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A 78-year-old male client needs to complete a 24-hour urine specimen. In planning his
care, the nurse realizes that which measure is most important? 1. Instruct the client to
empty his bladder and save this voiding to start the collection.
2. Instruct the client to use sterile individual containers to collect the urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator. - ANSWERS-Answer: 3. Rationale:
Option 3 is the most important nursing measure. This will inform the staff that the client
is on a 24-hour urine collection. Option 1 is not appropriate since the first voided
specimen is to be discarded. Option 2 is not an appropriate nursing measure since the
specimen container is clean not sterile, and one container is needed—not individual
containers. Option 4 is inappropriate because some 24-hour urine collections do not
require refrigeration.
The nurse is planning an educational program on sexually transmitted infections (STIs)
for young adults. Which topic should be given priority? 1. Syphilis
2. HIV
, 3. Gonorrhea
4. Chlamydia - ANSWERS-Answer: 4. Rationale: Although HIV and syphilis may have
more disastrous health effects, chlamydia is the most prevalent infectious disease in the
United States. Gonorrhea is still common, and its prevalence may vary geographically,
but chlamydia is more common and therefore the most likely contracted STI (option 3).
Which statement about moral development in adults is the most correct?
1. Moral development is completed during adolescence.
2. Moral development continues throughout adulthood.
3. Moral development is highly individualized.
4. Moral development correlates to spiritual development. - ANSWERS-Answer: 2.
Rationale: Kohlberg's initial work indicated that moral development was completed by
adulthood, but more recent research has demonstrated that moral development
continues throughout adulthood. Moral development refers to a decision-making
process of right and wrong, and proceeds in a series of predictable stages (option 3).
Moral development and spirituality are unrelated, and represent very different spheres
of human thought and behavior (option 4).
If the nurse were assessing the status of a middle-aged client's psychosocial
development, which activity should be the focus?
1. Selecting a life partner 2. Balancing the needs of others
3. Reviewing one's life course
4. Establishing a sense of self - ANSWERS-Answer: 2. Rationale: The middle-aged
person is generally attempting to relate to adult children and grandchildren as well as
assisting aging parents. Hence, continuous efforts to meet the needs of others occur.
Selecting a life partner is the developmental task for young adults. Reviewing one's life
course is the task for older adulthood (option 3). Establishing a sense of self is usually
achieved during adolescence (option 4).
The nurse is developing a health promotion teaching plan for a community group of
middle-aged adults. Information about which immunizations should be included?
1. Pneumococcal, meningococcal
2. Pertussis, influenza, meningococcal
3. Influenza, pneumococcal