Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 22
Question 1
Type: MCSA
The nurse is providing pre-employment physicals to a group of adults, aged 30 to 40. In which generation should
the nurse categorize these adults?
1. Baby Boomers
2. Generation X
3. Generation Y
4. Millennials
Question 2
Type: MCSA
A colleague is telling the community health nurse that his adult child has just moved back in with him and his
wife. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while
understanding that which factor is least likely contributing to this particular trend?
1. Maladaptive behavior
2. High unemployment rate
3. High housing costs
4. High incidence of chronic disease
Question 3
Type: MCSA
The nurse is observing a group of young adults engaged in a discussion regarding work schedules over the
holidays. What should the nurse realize that these adults will use to balance the emotional as well as logical side
of the discussion?
1. Formal operational stage
2. Postformal thought process
3. Kohlberg’s theory of moral development
4. Fowler’s spiritual development theory
Question 4
Type: MCSA
The nurse working in a community health office that is often frequented by young adults is assessing clients for
suicide. Which factors should the nurse identify as indicating a problem in this area?
1. Decreased interest in work
2. Weight loss
3. Depression
Question 5
Type: MCSA
An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the
employees, the nurse should focus on which population?
1. Males and females, equally
2. African American males
3. Asian American females
4. White females
Question 6
Type: MCSA
A nurse is working in a community of factory workers and is planning an educational session for wellness,
targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to:
1. help the group become more aware of marketing efforts by tobacco companies.
2. tell this group that smoking is unacceptable.
3. make sure the group is aware of the increased risk of liver disease and cancer of the esophagus.
4. counsel the group regarding addiction.
Commented [KB5]: AU: pls check—if this is correct answer, s/b
“help the group become more aware of”?
Question 7
Type: MCSA
During an educational session regarding physical changes of the middle-aged adult, a participant asks about
typical weight changes. How should the nurse respond?
1. “Weight loss is no different during this time than at any other time of your life.”
2. “Metabolism slows during middle age, which may result in weight gain.”
3. “As long as you exercise appropriately, weight loss will be ensured.”
4. “Weight loss is always a good idea, regardless of your age.”
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Question 8
Type: MCSA
A client comes to the clinic with a history of pain in his testicle. During the interview assessment, what
information should be of concern to the nurse?
1. The client works as an auto-detailer.
2. He smokes half a pack of cigarettes per week.
3. He has not had a yearly exam for 5 years.
4. He does not perform testicular self-exams.
Question 9
Type: MCSA
A young female client comes into the emergency department with vague physical symptoms and does not make
eye contact with the nurse during the interview. In order to best assess the client, what should the nurse ask the
client?
1. “Can you tell me what’s been going on in your life lately?”
2. “What kind of problems are you having?”
3. “Is someone hurting you?”
4. “Can you explain what your family life is like?”
Question 10
Type: MCSA
The nurse is providing education regarding early detection of breast cancer to a group of women between the ages
of 30 and 40. According to recommendations from the American Cancer Society, the nurse should explain that it
is important for these women to
1. do monthly breast self-exams.
2. have a yearly mammogram.
3. see a physician if there is a strong family history of breast cancer.
4. have an annual breast exam performed by a health care provider.
Question 11
Type: MCSA
A community health nurse is doing a screening for cervical cancer at a women’s health fair. Which client should
the nurse identify as having the highest risk factor for cervical cancer?
1. The client who had a difficult vaginal delivery 2 years ago
2. The client who has a history of genital herpes
3. The client who was married at age 27
4. The client who has a sister with breast cancer
Question 12
Type: MCSA
A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate
immunizations. What should the nurse recommend to this client?
1. The client should have a tetanus booster if the client has not had one within the last 5 years.
2. The client should have the hepatitis B immunization series.
3. The client should receive a meningococcal vaccine if the client did not receive one as a teen.
4. The client should not worry about immunizations, as they are not recommended for this age group.
Question 13
Type: MCSA
A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged
adults. According to Erikson’s theory, what activity should the nurse select to best meet the needs of this stage?
1. Providing opportunities to mentor school-age children
2. Giving the group handouts regarding peer socialization
3. Helping the members of this group find appropriate civic responsibility