chapter 15

The nurse is caring for an adult male client who lacks a strong sense of personal identity.

With which area of development will this client most likely struggle the most?

• Social

• Intellectual

• Emotional

• Vocational

__________ is a major challenge for adults because energies are not concentrated on the

self, and the demands can create feelings of anxiety, isolation, inadequacy, and helplessness.

• Adulthood

• Adolescence

• Childhood

• Parenting

An adult male client is admitted to a mental health facility with the diagnosis of depression

following the breakup of a long-term engagement. He states that he couldn’t “commit to

marriage.” In conducting his admission assessment, the nurse learns that during his

childhood he did not feel guided, nurtured, or accepted by his parents. One of the goals for

this client is to help him develop a positive personal identity. Which intervention should the

nurse implement to meet this goal?

• Improve his strength in the ability to adapt to new situations.

• Develop the ability to establish and maintain an intimate relationship.

• Discern his feelings about relationship choices and level of commitment.

• Outline his life’s dream.

The term “sandwich generation” best describes adults:

• caught between adulthood and late adulthood.

• caring for their children and aging parents.

• caring for their children and grandchildren.

• caught between young adulthood and adulthood

An increasing number of__________are the head of the household of families in the United States.

• married couples

• single women

• single men

• relatives

The nurse is caring for a client who is a single mother of two young children, has no

financial or parental support from her ex-husband, is troubled by her financial circumstances

and future, and works at a local fast-food restaurant. She is seeking help for depression.

What is the nurse’s best action?

• Assist the client in seeking educational and/or vocational programs for single parents

• Encourage the client to explore her feelings related to the reasons for her divorce.

• Persuade the client to contact her ex-husband for financial and parental support.

• Share information with the client regarding support groups for single mothers.

An adult female calls a crisis hotline stating that she moved a few months ago to seek a new

job “in a big city.” She is crying and says that she doesn’t think she can stand being so

lonely anymore but doesn’t want to move back to her small hometown and face her family

and friends as a “failure.” What is the nurse’s first response?

• “Would you like me to call your family to assist you in deciding what is best for

  you to do?”

• “I am sure you will make friends once you find a steady job that you like.”

• “Can you tell me what you mean by your statement that you don’t think you can

  stand being lonely anymore?”

• “Let me give you a list of some social groups that might be of interest to you.”

AIDS is a condition that most likely would be seen in:

• the homosexual population.

• sexually promiscuous heterosexuals.

• individuals in a heterosexual monogamous relationship.

• persons who have a chemical dependency on illegal intravenous drugs.

How many people in the United States have a severe mental illness?

• 15 million

• 20 million

• 43 million

• 60 million

When the nursing care plan for a client with a mental health disorder is developed, what is

the most likely reason that interventions are ineffective and goals are not met?

• The client sees his goals as less important.

• The client’s family is not supportive.

• The client’s disorder is difficult to treat.

• The client’s medications are being adjusted.