Solutions - Chapter 22 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. The nurse is completing a health history on a 24-year-old male.
Which activity is the best indicator of appropriate psychosocial development?
1.  Creating a scrapbook of his life experiences
2.  Joining the board of directors for three charities
3.  Decorating his new apartment
4.  Attending seminars on choosing a career
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1CTC. Mark Jones, a 22-year-old construction worker, comes into the health center for a “physical.” He states that the last time he saw a health care provider was during high school, and he is only here today be-cause his employer required that he be examined prior to returning to work. Mr. Jones has been off the job for 2 weeks following an ac-cident in which he fell off a ladder, sustaining multiple contusions and a concussion. He mentions that he and “his buddies” have enjoyed his 2 weeks off from work, and have used the time to “drink beer and chase women.”
What questions would you ask Mr. Jones about his usual health promotion activities?
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2CTC. Mark Jones, a 22-year-old construction worker, comes into the health center for a “physical.” He states that the last time he saw a health care provider was during high school, and he is only here today be-cause his employer required that he be examined prior to returning to work. Mr. Jones has been off the job for 2 weeks following an ac-cident in which he fell off a ladder, sustaining multiple contusions and a concussion. He mentions that he and “his buddies” have enjoyed his 2 weeks off from work, and have used the time to “drink beer and chase women.”
What questions would you ask Mr. Jones about his usual health promotion activities?
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2TYK. Mark Jones, a 22-year-old construction worker, comes into the health center for a “physical.” He states that the last time he saw a health care provider was during high school, and he is only here today be-cause his employer required that he be examined prior to returning to work. Mr. Jones has been off the job for 2 weeks following an ac-cident in which he fell off a ladder, sustaining multiple contusions and a concussion. He mentions that he and “his buddies” have enjoyed his 2 weeks off from work, and have used the time to “drink beer and chase women.”
What questions would you ask Mr. Jones about his usual health promotion activities?
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3TYK. A woman is seen at her primary care provider’s office. She has been losing weight and not feeling well. She is 44 years old. What is the leading cancer death in female clients between the ages of 25 and 64?
1.  Breast cancer
2.  Lymphoma
3.  Lung cancer
4.  Colon cancer
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4CTC. Mark Jones, a 22-year-old construction worker, comes into the health center for a “physical.” He states that the last time he saw a health care provider was during high school, and he is only here today be-cause his employer required that he be examined prior to returning to work. Mr. Jones has been off the job for 2 weeks following an ac-cident in which he fell off a ladder, sustaining multiple contusions and a concussion. He mentions that he and “his buddies” have enjoyed his 2 weeks off from work, and have used the time to “drink beer and chase women.”
What health screening activities would you suggest to Mr. Jones? How would you explain the rationale to him?
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4TYK. 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
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5CTC. Mark Jones, a 22-year-old construction worker, comes into the health center for a “physical.” He states that the last time he saw a health care provider was during high school, and he is only here today be-cause his employer required that he be examined prior to returning to work. Mr. Jones has been off the job for 2 weeks following an ac-cident in which he fell off a ladder, sustaining multiple contusions and a concussion. He mentions that he and “his buddies” have enjoyed his 2 weeks off from work, and have used the time to “drink beer and chase women.”
How would you assess Mr. Jones’s psychosocial development?
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5TYK. 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.
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6TYK. 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
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7TYK. 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
4.  Meningococcal, pertussis
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8TYK. When planning a screening program for cardiovascular disease in the middle-aged adult, the nurse has limited funds and decides to address which significant elements? Select all that apply.
1.  Blood pressure measurement
2.  Electrocardiogram
3.  Cholesterol measurement
4.  Sexual performance
5.  Activity level
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9TYK. A woman comes into the emergency department with multiple bruises about the face and head. The nurse suspects that IPV may be related to the injuries. What is the most appropriate action for the nurse to take at this time?
1.  Ask the person if she is afraid of someone at home who is hurting her.
2.  Refer the person to a shelter for battered women.
3.  Call a social worker to assess the person for IPV.
4.  Document the concern in the chart, but do nothing else.
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