent health-care worker responds: "He is observing his own private grieving away from his dying father." When the treatment for a 12-year-old child with