Nurses need to provide competent care to young and middle adult ...

[RODY.ELKHALIL]

Nurses need to provide competent care to young and middle adult patients. Why must nurses be knowledgeable about developmental theories to care for this group? (Select all that apply.)
 
  a. These theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults.
  b. It is important to understand societal structures and roles because they have not changed in the past 20 or 30 years.
  c. Patients present challenges to nurses, who themselves are often young or middle adults coping with the demands of their respective developmental period.
  d. Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events.

Question 2

A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood pressure. The patient states that he is upset about the diet restrictions imposed by the treatment regimen. What is the nurse's best approach?
 
  a. Tell the patient that he must do what the doctor tells him.
  b. Offer counseling on nutrition and exercise.
  c. Tell the patient about what happened to other patients who did not change their lifestyle.
  d. Explain that he needs to accept the care provider's advice without question if he wants to get better.

[Cnarkel]

Answer to Question 1

ANS: A, C, D
Developmental theories provide nurses with a basis for understanding the life events and developmental tasks of young and middle adults. Patients present challenges to nurses who themselves are often young or middle adults coping with the demands of their respective developmental period. Nurses need to recognize the needs of their patients even if they are not experiencing the same challenges and events. Faced with a societal structure that differs greatly from the norms of 20 or 30 years ago, both men and women are assuming different roles in today's society.

Answer to Question 2

ANS: B
Counseling related to physical activity and nutrition is an important component of the plan of care for overweight and obese patients. To help the patients develop positive health habits, the nurse becomes a teacher and a facilitator, providing information and positive reinforcement. Ultimately, however, the patient decides which behaviors will become habits of daily living. Scare tactics do not usually work. By providing information about how the body works and how patients form and change habits, the nurse raises the patient's level of knowledge regarding the potential impact of behavior on health. The nurse should encourage patients to express their feelings to promote problem solving and recognition of risk factors by patients themselves.