Age 35-65 years 1. Name some of
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 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
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