Nursing Chapter 18 Latest Questions
All Answered Correctly 2026.
The nurse working in long-term care knows that there are multiple theories regarding aging. The
one the nurse most identifies with proposes that the body's cells are leading to damaged organs
and organ systems. This description is congruent with which theory?
a.Cross-linking theory of aging
b.Wear-and-tear theory
c.Gould's theory on adult development
d.Senescence theory of aging - Answer b.Wear-and-tear theory
Rationale:
The wear-and-tear theory states that body cells are damaged from years of hard use. The cross-
linking theory relates changes of aging to cross-linked and connected cells and systems become
hardened over time, decreasing function. Gould's theory is a psychosocial one looking at tasks
the adult completes, not physical changes. "Senescence" means biologic aging; there is no
senescence theory of aging.
A nurse is obtaining a history from a 37-year-old patient. What statement by the patient
indicates that he has met the age-appropriate developmental task according to Gould?
a.Patient describes moving out of his parents' house into an apartment.
b.Patient reminisces about past life events and accomplishments.
c.Patient questions his life choices such as profession and decision not to marry.
d.Patient expresses satisfaction in having his own family and successful career. - Answer
d.Patient expresses satisfaction in having his own family and successful career.
Rationale:
According to Gould, this patient is in the midlife decade, which occurs after the upheaval of
entering the adult world and questioning one's decisions, but prior to reconciling one's life and
becoming stabilized. The patient who has moved out of his parents' house is demonstrating
activities seen in the early adulthood stage in which leaving the parents' world is paramount.
Reminiscing about the past life occurs as part of the reconciliation stage, seen in an older
person. Questioning and reexamining are typically seen in the stage for 28- to 34-year olds.
, The nurse plans to develop a comprehensive screening tool to use with young adults, assessing
their lifestyles and healthy living habits. What barrier must the nurse plan to overcome to make
this screening successful?
a.Young adults may not see a health provider regularly.
b.Young adults are so diversified that a screening tool may not be appropriate.
c.Young adults have too many risky lifestyle behaviors to make education relevant.
d.Young adults are too busy with their lives to see a health care provider regularly. - Answer
a.Young adults may not see a health provider regularly.
Rationale:
Since young adults are at the peak of their physical development and abilities, they may not see
a health care provider on a regular basis. Screening tools can be used with any population.
When riskier behaviors are demonstrated, the more education is needed. Time constraints are
generally not the main reason young adults do not have regular medical care.
A nurse who uses Havighurst's theory of development is assessing a young adult. What question
does the nurse ask to provide the most relevant information about this person's successful
negotiation of this developmental stage?
a."Do you find yourself doing familiar tasks in new ways to accomplish them?"
b."Please count backwards from 100 by 7s, such as 100, 93, and so on."
c."What occupation have you chosen for your life's work?"
d."Do you still have a good relationship with your parents and siblings?" - Answer c."What
occupation have you chosen for your life's work?"
Rationale:
According to Havighurst, one of the tasks of the young adult is to select an occupation. Changing
the approach one performs familiar tasks is seen in the middle adult stage. Seriation activities
test fluid intelligence and are often used in middle adulthood. Although for Havighurst,
achieving emotional independence from parents is important, that does not preclude having a
good relationship with them.
A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse
perform to confirm this?
a.Mini-mental state exam
All Answered Correctly 2026.
The nurse working in long-term care knows that there are multiple theories regarding aging. The
one the nurse most identifies with proposes that the body's cells are leading to damaged organs
and organ systems. This description is congruent with which theory?
a.Cross-linking theory of aging
b.Wear-and-tear theory
c.Gould's theory on adult development
d.Senescence theory of aging - Answer b.Wear-and-tear theory
Rationale:
The wear-and-tear theory states that body cells are damaged from years of hard use. The cross-
linking theory relates changes of aging to cross-linked and connected cells and systems become
hardened over time, decreasing function. Gould's theory is a psychosocial one looking at tasks
the adult completes, not physical changes. "Senescence" means biologic aging; there is no
senescence theory of aging.
A nurse is obtaining a history from a 37-year-old patient. What statement by the patient
indicates that he has met the age-appropriate developmental task according to Gould?
a.Patient describes moving out of his parents' house into an apartment.
b.Patient reminisces about past life events and accomplishments.
c.Patient questions his life choices such as profession and decision not to marry.
d.Patient expresses satisfaction in having his own family and successful career. - Answer
d.Patient expresses satisfaction in having his own family and successful career.
Rationale:
According to Gould, this patient is in the midlife decade, which occurs after the upheaval of
entering the adult world and questioning one's decisions, but prior to reconciling one's life and
becoming stabilized. The patient who has moved out of his parents' house is demonstrating
activities seen in the early adulthood stage in which leaving the parents' world is paramount.
Reminiscing about the past life occurs as part of the reconciliation stage, seen in an older
person. Questioning and reexamining are typically seen in the stage for 28- to 34-year olds.
, The nurse plans to develop a comprehensive screening tool to use with young adults, assessing
their lifestyles and healthy living habits. What barrier must the nurse plan to overcome to make
this screening successful?
a.Young adults may not see a health provider regularly.
b.Young adults are so diversified that a screening tool may not be appropriate.
c.Young adults have too many risky lifestyle behaviors to make education relevant.
d.Young adults are too busy with their lives to see a health care provider regularly. - Answer
a.Young adults may not see a health provider regularly.
Rationale:
Since young adults are at the peak of their physical development and abilities, they may not see
a health care provider on a regular basis. Screening tools can be used with any population.
When riskier behaviors are demonstrated, the more education is needed. Time constraints are
generally not the main reason young adults do not have regular medical care.
A nurse who uses Havighurst's theory of development is assessing a young adult. What question
does the nurse ask to provide the most relevant information about this person's successful
negotiation of this developmental stage?
a."Do you find yourself doing familiar tasks in new ways to accomplish them?"
b."Please count backwards from 100 by 7s, such as 100, 93, and so on."
c."What occupation have you chosen for your life's work?"
d."Do you still have a good relationship with your parents and siblings?" - Answer c."What
occupation have you chosen for your life's work?"
Rationale:
According to Havighurst, one of the tasks of the young adult is to select an occupation. Changing
the approach one performs familiar tasks is seen in the middle adult stage. Seriation activities
test fluid intelligence and are often used in middle adulthood. Although for Havighurst,
achieving emotional independence from parents is important, that does not preclude having a
good relationship with them.
A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse
perform to confirm this?
a.Mini-mental state exam
