Ch. 23 Middle-Aged Adult Flashcards
A 35-year old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply?
A. “It is simply a part of normal aging an it is not preventable”
B. “As we age, we develop more cellulite under the skin which results in wrinkles.”
C. “Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure.”
D. “Wrinkles are caused by genetic factors combined with Vitamin D deposits under the skin.”
C. “Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure.”
A 45-year old care recipient who has experienced a ten pound weight gain during the past year sis the nurse if she thinks iron supplements would help increase her energy. Which of the following would be the most appropriate action for the nurse to take?
A. Ask the care recipient to describe her daily activity and diet
B. Leave a note requesting an iron supplement on the care recipient’s chart for the doctor
C. Provide the care recipient with information related to aerobic exercise classes
D. Ask the care recipient if she is still menstruating
A. Ask the care recipient to describe her daily activity and diet
Which of the following is a normal physiological change that occurs during middle age?
A. Increase in gastric emptying resulting in acid reflux
B. Reduction in height resulting in kyphosis
C. Reduction of glomerular filtration by 50%
D. Increase in the amount of estrogen produced in both genders
C. Reduction of glomerular filtration by 50%
A nurse is conducting a community education program. Which of the following should be stressed the leading cause of death in middle-age adults?
A. Automobile accidents
B. Malignant disease
C. Homicide
D. Suicide
B. Malignant disease
A nurse formed a political action committee to advocate for health insurance for the uninsured. On which of the following populations would the nurse focus the group’s efforts?
A. Asian Americans
B. Blacks
C. Hispanic Americans
D. Working-poor white Americans
C. Hispanic Americans
A nurse has been asked to develop a visit plan for a mobile mammogram van. Which of the following considerations would be made by the nurse when deciding which neighborhoods to visit?
A. Hispanic women have the highest rate of breast cancer as compared to other demographic groups in the United States
B. The death rate from breast cancer is higher in Hispanic women than for women in other ethnic groups
C. The death rate from breast cancer in hispanic women has risen in the past 10 years
D. Breast cancer in hispanic women is usually diagnosed at an early stage
B. The death rate from breast cancer is higher in Hispanic women than for women in other ethnic groups
A nurse has received a grant to provide a community-base education series for middle-age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group?
A. Diet and exercise
B. Seat belt use
C. Depression screening
D. Cancer prevention
A. Diet and exercise
The nurse collects the following assessment data from a woman: Hispanic ethnicity, BMI 29 kg/m^2, age 41. Which of the following actions should be taken by the nurse?
A. Encourage the care recipient to continue her dietary and exercise patterns
B. Discuss her current dietary and exercise lifestyle habits
C. Formulate a plan for increased exercise incorporating her preferences for type of exercise
D. Encourage the care recipient to adopt a low-calorie diet to help control her weight
B. Discuss her current dietary and exercise lifestyle habits
A nurse working in a rural location is interested in starting a weight management group for care recipients in the area. Which of the following interventions is most likely to ensure success?
A. Using a pre-set list of topics for discussion to be sure to cover all important areas
B. Using standardized, validate State materials/tools to relay information to the group
C. Asking for a list of topics that interest the group
D. Beginning each session with a 1 to 2-mile walk
C. Asking for a list of topics that interest the group
A 52-year old post menopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse?
A. “The American diet is much better now than when your mother was your age”
B. “You have a strong genetic risk factor. The odds are that you will also develop osteoporosis”
C. “You need about 1000 mg of calcium a day to keep your bones strong. Let’s talk about your diet”
D. “Tell me about your diet, how much walking you do each day, and what medications you take”
D. “Tell me about your diet, how much walking you do each day, and what medications you take”
Which of the following statements about alcohol intake is correct?
A. Women have a higher death rate related to alcoholism than men
B. A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker
C. More women than men are considered problem drinkers
D. Women who experience fewer cognitive effects from drinking are less likely to drink excessively
A. Women have a higher death rate related to alcoholism than men
The occupational health nurse is planning a health fair for employees. Which of the following information about dental health should be included?
A. Drinking bottled water helps prevent tooth decay
B. Gingivitis results in bone destruction and can be eliminated by flossing daily
C. Preventative dental care requires a visit to the dentist every 4 months
D. In addition to screening for tooth decay, dentists often screen for mouth cancer
D. In addition to screening for tooth decay, dentists often screen for mouth cancer
Which of the following people has exceeded the recommended guidelines for activity?
A. A 36-year old man who engages in bike riding and has a pulse rate of 137 during activity
B. A 45-year old woman who swims and has a pulse rate of 145 during activity
C. A 50-year old man who jogs and has a pulse rate of 120 during activity
D. A 60-year old woman who walks briskly to achieve a pulse rate of 135 during activity
D. A 60-year old woman who walks briskly to achieve a pulse rate of 135 during activity
A 63-year old woman complains to the nurse that she has insomnia and sleeps only 6-h a night. Which of the following responses should be made by the nurse?
A. “Prescription sleeping pills are preferable. Over the counter sleeping aids have more undesirable side effects
B. “Make sure that you do not nap during the day, even if you are tired”
C. “Do you feel excessively tired during the day?”
D. “The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping”
C. “Do you feel excessively tired during the day?”
A nurse conducted a 5-week education series about health maintenance. Which of the following statements by a participant indicates the analysis stage of cognition as defined by Bloom’s taxonomy?
A. “If I eat too much food and do not exercise, I will gain weight”
B. “Fat is more calorie-dense than is protein. If I eat calorie-dense foods and do not moderately exercise at least 5 days a week, I will gain weight”
C. “I will walk briskly at least a mile a day, 6 days a week, to maintain a healthy weight”
D. “I can eat more if I exercise more”
B. “Fat is more calorie-dense than is protein. If I eat calorie-dense foods and do not moderately exercise at least 5 days a week, I will gain weight”
