The home health nurse assesses an older adult's respiratory function carefully because age-related changes in the respiratory system could result in which of the following?
- A. Vital capacity
- B. Susceptibility to respiratory infections
- C. Expiratory capacity due to increased chest size
- D. Oxygen and carbon dioxide exchange
Correct Answer: B
Rationale: Older adults are more susceptible to respiratory infections.
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What is the leading cause of injury and death among infants and young children?
- A. Accidents
- B. Child abuse
- C. Drug abuse
- D. Adolescent parents
Correct Answer: A
Rationale: Accidents are the leading cause of injury and death of infants and young children.
What is the stage of family development that begins at the birth or adoption of the first child?
- A. Expectant stage
- B. Parenthood stage
- C. Establishment stage
- D. Engagement/commitment stage
Correct Answer: B
Rationale: The parenthood stage begins at the birth or adoption of the first child.
What is the family pattern in which the adult members function as equals?
- A. Autocratic family pattern
- B. Patriarchal family pattern
- C. Matriarchal family pattern
- D. Democratic family pattern
Correct Answer: D
Rationale: In the democratic family pattern, the adult members function as equals. Children are treated with respect and recognized as individuals. This style encourages joint decision making, and it recognizes and supports the uniqueness of each individual member. This family pattern favors negotiation, compromise, and growth.
What is the stage of family development that begins when the couple acknowledges that they are considering marriage?
- A. Expectant stage
- B. Parenthood stage
- C. Establishment stage
- D. Engagement/commitment stage
Correct Answer: D
Rationale: The engagement/commitment stage begins when the couple acknowledges to themselves and others that they are considering marriage. At this time, opposition or support will be evident from friends and parents. Wedding plans must be arranged. Housing, work, and furnishings are some of the items discussed and explored.
The nurse performing a routine physical assessment on a 25-year-old understands that the patient is most likely experiencing which of the following?
- A. A gradual decline in physical capabilities
- B. Optimal level of functioning
- C. Slight diminishing of visual acuity
- D. Minimal hearing loss
Correct Answer: B
Rationale: During early adult years, the body is at an optimal level of functioning. The gradual decline in physical capabilities, diminishing of visual acuity, and hearing loss will not occur until later in adulthood.
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