Question

1. What are the risks facing young adults ages 20-35 with regards to their health? Please list five.

2. What nutrient should be monitored for a woman who is the age group 20-35? What are the best sources of this nutrient? Please list 4.

3. What are the common psychosocial developments that occur during this age? List eight.

4. A young adult is visiting the clinic for a routine health care visit. What data should be collected from the client? What education should the nurse include during the visit?

5. Discuss the immunizations an individual of this age should be prepared to receive?

6. What specific screening tests should a female receive starting at age? Name two. What about a male? Name one

7. A 21-year old female has just been told by the physician that her biopsy results indicate breast cancer. What would be the most appropriate next action for the nurse to take?

a) Ask the client if she has any questions

b) Encourage the client to talk about her feelings

c) Leave the client alone for awhile

d) Call the chaplain for the client

8. A female client reports that for the last 4 months a lump in her right breast has been growing larger. The nurse should recommend that client take which action?

a) Notify her physician to schedule a mammogram

b) Begin taking large doses of vitamins

c) Limit sodium intake

d) Stop hormone treatment

9. Cynthia Beck is a healthy 25-year old woman. Which of the following is a normal age-related physical change that you would expect her to experience?

a) An increase in bone cells

b) A decrease in muscle cells

c) An increase in new brain cells

d) A loss of some elasticity in the lungs

10. A sign of maturity in adulthood is the individual’s ability to:

a) Exert excessive self-restrain

b) Develop an interest in community activities

c) Make life choices based upon the advice of others

d) Frequently change jobs

11. Foods that contain omega-3 fatty acids include:

a) Salmon, trout, bluefish

b) Milk, butter, and cheese

c) Shrimp, clams and lobster

d) Eggs, liver and kidneys

12. The best time to instruct a client to perform a breast self-exam is:

a) 1 week after menses

b) 1 week before menses

c) At any time during the month

d) At or about the 10th day of the month

13. Which of the following has the highest risk of heart disease?

a) A 36-year-old man with a cholesterol level of 210

b) A 27-year-old patient whose dietary protein intake is 15% of the total intake

c) A 20-year-old man on a vegetarian diet

d) A 20-year-old man on a vegetarian diet

14. Thirty-eight -year-old Sandra complains of insomnia. You would instruct her that in order to relieve the insomnia it is best if she:

a) Eats a high-fat meal ½ hour before sleep

b) Exercises in the early afternoon

c) Goes to bed only when she is tired

d) Gets into bed and watches television

15. The nurse discussing diet and nutrition in the workplace with a group of women in their early adult years cautions them to decrease their intake of foods that contain cholesterol because this can lead to: (Select all that apply)

a) Deposits along the walls of the blood vessels

b) Blockage of blood flow to the heart

c) A heart attack

d) Lower blood sugar level

e) Reduced elasticity in the lungs

Middle Adults

Age 35-65 years

1. Name some of the physical declines that occur during the ages of 35 to 65. List 6

2. What are the primary health risks for clients during this age?

3. What are the important health screenings that need to occur during this age?

4. What nutritional education should a nurse give to a client who is 55 years old?

5. A 42-year-old woman comes to the clinic and asks you the nurse if she needs a mammogram and a Pap and HPV screening. Her last Pap was 2 years ago. She has never had a HPV screening and her last mammogram was 11 months ago. List when she is due for a Pap smear, HPV screening and mammogram based upon the recommendations for a woman her age.

6. Adult males need to receive screening for prostate cancer. At what age should a male start screening? How often are the screenings? Describe the screening.

7. A community health nurse is discussing the body-image and self-concept characteristics with middle age adults that can occur during this stage of life. Discuss three characteristics for body-image and three characteristics for self-concept of concern for this stage of life.

8. John, aged 42, has been complaining of difficulty voiding. The most common cause of voiding difficulty in this age group is:​

a) Decreased testosterone

b) Atrophy of the gonads

c) Urinary tract infection

d) Enlarged prostate

9. The nurse in a community setting provides guidance and educates middle-aged clients as to the developmental tasks for this stage, including (Select all that apply)

a) Adjusting to menopause

b) Establishing a positive influence on one’s children and community

c) Adjusting to role changes

d) Establishing leisure interests

e) Possibly changing careers

f) Adjusting to changes in sexuality

10. Forty-two-year old Beverly has a history of periodontal disease. You would instruct her that to prevent a flare-up, she should:

a) Increase her intake of sucrose

b) Increase her intake of calcium

c) Keep the oral mucosa dry

d) Perform proper dental care

11. Cynthia Fox is a 55-year-odl woman who has recently been diagnosed with fibrocystic breast disease. She asks the licensed practical nurse (LPN) if this disease has occurred because she didn’t breast feed her two children. This LPN’s best response is:

a) Don’t worry. Nothing you could have done would result in this disease

b) There is nothing you can do at this tie to halt the course of this condition

c) This disease results from hormonal stimulation of the breast tissue

d) Breast feeding your children usually will decrease the risk of this disease

12. Which of the following best represents the dietary recommendations for the middle-aged adult?

a) High carbohydrates, low fat

b) High fiber, low fat and sodium

c) High protein, calories and fats

d) Atkins South Beach, or Jenny Craig diets

13. A hypertensive client returns to the clinic for reevaluation of his medications. His blood pressure is 180/100. The nurse questions the client regarding how he is taking his medications. What response by the client indicates that he understands and has been taking the medication as prescribed?

a) “I take my medications every morning. If my blood pressure is high, I take another dose int the evening”.

b) “I take my medication every day at the same time regardless of how a I feel. I have not missed any doses”

c) “I take my medication every day and make sure that I drink a large amount of liquid each time I take it”.

d) “If I have a headache, I don’t take my mediation. If I miss the morning dose, then I take two pills in the evening”.

14. The nurse is preparing a 40-year-old for diagnostic testing to determine if she has malignancy I her reproductive system. The client is having difficulty concentrating, appears tense and is wringing her hands constantly. Which response should the nurse make?

a) You seem to be anxious about the tests. Tell me what you ae thinking about

b) You need to pay more attention to what I’m saying You will be less anxious if you understand these tests;

c) Why are you so restless? Your physician is very good

d) I know you are worried about the tests but I a sure everything will be ok

15. Before administering calcium gluconate 10% 500 mg IV stat it is most important that the nurse assess:

a) Stability of the respiratory system

b) Adequacy of urine output

c) Patency of the vein

d) Availability of magnesium sulfate injection

Answer 1

1.  The risks facing young adults ages 20-35 with regards to their health

a. Alcoholism and drug use

b. Unintentional injuries and road accidents

c. Tobacco use

d. Unhealthy dietary behaviors

e. Physical inactivity and sexual behaviors that contribute to unintended teen pregnancy and sexually transmitted diseases

2. Nutrients Should be monitored for a woman who is the age group 20-35

Iron

Iron deficiency anemia is common in this age group due to regular menstruation

Examples of iron-rich food include ;

• Shellfish, Spinach, Liver and other organ meats, Legumes, Red meat, Pumpkin seeds.

Iodine

Failing to meet the body’s iodine requirements impairs mental functioning and can cause goiter (a swelling of the thyroid gland) and hypothyroidism, a condition marked by fatigue and weakness.

Iodine Rich Food includes;

• Fish (such as cod and tuna), seaweed, shrimp, and other seafood, which are generally rich in iodine.
• Dairy products (such as milk, yogurt, and cheese) and products made from grains (like breads and cereals), which are the major sources of iodine in American diets.

Vitamin A

Vitamin A deficiency leads to impaired vision(night blindness) and growth retardation. The pregnant woman needs more vitamin A than normal requirement

Animal products and certain mangoes are rich in vitamin A, Other sources of beta-carotene such as broccoli, spinach, and most dark green, leafy vegetables.

Calcium

The calcium supplements are needed additional amounts during the pregnancy and lactation period. The calcium is an essential element in bone growth.

Calcium-rich foods include

• milk, cheese, and other dairy foods.
• green leafy vegetables – such as broccoli, cabbage, and okra, but not spinach.
• soya beans.
• tofu.
• soya drinks with added calcium.

3. psychosocial developments that occur during young adulthood

• Gaining Adult Status

• Sexually active period

• Friendships as a source of intimacy

• Partners as a source of intimacy: Dating, Cohabitation, and Mate Selection

• Online Relationships

• Initiate serious relationship like marital life

• Pregnancy and maternal life

• Parenthood life starts

4. Special Nutrient Needs of Older Adults

• Calcium and Vitamin D. Older adults need more calcium and vitamin D to help maintain bone health.
• Vitamin B12. Some adults older than 50 may not be able to absorb enough vitamin B12.
• Dietary Fiber. Eat fiber-rich foods to stay regular.
• Potassium-rich foods
• Cholesterol and fat/oil restriction
• Salt restriction depends on blood pressure monitoring

NB: Due to time restriction I cannot answer rest of the questions here, but you can ask it in a separate question