Nursing Quiz: 18-Year-Old Client Scenarios

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Questions and Answers

What does the statistics review reveal as the highest cause of death in adolescents and young adults?

Drowning accidents

Homicides

Injuries (correct)

Chronic illnesses

According to the statistics, who is more likely to be involved in a fatal motor vehicle accident?

Female drivers

Drivers aged 20 and older

Drivers aged 16 to 19 (correct)

Drivers aged 15 and younger

Why is the use of alcohol significant for adolescents and young adults?

It is significantly related to risk-taking behaviors (correct)

It decreases risk-taking behaviors

It reduces the risk of injuries

It is not related to risky actions

What leads to higher rates of suicide in rural areas according to the statistics?

Increased number of attempts that result in death Signup and view all the answers

Which age group has a higher likelihood of being involved in fatal motor vehicle accidents?

Drivers aged 16 to 19 Signup and view all the answers

What is the second leading cause of death among adolescents according to the information provided?

Suicide Signup and view all the answers

Why are helmets recommended for all-terrain vehicle rides?

To reduce risk of head injuries Signup and view all the answers

What is the third leading cause of death from non-illness for young adults?

Homicides Signup and view all the answers

What is the relationship between alcohol use and risk-taking behaviors in adolescents and young adults?

Alcohol use is significantly related to increased risk-taking behaviors Signup and view all the answers

Which age group is more likely to be involved in fatal motor vehicle accidents?

16 to 19 years Signup and view all the answers

An 18-year-old with a chronic illness tells the school nurse that they have recently started using marijuana with their friends on weekends. Which of the following should be the nurse’s next action?

Teach the client about effects of marijuana on their illness and potential complications with marijuana use Signup and view all the answers

A nurse is participating in a local community health fair. The nurse is providing information about sexually transmitted infections. Which infection would the nurse describe as being the most common?

Chlamydia Signup and view all the answers

A school nurse is providing a health education class for a group of high school students. When discussing the issue of safety, which area would the nurse identify as the leading cause of death in young adults?

Motor vehicle crashes Signup and view all the answers

While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage?

Motor vehicle crashes Signup and view all the answers

The clinic nurse is seeing an 18-year-old client who needs to renew their asthma prescription. The client tells the nurse that they are going to another province in a few weeks to attend college and will be living in a dorm. The nurse recommends which of the following while the client is being seen in the clinic?

Meningococcal vaccine Signup and view all the answers

A nurse is providing care to an young adult diagnosed with binge eating disorder. The nurse understands that which situation is most often associated as the underlying issue with this disorder?

Negative self-concept Signup and view all the answers

Which of the following best describes the term 'gender identity'?

The inner sense of being male or female, which may differ from biological sex Signup and view all the answers

According to Erikson's theory, the psychosocial crisis faced during the young adult stage is:

Intimacy vs. Isolation Signup and view all the answers

What is the recommended total cholesterol level for young adults and adults?

< 200 mg/dL Signup and view all the answers

Which term best describes behaviors, attitudes, and actions that society deems appropriate or inappropriate for a particular gender?

Gender role behavior Signup and view all the answers

What is the term used to describe the integration of somatic, emotional, intellectual, and social aspects of sexual being in a positive and enriching manner?

Sexual health Signup and view all the answers

Which of the following terms refers to a disease that spreads from one person to another through intimate sexual contact?

Sexually transmitted infection (STI) Signup and view all the answers

Which of the following is NOT a required symptom for a diagnosis of gender dysphoria?

Difficulty maintaining social relationships Signup and view all the answers

According to the definition provided, which of the following is NOT one of the main categories of sexual orientation?

Asexual (no gender) Signup and view all the answers

How does the text describe the relationship between sexual orientation and biological sex?

Sexual orientation is generally consistent with an individual's primary sex characteristics and corresponds with their biological sex. Signup and view all the answers

How is gender identity distinct from sexual orientation?

Gender identity encompasses the sense of being male, female, neither, or another type of nonbinary gender, while sexual orientation refers to emotional, romantic, and/or sexual attractions. Signup and view all the answers

What is gender dysphoria classified as diagnostically?

A marked incongruence between experienced gender and primary/secondary sex characteristics Signup and view all the answers

What is the relationship between gender dysphoria in childhood and adulthood according to studies?

It remains persistent in a significant proportion of individuals into adulthood Signup and view all the answers

Which of the following accurately represents sexual orientation?

The direction of an individual's erotic desires Signup and view all the answers

How is sexual orientation distinct from gender dysphoria?

It concerns a person's sexual preferences, not their perceived gender Signup and view all the answers

How does gender dysphoria relate to a person's primary and secondary sex characteristics?

It signifies an incongruence with either primary or secondary sex characteristics Signup and view all the answers

Every 3 years at what age should cervical cancer screening be done for young adults, according to the text?

21-29 years Signup and view all the answers

What type of examination is Testicular Cancer Screening a part of?

general physical examination Signup and view all the answers

How frequently should vision exams be done by young adults according to the text?

1-2 Years Signup and view all the answers

When should young adults start cervical cancer screening according to the text?

21-29 years Signup and view all the answers

What is the recommended age range to start the HPV vaccine series?

15-26 years old Signup and view all the answers

How often should the Tetanus and Diphtheria (Td) vaccine be administered?

Every 10 years Signup and view all the answers

In what circumstances should 1-2 doses of the Meningococcal vaccine be considered for a young adult?

College dorms or military barracks Signup and view all the answers

What is the primary purpose of the HPV vaccine in young adults?

Prevent genital warts and cervical cancer Signup and view all the answers

Which of the following health issues should young adults be especially vigilant about to avoid complications later in life?

Chronic conditions like hypertension Signup and view all the answers

What type of illnesses should young adults be aware of and look out for in their own health monitoring?

Chronic diseases such as hypertension, cardiovascular disease, diabetes mellitus Signup and view all the answers

What is the recommended number of doses for the HPV vaccine (Gardasil 9) for (males & females)ages 15 years and older to prevent the types of HPV that most commonly cause cervical cancer and genital warts?

3 doses Signup and view all the answers

At what age can individuals start receiving the HPV vaccine (Gardasil 9), as mentioned in the text?

9 years Signup and view all the answers

What does the HPV vaccine (Gardasil 9) prevent, as stated in the information provided?

Genital warts and cervical cancer Signup and view all the answers

How many doses of the HPV vaccine (Gardasil 9) are generally recommended for most persons (but mainly females)?

2 doses Signup and view all the answers

When may individuals need more than 2 doses of the HPV vaccine (Gardasil 9) according to the provided information?

If older than 15 years Signup and view all the answers

What is a significant benefit of regular physical exams according to the text?

They help detect early signs of diseases Signup and view all the answers

What is a common aspect targeted by health education strategies related to sexually transmitted infections?

Raising awareness about safe sex practices Signup and view all the answers

What is the recommended frequency for healthy young adult to have periodic exams, as mentioned in the text?

Every 3 years Signup and view all the answers

Why is regular testing for Sexually Transmitted Infections (STIs) particularly essential for some individuals?

To mitigate long-term consequences Signup and view all the answers

The nurse should educate young adults on 3 main things

Vaccinations, Regular physical exams, Dangers of STI's Signup and view all the answers

What is the primary purpose of regular immunization for young adults?

To reduce the severity of complications from diseases like meningococcal disease and influenza Signup and view all the answers

Why do some young adults hesitate to get vaccinated, according to the information provided?

Due to concerns about vaccine side effects Signup and view all the answers

What is the relationship between HPV vaccination and sexual activity in young adults?

There is no correlation between HPV vaccination and sexual activity Signup and view all the answers

Which common concern about vaccines is debunked in the text?

Vaccines increase the risk of autoimmune diseases Signup and view all the answers

Why is it essential for young adults to consult healthcare professionals regarding vaccinations?

To understand their personal vaccination needs and address concerns Signup and view all the answers

What is NOT a common concern addressed in the text regarding young adults and vaccines?

The necessity of vaccines for infants only Signup and view all the answers

Which vaccine is recommended by the CDC for young adults, should replace 1 dose of Td?

Tetanus, Diphtheria, and Pertussis (Tdap) vaccine Signup and view all the answers

What age group is suggested to receive the MenACWY vaccine according to the text?

16 to 23 years old Signup and view all the answers

When should the HPV vaccine be administered according to the CDC recommendation?

Through age 26 Signup and view all the answers

What is the primary purpose of the Tdap vaccine for young adults?

Preventing tetanus, diphtheria, and pertussis Signup and view all the answers

What is the emphasis for young adults in terms of Testicular Cancer Screening?

Reporting any changes in the testicles Signup and view all the answers

Why is it important for young adults to understand the recommendations for the HPV vaccine (Gardasil 9)?

To protect against certain types of HPV that cause health issues Signup and view all the answers

What is the common frequency recommended for young adults to conduct self-checks for skin cancer?

Monthly Signup and view all the answers

What is the primary purpose of including Testicular Cancer Screening in the general physical exam for young adults?

To screen for testicular cancer regularly Signup and view all the answers

What is a key reason why early detection of oral cancer is crucial?

To increase the chances of successful treatment outcomes Signup and view all the answers

Why is it recommended to have yearly check-ups with your dentist in young adults?

To monitor any changes in oral health and assess potential risks Signup and view all the answers

What role do routine dental visits play in reducing the risk of oral diseases?

They contribute to maintaining optimal oral health and well-being Signup and view all the answers

How do regular dentist visits contribute to improving overall well-being?

By detecting early signs of oral cancer Signup and view all the answers

What is the significance of dentists being able to identify early signs of oral cancer?

It increases treatment success rates and survival chances Signup and view all the answers

What is a potential challenge young adults may face when dealing with chronic illness, according to the text?

Shift in personal and career goals Signup and view all the answers

Why might young adults find it difficult to accept a dependent sick role when experiencing an acute illness?

Strong motivation to recover quickly Signup and view all the answers

What psychological aspect might young adults prioritize over independence when facing an acute illness?

Focus on self-sufficiency Signup and view all the answers

In what way can chronic illness impact the personal and career goals of young adults, as mentioned in the text?

Leading to delayed development Signup and view all the answers

Why do young adults tend to resist accepting a dependent sick role during acute illness?

Motivation for normal activities Signup and view all the answers

What is the leading cause of death for young adults due to injuries?

Car accidents involving drugs and alcohol Signup and view all the answers

Among young adults, which gender tends to attempt suicide more frequently, but males have a higher success rate in suicide due to a specific method?

Females attempt more, but males succeed more by gun Signup and view all the answers

Which substance abuse is the number one cause among young adults, followed by marijuana?

Alcohol Signup and view all the answers

Why must healthcare providers be cautious with patients who have a history of suicide attempts?

They may attempt suicide again with new methods Signup and view all the answers

What is a significant concern related to vaping as mentioned in the text?

It causes scarring and lung damage Signup and view all the answers

Which gender is likely to have more noticeable symptoms of Chlamydia according to the text?

Men Signup and view all the answers

What is recommended for females after completing treatment for Chlamydia to prevent reinfection?

Continue to use condoms Signup and view all the answers

What is the primary mode of transmission for HIV/AIDS as mentioned in the text?

Genital, oral, and anal sexual activity Signup and view all the answers

Which STI is indicated as being potentially fatal if left untreated?

Syphilis Signup and view all the answers

What is the consequence when HIV progresses to AIDS according to the text?

Death as the virus cannot be managed Signup and view all the answers

How soon can HIV be detected through a blood test according to the information provided?

>6 months after exposure Signup and view all the answers

What is the recommended time frame for females to retest after a chlamydia infection?

Every 3 months Signup and view all the answers

What is the advised duration of no sexual activity after chlamydia treatment?

2 weeks Signup and view all the answers

For chlamydia prevention, what is the primary responsibility for males according to the text?

Informing their partners Signup and view all the answers

What is the core nursing intervention highlighted to stop the transmission of chlamydia?

Educating individuals Signup and view all the answers

Why is chlamydia often referred to as a 'silent' infection?

It doesn't have noticeable symptoms in female. Signup and view all the answers

Study Notes

Young Adults

Educate on vaccinations, regular physical exams, and dangers of STIs
Watch for chronic illnesses that may appear during young adulthood, including:
Hypertension
Cardiovascular disease
Diabetes mellitus

Sexual Orientation

Refers to an enduring pattern of emotional, romantic, and/or sexual attractions to individuals of a particular gender
Three main categories of sexual orientation:
Homophilic (same gender)
Heterophilic (opposite gender)
Biphasic (both genders)

Gender Identity

Refers to the inner sense of being male, female, neither, or another type of nonbinary gender
Distinct from gender expression, which is how a person chooses to present themselves in a gendered manner
Synonym for sexual identity

Key Concepts

Cholesterol: total amount should be < 200 mg/dL
Generativity vs. Stagnation: a stage in Erikson's theory
Intimacy vs. Isolation: a stage in Erikson's theory
Sexual Health: integration of somatic, emotional, intellectual, and social aspects of sexual being
Sexually Transmitted Infection (STI): disease that spreads from one person to another through intimate sexual contact

Care for Young Adults

Recommend meningococcal vaccine for college freshmen living in dormitories
Teach clients about effects of marijuana on their illness and potential complications
Discuss health problems common during this stage of development, including:
Motor vehicle crashes
Suicide
Substance use
Sexually transmitted infections

Health Promotion

Include in teaching plan:
Getting necessary immunizations
Engaging in safe sexual practices
Performing self-breast and self-testicular exams monthly
Participating in regular physical examinations

Safety Education

Injury is the highest cause of death in adolescents and young adults
Drivers 16-19 years of age are three times more likely to be involved in a fatal crash
Use of alcohol is significantly related to risk-taking behavior
Include in teaching plan:
Sports injuries
Dangers of bullying and gang involvement
Use of protection during sexual activity

Gender Dysphoria

Diagnosis: marked incongruence between a person's experienced or expressed gender and their primary and/or secondary sex characteristics
Persistence rate: around 12%
Linked to a higher likelihood of experiencing persistent dysphoria during adulthood### HPV Vaccine (Gardasil 9)
Recommended for most persons, starting as early as age 9, up to age 26
Prevents genital warts and cervical cancer
May need more doses (3) if older than 15 years
Recommended for females 15 years and older who did not receive the two-dose series of the HPV vaccine when they were younger

Vaccinations for Young Adults

Influenza (Flu) Vaccine: annual flu shot recommended for everyone over 6 months old
Tetanus, Diphtheria, and Pertussis (Tdap) vaccine: recommended for young adults, especially those who haven't received a booster since adolescence
Human Papillomavirus (HPV) Vaccine (Gardasil 9): recommended for young adults up to age 26
MenACWY vaccine: recommended for young adults aged 16-23 years old to protect against meningococcal disease
Herpes Zoster (Shingles) vaccine: recommended for adults aged 50 years or older, but younger adults at increased risk may receive it

Importance of Regular Check-Ups

Regular physical exams help detect early signs of diseases and monitor chronic conditions
Recommended frequency: every 3 years until age 40
Oral cancer exam: yearly check-ups with a dentist to detect oral cancer at an early stage
Vision exam: every 1-2 years
Skin cancer exam: self-check monthly, part of normal physical

Sexually Transmitted Infections (STIs)

Chlamydia: most common STI in the USA, affecting both genders
Symptoms: mild for women (feels like a UTI/yeast infection), painful for men (dysuria and penile discharge)
Nursing interventions: education, use condoms, continue to get tested, and inform partners
Syphilis and Herpes Simplex type 2 (genital herpes): if left untreated, can be deadly
HIV/AIDS: single greatest threat to people and society as a whole, primarily transmitted through sexual activity, and can be managed with antiretroviral therapy medications

Health Education for Young Adults

Comprehensive health education is crucial for young adults to maintain optimal physical and emotional well-being
Reproductive health education should cover topics such as contraception methods, STIs, and pregnancy prevention
Sex education should include topics such as consent, communication, birth control, and safer sex practices
Community outreach programs can provide accessible and culturally competent services to target underserved populations

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Young adult developmental and life span