212-Exam 3 - Practice questions

According to Piaget's theory of cognitive development, the movement from intuitive reasoning to logical reasoning in school-age children is called the concrete operations phase. Which is an example of this phase? a. A science-fair project comparing how fast different objects fall from a set height. b. Feeling responsible for wishing that a sibling would go away, and now that sibling is ill and hospitalized. c. Understanding how geometric figures might fit into a futuristic and idealistic world. d. Learning to ride a bike.

A science-fair project comparing how fast different objects fall from a set height.

After falling off playground equipment, a 5-year-old is brought to the emergency department with a broken arm. The parents ask for ways to keep her occupied while wearing the cast. Which is the best response by the nurse? a. "You will need to talk to the primary care provider about this." b. "Let her watch television or do puzzles and other quiet games." c. "Activities that do not involve the use of the arm or risk damage to the cast are okay." d. "She can ride a bike, jump rope, or play with friends if you watch her closely."

Activities that do not involve the use of the arm or risk damage to the cast are okay

An 11-year-old child is scheduled for a yearly physical examination. The accompanying parent expresses concern because the child "seems all wrapped up in the soccer teammates and other peers, leaving very little time for the family." Using Havighurst's developmental tasks, what would be the nurse's best response? a. "This is somewhat unusual. Are there problems that we need to discuss?" b. "Although this is normal for 11-year-olds, this transition can be difficult for families." c. "Become involved in her life and insist that she set aside time for the family." d. "This is normal development. You need to let her grow up."

Although this is normal for 11-year-olds, this transition can be difficult for families

Which client is at greatest risk for experiencing sensory overload? A 40-year-old client in isolation with no family. A 28-year-old quadriplegic client in a private room. A 16-year-old listening to loud music. An 80-year-old client admitted for emergency surgery.

An 80-year-old client admitted for emergency surgery. Rationale: A sudden, unexpected admission for surgery may involve many experiences (e.g., lab work, x-rays, signing of forms) while the client is in pain or some form of discomfort. The time for orientation will thus be lessened. After surgery, the client may be in pain and possibly in a critical care setting.

Including at least some sexual health history questions would be most relevant for clients taking which category of drugs? a. Anti-inflammatories (such as aspirin or ibuprofen) b. Hypnotics (sleeping pills) c. Antihypertensives (blood pressure medications) d. Antihistamines (cold medications)

Antihypertensives (blood pressure medications)

A woman comes into the emergency department with multiple bruises about the face and head. The nurse suspects that IPV may be related to the injuries. What is the most appropriate action for the nurse to take at this time? a. Ask the person if she is afraid of someone at home who is hurting her. b. Refer the person to a shelter for battered women. c. Call a social worker to assess the person for IPV. d. Document the concern in the chart, but do nothing else.

Ask the person if she is afraid of someone at home who is hurting her

If the nurse were assessing the status of a middle-aged client's psychosocial development, which activity should be the focus? a. Selecting a life partner. b. Balancing the needs of others. c. Reviewing one's life course. d. Establishing a sense of self.

Balancing the needs of others

When planning a screening program for cardiovascular disease in the middle-aged adult, the nurse has limited funds and decides to address which significant elements? Select all that apply. a. Blood pressure measurement b. Electrocardiogram c. Cholesterol measurement d. Sexual performance e. Activity level

Blood pressure measurement Electrocardiogram Cholesterol measurement Activity level

A healthy 78-year-old woman who is considering marriage to a healthy 79-year-old neighbor tells the nurse that she wonders if they will be able to have sexual intercourse. Which is the nurse's most appropriate response? a. "Sexual activity may be too demanding for your heart." b. "Older women maintain sexual function, but most older men are impotent." c. "Most older people are not interested in sexual activity." d. "Both of you may have slower responses to sexual stimulation."

Both of you may have slower responses to sexual stimulation

Which statement most accurately describes physical development during the school-age years? a. Child's weight almost triples. b. Child acquires stereognosis. c. Few physical changes occur during middle childhood. d. Fat gradually increases, which contributes to the child's heavier appearance.

Child acquires stereognosis (the ability to identify an unseen object simply by touch)

The nurse is planning an educational program on sexually transmitted infections (STIs) for young adults. Which topic should be given priority? a. Syphilis b. HIV c. Gonorrhea d. Chlamydia

Chlamydia Rationale: Although HIV and syphilis may have more disastrous health effects, chlamydia is the most prevalent infectious disease in the United States. Gonorrhea is still common, and its prevalence may vary geographically, but chlamydia is more common and therefore the most likely contracted STI

A nurse decides that a review of which theorist would be helpful before teaching a preschool class (4- to 5-year-olds) how to brush their teeth? a. Fowler b. Erikson c. Gould d. Peck

Erikson

The nurse is completing a health history on a 24-year-old male. Which activity is the best indicator of appropriate psychosocial development? a. Creating a scrapbook of his life experiences. b. Joining the board of directors for three charities. c. Decorating his new apartment. d. Attending seminars on choosing a career.

Decorating his new apartment Rationale: Obtaining and decorating a place to live is an activity that establishes independence from parents, a task for young adults.

A client is at risk for sensory deprivation. Which clinical signs would the nurse observe? Select all that apply. Sleeplessness Decreased attention span Irritability Excessive sleeping Crying, depression

Decreased attention span Excessive sleeping Crying, depression

The home health nurse evaluates an older adult for depression. The client's daughter is present and comments, "I don't see the need for this evaluation. Aren't all older people depressed?" Which is the nurse's best initial response? a. "How many losses has your mother had?" b. "Your mother looks so depressed." c. "How long has she been depressed?" d. "Depression is not a normal part of aging."

Depression is not a normal part of aging

Which of the following behaviors by a young adult is an example of appropriate psycho social development a. Becoming actively involve in providing guidance to the next generations. b. Adjusting to major changes in roles and relationships due to losses c. Devoting a great deal of time to establishing an occupation d. Finding oneself "sandwiched" in between and being responsible for two generations.

Devoting a great deal of time to establishing an occupation

An alert 80-year-old client is transferred to a long-term care facility. On the second night, he becomes confused and agitated. What is the most appropriate nursing diagnosis? Chronic Confusion Impaired Memory Disturbed Sensory Perception Disturbed Personal Identity

Disturbed Sensory Perception Rationale: The transfer to a different setting can change the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli.

A client with impaired vision is admitted to the hospital. Which interventions are most appropriate to meet the client's needs? Select all that apply. Identify yourself by name. Decrease background noise before speaking. Stay in the client's field of vision. Explain the sounds in the environment. Keep your voice at the same level throughout the conversation.

Identify yourself by name. Stay in the client's field of vision. Explain the sounds in the environment

A 14-year-old is scheduled to have surgical repair of a spinal curvature (scoliosis). The adolescent will be hospitalized for about 2 weeks. Which nursing intervention will be most helpful during the hospital stay? a. Have peers visit frequently during the day. b. Instruct parents to room-in with her. c. Encourage her to go to the recreation room. d. Encourage her to arrange for her teachers to provide her with homework.

Encourage her to arrange for her teachers to provide her with homework

A 15-month-old is admitted to the hospital for hernia surgery. When his mother leaves him, he cries inconsolably. Using knowledge of attachment theory and cognitive theory, which is the best nursing action? a. Encourage his mother to stay with him as much as possible. b. Put a picture of his mother in his crib to remind him that she will return soon. c. Hold and cuddle him as much as possible. d. Distract him with toys and music

Encourage his mother to stay with him as much as possible

A 65-year-old man who recently retired from 40 years of work as an independent contractor is scheduled for a physical examination. The nurse should be concerned about which comment? a. "My wife and I are planning to drive to Nebraska in June to visit our grandkids." b. "Every day, when I wake up, it's hard to find a reason to get out of bed." c. "I often take ibuprofen for the pain in my knees." d. "People still call me for advice on building projects. I may never get to retire!"

Every day, when I wake up, it's hard to find a reason to get out of bed.

The nurse examines a 2-year-old child recently hospitalized with pneumonia. Which pattern of behavior is most likely to be exhibited by the child? a. Lies quietly while the nurse listens to the lungs. b. Asks many questions about what the nurse is doing and hearing. c. Fusses, cries, and pushes the nurse away during assessment of the breath sounds. d. Enjoys playing "nurse" with the stethoscope, and listens to self and others' breath sounds.

Fusses, cries, and pushes the nurse away during assessment of the breath sounds

A nurse is planning a teaching session on a wellness topic. Which adult generation group would be most likely to be skeptical about health teaching by the nurse? a. Baby boomer b. Generation X c. Generation Y d. Millennial

Generation X Rationale: Generation X is characterized by both skepticism and resentment of persons in authority

Females experience an increase in weight and fat deposition during puberty. Which nursing action is most appropriate to this age group? a. Give reassurance that these changes are normal. b. Suggest dietary measures to control weight gain. c. Recommend increased exercise to control weight gain. d. Encourage low-fat diet to prevent fat deposition.

Give reassurance that these changes are normal

The nurse is developing a health promotion teaching plan for a community group of middle-aged adults. Information about which immunizations should be included? a. Pneumococcal, meningococcal b. Pertussis, influenza, meningococcal c. Influenza, pneumococcal d. Meningococcal, pertussis

Influenza, pneumococcal

Because a client reports having dyspareunia, it is most appropriate to ask which question? a. "Have you talked with your partner about this discomfort?" b. "Have you had these spasms since you became sexually active?" c. "Do you have pain before your period begins?" d. "Do your breasts swell large enough to need a larger bra?"

Have you talked with your partner about this discomfort Rationale: Dyspareunia is painful intercourse. Knowledge of the partner's awareness will contribute to resolution

Which statement indicates the client needs a sensory aid in the home? "I tripped over that throw rug again." "I can't hear the doorbell." "My eyesight is good if I wear my glasses." "I can hear the TV if I turn it up high."

I can't hear the doorbell

A client who had a hysterectomy 3 days ago, says to the nurse, "I no longer feel like a real woman." What is the best response? a. "Don't worry about that. The feeling will probably go away." b. "You should talk to your doctor about how you feel." c. "I don't blame you. I would feel like half a woman also." d. "I hear your concern. Tell me more about your feelings."

I hear your concern. Tell me more about your feelings

A 76-year old woman with dementia lives in an assisted living facility and often asks, "When will my sister come to visit me this afternoon?" The sister passed away last year. Which is the best response from the nurse? a. "This is so sad. I'm sorry to tell you but your sister died last year." b. "She won't be coming to visit today." c. "I understand you want her to visit you. Where did you and your sister grow-up?" d. "Wait and see if she comes to visit today."

I understand you want her to visit you. Where did you and your sister grow-up

Because a 45-year-old woman is worried that she still has regular menstrual periods, she asks about menopause. Which answer by the nurse is most appropriate? a. Regular menses in a 45-year-old woman should be promptly evaluated by a gynecologist. b. Although you continue to have menstrual periods, you are unlikely to become pregnant. c. It is common for women to experience menopause in their late 40s. d. Many women dread menopause because it is an unpleasant experience.

It is common for women to experience menopause in their late 40s

A hospitalized client is disoriented and believes she is in a train station. Which response from the nurse is the most appropriate? "You wouldn't be getting a bath at the train station." "Let's finish your bath before the train arrives." "Don't you know where you are?" "It may seem like a train station sometimes, but this is Valley Hospital."

It may seem like a train station sometimes, but this is Valley Hospital

A client is exhibiting signs and symptoms of acute confusion/delirium. Which strategy should the nurse implement to promote a therapeutic environment? Keep lights in the room dimmed during the day to decrease stimulation. Keep the environmental noise level high to increase stimulation. Keep the room organized and clean. Use restraints for client safety.

Keep the room organized and clean

A nurse informs a client who is 8 1/2 months pregnant that it is best to abstain from intercourse until after the birth of the baby. This communication is most representative of which component of the PLISSIT model? a. Permission giving (P) b. Limited information (LI) c. Specific suggestions (SS) d. Intensive therapy (IT)

Limited information (LI) Rationale: LI includes instructing clients regarding when sexual activity is safe or unsafe

The nurse observes that an 85-year-old man at an adult day care center fondly shares stories about traveling on the "orphan trains" and his subsequent adoption. Following a behavioral assessment, the nurse should perform which interventions? a. Refer him for a geriatric psychiatric evaluation. b. Listen and ask him questions about his life. c. Distract him and change the conversation. d. Involve him in more social activities.

Listen and ask him questions about his life

The routine physical examination of a female client between the ages of 25 and 64 is most likely to reveal that the client has which type of cancer? a. Cervical cancer b. Lymphoma c. Lung cancer d. Colon cancer

Lung cancer

In conducting client teaching, the nurse bases content on knowing that which statement is true regarding masturbation? a. People who masturbate are psychologically disturbed. b. Teenage masturbation interferes with academic achievement. c. Most people do not masturbate past the teenage years. d. Masturbation is a way people learn about their sexual response.

Masturbation is a way people learn about their sexual response.

Which statement about moral development in adults is the most correct? a. Moral development is completed during adolescence. b. Moral development continues throughout adulthood. c. Moral development is highly individualized. d. Moral development correlates to spiritual development.

Moral development continues throughout adulthood

An 85-year-old client has impaired hearing. When creating the care plan, which intervention should have the highest priority? a. Obtaining an amplified telephone. b. Teaching the importance of changing his position. c. Providing reading material with large print. d. Checking expiration dates on food packages.

Obtaining an amplified telephone

The nurse knows that the study of growth and development is an exploration of which of the following? a. Physical changes of the growing child. b. Increasing complexity of function and skill progression of the growing child. c. Environmental factors such as family, religion, and culture of the growing child. d. Physical developments and the increasing level and progression of function and skill of the growing child.

Physical developments and the increasing level and progression of function and skill of the growing child

The client complains of having difficulty clearly seeing the words in the newspaper unless he holds the newspaper an arm's length away. The nurse uses which terminology to document this assessment? a. Presbycusis b. Xerostomia c. Presbyopia d. Presbyesophagus

Presbyopia Rationale: Presbyopia is loss of near vision related to aging.

A 75-year-old male client reports decreased frequency of sexual intercourse although he does not express dissatisfaction or difficulty. He seems a little embarrassed by the discussion but is engaged and asks some questions. Which nursing diagnosis is pertinent? a. Sexual Dysfunction b. Disturbed Body Image c. Sedentary Lifestyle d. Readiness for Enhanced Knowledge

Readiness for Enhanced Knowledge

A 5-year-old boy arrives for the preadmission work-up for a surgical procedure. When the nurse brings in the intravenous (IV) control pump the child states: "It's going to bite me because I have been bad." Using knowledge of Piaget, Erikson, and Fowler, which is the best nursing action? a. Reassure him by providing opportunities to touch and explore the machine, as well as explaining how it works. b. Understand that his imagination is out of control. Tell him that his fears are unfounded and that he needs to be a "big boy." c. Recognize that he is too young to understand and that he needs to be quickly distracted. d. Acknowledge his need for fantasy by reassuring him that if he is a "good boy" the bad machine will not bite him.

Reassure him by providing opportunities to touch and explore the machine, as well as explaining how it works

A male client is beginning an antidepressant medication. Which information should be included in the teaching? a. "Your partner will be pleased because your sexual functioning is going to improve." b. "You may find that your desire for sex will decrease while on this medication." c. "Retrograde ejaculation is a common problem when taking antidepressants." d. "Your skin will probably become supersensitive to touch, so you may need to change your activity during sex."

Retrograde ejaculation is a common problem when taking antidepressants

A nurse receives information that a client is transgender. Appropriate care is based on the knowledge that which findings are most representative of this client? a. Gonadal gender, internal organs, and external genitals are contradictory. b. Sexual anatomy is not consistent with gender identity. c. Sexual attraction is to individuals of both genders. d. Gender identity is altered by acute psychosis.

Sexual anatomy is not consistent with gender identity

The nurse provides care for an older adult whose husband died 8 months ago. Which of the following behaviors indicates that the client is experiencing effective coping? Select all that apply. a. Shows the nurse photographs of her family. b. Refuses to keep her beauty appointments. c. Visits her husband's grave every 2 weeks. d. Attends church on a regular basis. e. Increases her consumption of alcohol.

Shows the nurse photographs of her family. Visits her husband's grave every 2 weeks. Attends church on a regular basis.

A nurse in a long-term care facility is caring for several older adults with noticeable hearing losses. Which is the best way for the nurse to communicate with these clients? a. Speak slowly using the proper volume and as few words as possible. b. Write the information using large lettering. c. Speak in a low and distinct voice tone. d. Have the client increase the volume in the hearing aid.

Speak in a low and distinct voice tone Rationale: Because the hearing loss occurs in the ability to distinguish high-pitched tones, speaking in a low and distinctive voice tone is the most appropriate method of communicating with the clients

Which test would the nurse perform to assess the patient's tactile ability? a. Stereognosis b. Snellen chart c. Tuning fork d. Babinski

Streognosis Rationale: Stereognosis involves placing a small common object in the patient's hand when eyes are closed. The nurse asks the patient to identify the object, testing tactile sense.

The nurse notices that when an 80-year-old man rises from a seated position, the client uses both arms to push himself up, and also "rocks" back and forth before finally standing. What is the most appropriate nursing intervention for this client? a. Suggest a referral to physical therapy for strengthening exercises. b. Request a waist restraint to remind the client not to stand by himself. c. Praise the client for his attempts to remain independent. d. Assist the client to rise by grasping both his shoulders and pulling forward.

Suggest a referral to physical therapy for strengthening exercises Rationale: The client has lost muscle strength. Strengthening exercises will improve his mobility and lessen the possibility of a fall

Which outcome may indicate the need for referral to a more highly skilled therapist? a. The client verbalizes methods of modifying sexual activity according to physical limitations. b. The client requests the phone number of a sex education support group. c. Suggestions given by the nurse are ineffective in reaching the desired goals. d. The client reports experimenting with new sexual activities

Suggestions given by the nurse are ineffective in reaching the desired goals.

Because near-drowning is one of the leading causes of vegetative state in young children, which is the best instruction for the nurse to teach parents? a. Supervise children at all times when near any source of water. b. Enroll children in swimming classes at an early age to ensure water safety. c. Make bathroom doors and toilets easily accessible and appropriate for a toddler's size. d. Allow unsupervised play only in "kiddy pools" designated for young children.

Supervise children at all times when near any source of water.

While being admitted to a rehabilitation unit, an 82-year-old woman mentions to the nurse that she "has trouble holding her water," adding "if I could have that tube back in me like I had in the hospital, I wouldn't have so many accidents." What is the nurse's best response? a. "Don't worry, the staff will bring plenty of pads to keep you dry." b. "I'll put the tube back in you so you will stay dry." c. "Tell me more about your problem." d. "Just call the staff and we'll help you to the bathroom in time."

Tell me more about your problem.

The nursing student is planning care for an older adult who had a total knee replacement yesterday evening. Which nursing intervention would be most appropriate? a. Ask the client how much of his bath he can independently perform. b. Ask the client if he has any questions regarding discharge from the hospital. c. Tell the client that he needs to decide when he wants his medications. d. Tell the client that he needs to rest and will be given a complete bed bath.

Tell the client that he needs to rest and will be given a complete bed bath

During a physical examination a 24-month-old child clings to the parent and cries every time the nurse attempts to touch her. From knowledge of psychosocial development, the nurse makes which conclusion about the child? a. The child is displaying normal toddler development. b. The child needs further psychological evaluation. c. The child is manipulative and should be taken from the parent to be examined. d. The child is showing signs of regression.

The child is displaying normal toddler development

Which behavior is of most concern to the nurse caring for a 25-year-old client after surgery for an appendectomy? a. The client states: "It will be good to get back on my bike. I miss the exercise." b. The client states: "I have no problem living at my parents' house. They have lots of room and money and it's a very comfortable and easy lifestyle for me." c. The client gets out of bed and walks to the bathroom with assistance. d. Several age-mate friends visit while the patient is hospitalized.

The client states: "I have no problem living at my parents' house. They have lots of room and money and it's a very comfortable and easy lifestyle for me

Parents ask the nurse how they will know that their daughter has reached puberty. Which is the best response by the nurse? a. "The first noticeable sign of puberty in females is appearance of the breast bud." b. "The growth spurt usually begins between ages 10 and 14." c. "The apocrine glands, found over most of the body, begin to produce sweat." d. "The adolescent will display significant mood swings."

The first noticeable sign of puberty in females is appearance of the breast bud

A night shift nurse notices that a postpartum (after delivery of a baby) client is crying and rubbing her baby's head. The mother states, "Look how lopsided my little Sam's head is. It is all my fault. My mom told me that I should have laid down more instead of sitting. Now, Sam's head is all smashed and funny looking." Which is the best response by the nurse? a. "Do you mean to tell me that your mother told you that? Are you serious?" b. "The head is soft and changed shapes as it moved through the birth canal." c. "I will provide you with materials to read that will clear that up for you." d. "There is no need to cry. His head will return to normal in a few days."

The head is soft and changed shapes as it moved through the birth canal

The nursing diagnosis Risk for Impaired Skin Integrity related to sensory-perception disturbance would best fit a client who Cut a foot by stepping on broken glass. Uses a wheelchair due to paraplegia. Wears glasses because of poor vision. Is legally blind and smokes in bed.

Uses a wheelchair due to paraplegia Rationale: Because of the paraplegia (paralysis of lower body), the client is unable to feel discomfort. The client will be taught to lift self using chair arms every 10 minutes if possible

The parents of a 5-month-old infant and a 3-year-old child ask the nurse about the sequence and timing of developmental milestones for the infant. Which is the most appropriate response? a. "This infant should reach the milestones at the same time as your older child." b. "The infant may reach the milestones in a different order than your older child." c. "The sequence of reaching each milestone should follow the same pattern but may be at a different rate." d. "There are no predictable patterns. Try to enjoy the uniqueness of each child."

The sequence of reaching each milestone should follow the same pattern but may be at a different rate

Clients may be unlikely to introduce the topic of sex with health care providers for which reason? a. They assume that health care providers know little about sexual functioning. b. Most clients have few, if any, questions or problems. c. Female clients prefer to discuss problems with female health care providers. d. They are too embarrassed to introduce the topic of sex.

They are too embarrassed to introduce the topic of sex

The parent of an 8-month-old girl who has been admitted to the hospital with pneumonia is worried about the infant having sudden infant death syndrome (SIDS). The parent stated that "My sister's baby died at the age of 2 months and all he had was a little cold." Which is the nurse's best response? a. "You don't need to worry. Your daughter is too old for SIDS." b. "Girls are less likely to have SIDS than boys are." c. "We don't know what causes SIDS, so I would try not to worry about it." d. "You must be very anxious; let's talk about SIDS and what you are thinking."

You must be very anxious; let's talk about SIDS and what you are thinking

Four-year-old Angie, whose grandmother recently died, tells the nurse, "My grandma has wings just like angels. She flew to heaven yesterday and tomorrow she'll be back." Which is the nurse's best response? a. "She's not coming back, honey." b. "It is normal for a little one to make believe." c. "You must miss your grandma a lot." d. "When people get old they die."

You must miss your grandma a lot

In middle adult client, the nurse should expect to find decrease in which of the following physiologic functions ( select all that apply) a. Metabolism b. Ability to hear low-pitched sounds c. Gastric secretion. d. Far vision e. Glomerular filtration

a. Metabolism c. Gastric secretion. e. Glomerular filtration

What are the safety precaution for young adults ( select all that apply) a. Install bath rails and grab bars in bathrooms b. Wear a helmet while skiing c. Install a carbon monoxide detector. d. Secure firearms in a safe location. e. remove throw rugs from the home

b. Wear a helmet while skiing c. Install a carbon monoxide detector. d. Secure firearms in a safe location.

A nurse is collecting data from an older adult client as part of a comprehensive physical exam. Which of the following findings should the nurse expect as changes associated with aging a. Skin thickening b. Decrease in height c. Increase saliva production d. nail thickening e. Decreases bladder capacity

b. Decrease in height d. nail thickening e. Decreases bladder capacity

A nurse is teaching a young adult client about health promotion and illness prevention. Which of the following statement by the client indicates an understanding of the teaching a. "I already had my immunization as a child, so I"m protected" b. It is important to schedule routine health care visits even if I'm feeling well. c. If I'm having any discomfort, I will just do to urgent care. d. If I am feeling stresses, I will remind myself that this is something I should expect

b. It is important to schedule routine health care visits even if I'm feeling well.

Which of the following problems a middle adult verbalized, the nurse identify as a priority for further assessment and intervention a. I'm struggling to accept that my parents are aging and need so much help b. It's been so stressful for me to think about having intimate relationship c. I know I should volunteer my time for a good cause, but maybe I'm just selfish. d. I love my grandchildren, but my son expects me to relieve my parenting days.

b. It's been so stressful for me to think about having intimate relationship

Which of the following problems a young adult verbalized, the nurse identify as a priority for further assessment and intervention a. I have my own apartment now, but it's not easy living away from my parents. b. It's been so stressful for me to even think about having my own family. c. I don't even know who I am yet, and now I have to know what to do. d. My GF is pregnant, and I don't think I have what it takes to be a good father.

c. I don't even know who I am yet, and now I have to know what to do.

A nurse is talking with an older adult client about improving her nutritional status. Which of the following interventions should the nurse recommend? (select all that apply) a. Increase iron intake to prevent anemia b. Decrease fluid intake to prevent urinary incontinence c. Increase calcium intake to prevent osteoporosis d. Limit sodium intake to prevent edema e. Increase fiber intake to prevent constipation.

c. Increase calcium intake to prevent osteoporosis d. Limit sodium intake to prevent edema e. Increase fiber intake to prevent constipation.

The nurse should expect middle adults to demonstrate which of the following capabilities ( select all that apply) a. Develop an acceptance of diminished strength and increased independent on others. b. Fell frustrated that time is too short for attempting to start another life. c. Welcome opportunities to be creative and productive d. Commit to finding friendship and companionship. e. Become involved with community issues and activities.

c. Welcome opportunities to be creative and productive e. Become involved with community issues and activities.

Which of the following problems a older adult verbalized, the nurse identify as a priority for further assessment and intervention a. I spent my whole life dreaming about retirement, and now I wish I had my job back. b. It's been so stressful for me to have to depend on my son to help around the house. c. I just heard my friend Al died. That's the third one in 3 months. d. I'm struggling with helping out in my community. I just don't know what I can do.

d. I'm struggling with helping out in my community. I just don't know what I can do.

Which of the following behaviors by a young adult is an example of accomplishing Erickson's task for psychological development during middle adulthood a. The client evaluates his behavior after social interaction. b. The client states he is learning to trust others. c. The client wishes to meaningful friendships. d. The client expresses concern about the next generation

d. The client expresses concern about the next generation

A nurse is admitting an older adult client who has lost 4.5kg (9.9lbs) since his last admission 6 month ago. Which of the following questions should the nurse ask to investigate the source of his weight loss a. Do you eat alone or with someone b. Do you watch T.V while eating your meals c. Have you started any new medication in the past 6 month d. What foods have you eaten withing the past 24 hours. e. Are on a fixed income

unknown answer