C HAPTER 13. Y OUNG AND M IDDLE A DULTS
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse is preparing to discuss postpartum depression as a part of
discharge teaching with the par ents of a newborn. Which of the following
nursing actions would be most therapeutic regarding earl y detection of
this postpartum condition?
A. Helping the couple understand the importance of social interaction
with other adults
B. Providing the couple with a vid eo that tells the story of a new
mothers experience with depression
C. Encouraging the couple to attend parenting classes designed to
minimize the stressors of parenting an infant
D. Having a discussion with the father in which he identifies the signs
and symptoms of postpartum depression
ANS: D
Educating both new mothers and their families regarding the signs and
s ymptoms of postpartum stress and depression will facilitate earl y
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 c lients.
While Option 3 is appropriate in regard to minimizing the risk of
developing depression stemming from postpartum stressors, it does not
, directl y impact the identification of the signs and symptoms of the
condition.
DIF: C REF: 180 OBJ: Anal ysis TOP: Nursing Process: Planning
MSC: NC LEX test plan designation: Health Promotion and
Maintenance/Famil y Systems; Psychosocial Integrit y/Stress
Management/Crisis Intervention
2. Which of the following young adults is at greatest risk for experiencing
death or injury?
A. An 18-year-old with a father who is an alcoholic
B. A 30-year-old who is a professional rodeo rider
C. A 20-year-old living in an urban housing project
D. A 26-year-old riding a motorcycle across the country
ANS: C
Violence is the greatest cause of morta lity and morbidit y in the young
adult population. Factors that predispose individuals to violence,
injury, or death include povert y, famil y breakdown, child abuse and
neglect, repeated exposure to violence, and ready access to guns. This
option represents an individual who most likel y 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 potenti al violence existing in Option 3.
, DIF: C REF: 181 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/High Risk for Injury
3. The most serious risk for death for a young adult living in rural p overt y
is:
A. Suicide
B. Homicide
C. Poor health maintenance practices
D. Famil y history of chronic illnesses
ANS: A
A young adult is more likel y to die of self -inflicted injury when living
at or below the povert y 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: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Psychosocial
Integrit y/Stress Management/Crisis Intervention
4. 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?
A. Use of illegal drugs
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse is preparing to discuss postpartum depression as a part of
discharge teaching with the par ents of a newborn. Which of the following
nursing actions would be most therapeutic regarding earl y detection of
this postpartum condition?
A. Helping the couple understand the importance of social interaction
with other adults
B. Providing the couple with a vid eo that tells the story of a new
mothers experience with depression
C. Encouraging the couple to attend parenting classes designed to
minimize the stressors of parenting an infant
D. Having a discussion with the father in which he identifies the signs
and symptoms of postpartum depression
ANS: D
Educating both new mothers and their families regarding the signs and
s ymptoms of postpartum stress and depression will facilitate earl y
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 c lients.
While Option 3 is appropriate in regard to minimizing the risk of
developing depression stemming from postpartum stressors, it does not
, directl y impact the identification of the signs and symptoms of the
condition.
DIF: C REF: 180 OBJ: Anal ysis TOP: Nursing Process: Planning
MSC: NC LEX test plan designation: Health Promotion and
Maintenance/Famil y Systems; Psychosocial Integrit y/Stress
Management/Crisis Intervention
2. Which of the following young adults is at greatest risk for experiencing
death or injury?
A. An 18-year-old with a father who is an alcoholic
B. A 30-year-old who is a professional rodeo rider
C. A 20-year-old living in an urban housing project
D. A 26-year-old riding a motorcycle across the country
ANS: C
Violence is the greatest cause of morta lity and morbidit y in the young
adult population. Factors that predispose individuals to violence,
injury, or death include povert y, famil y breakdown, child abuse and
neglect, repeated exposure to violence, and ready access to guns. This
option represents an individual who most likel y 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 potenti al violence existing in Option 3.
, DIF: C REF: 181 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Health
Promotion and Maintenance/High Risk for Injury
3. The most serious risk for death for a young adult living in rural p overt y
is:
A. Suicide
B. Homicide
C. Poor health maintenance practices
D. Famil y history of chronic illnesses
ANS: A
A young adult is more likel y to die of self -inflicted injury when living
at or below the povert y 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: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Psychosocial
Integrit y/Stress Management/Crisis Intervention
4. 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?
A. Use of illegal drugs
