EXAM 2 Concepts
Reflecting, paraphrasing, summarizing
Reflecting means to answer back to the client with what they are asking such as answering a question with a question. Summarizing would mean to organize the information usually to end the meeting
A 6-year-old is hospitalized with a fracture of the femur and is placed in traction. In meeting the psychosocial needs of the child, the nurse appropriately selects which of the following play activities for the child?
a board game
What is the leading cause of death for school aged children?
accidents like MVAs
What is the best technique to information about what is going on with a client?
active listening
A client is getting ready for surgery, and the nurses suspects that the client is very nervous. What would be the best way to get the client to share their feelings?
ask the client how they are feeling
The mother of a 6 month old infant is concerned that the infant's anterior fontanel is still open. The nurse would explain to the mother that further evaluation is needed if the anterior fontanel is still open after:
18 months
A 4-year-old child is hospitalized for severe gastroenteritis. The child is crying and clinging to the mother. The mother becomes very upset and is afraid to leave the child. Which of the following nursing interventions would be appropriate to alleviate the child's fears and the mother's anxiety?
ask the mother if she would like to stay overnight with the child
The nurse has discussed with a group of new mothers appropriate support of the young infant to prevent injuries from falls. The mother who needs further education is the mother who states:
by the time my baby is 6 months old, he will be able to sit without support
All of the following are examples of non-therapeutic communication techniques, except:
confronting
The middle adult faces many physical changes, including:
decreased metabolism
What is NOT a true statement about the older adult?
dementia is a normal part of aging
Which of the following describes Piaget's cognitive theory of development?
development progresses through mind framesworks (schemas) used to make sense of the world
Jean Piaget's cognitive developmental theory focuses on four stages of development, including
formal operations
All of the following are examples of therapeutic communication techniques, except:
giving opinions
According to Erickson's theory, what stage is the older adult in?
integrity vs despair
Hospitalization of a child has resulted in disturbance of the dynamics of family life. Which nursing diagnosis would be most appropriate for the nurse to formulate?
interrupted family processes related to hospitalization
A 25-year-old is withdrawn and spends most of his time alone. According to Erickson's theory, he has not yet achieved which task?
intimacy
The nurse walks in to greet her patient, and the patient immediately complains about the night shift nursing care. What would be the best response by the nurse?
it sounds like you had a very frustrating night
What is true about Gesell's theory of biophysical development?
it theorized that growth and development are based on genetic makeup
The mother of a 5 year old expresses concern about her child who believes that "Grandma is still alive" 3 months after the grandmother's death. The nurse explains that
magical thinking often accounts for a preschooler who believes that dead people will come back
According to Piaget, what is a true statement regarding preschool children?
preschoolers are egocentric
The nurse is preparing an 8 year old child for a procedure. What is the most appropriate nursing intervention considering the child's stage of growth and development?
provides visual aids, such as dolls, puppets, and diagrams in the explanation
A recently hospitalized 2 year old client screams and shouts that he wants a "bottle". His parents are puzzled, and state that he has been drinking from a cup for the past year. The nurse explains that
regression to an earlier behaviors oftens helps the child cope with stress and anxiety
The mother discusses with the nurse that her toddler asks every night for a bedtime story. The mother asks why the child does this. The nurse would explain that this behavior demonstrates:
ritualism
A friend is shopping for a toy to give to her nephew. The friend knows nothing about children and asks what would be the most appropriate toy to give an 18 month old child. Based on growth and developmental skills, the nurse recommends: (Select all that apply)
rocking horse, pull toy, cloth or cardboard book
A client needs to learn how to perform wound care on his new surgical scar, but she doesn't believe she is capable of dealing with the blood. What principle is the client struggling with?
self- efficacy
The nurse discusses dental care with the parents of a 3 years old. The nurse explains that by the age of 3, their child should have:
20 temporary teeth
GROWTH AND DEVELOPMENT QUESTIONS lWhen does birth length double? lWhen does birth weight double? lWhen can a child sit unsupported? lWhen does a child develop stranger anxiety? lWhen is a child reach 50% adult height? lWhen does a child speak 2-3 word sentences? lWhen does a child tie his shoes?
4 years 6 months 8 months 7-9 months 2 years 2 years 5 years
Piaget identifies that the 2-7 year old child is in a preoperational stage. The nurse observes a 2 1/2 year old girl taking a toy from another child and recognizes that the child is unable to put herself in the place of another because the toddler is displaying
Egocentrism
Piaget identifies that the 2-7 year old child is in a preoperational stage. The nurse observes a 2 ½ year old girl taking a toy from another and recognizes that the child is unable to put herself in the placed of another because the toddler is displaying:
Egocentrism
What is an important action for the nurse to take in order to encourage healthy development in a toddler?
Encourage the child to explore their safely environment
A nurse prepares to contact a patients physician about a change in the patients condition. Put the following statements in correct order using SBAR ( SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION).
Mr. Smiths BP has increased to 190/116 and hi heart rate is 92.
A 16 y.o. who is recovering from an appendectomyh is refusing to allow her friends to visit her in the hospital. She says that they really don't like hospitals and that she'll see them when she gets discharged. Which of the following interpretations of the patient's statement explains her behavior.
she is experiences altered body image
The nurse should refer the parents of an 8 months old child to a health care provider if the child is unable to:
sit without support for long periods of time
Which statement is true about teaching and learning?
teaching is most effective when it respondes to the needs of the learner
What is meta-communication?
the uhnderlying meaning behind something that is being said
What is the purpose of growth and development theories?
to help the nurse to understand what is normal and abnormal
According to Erickson's theory of psychosocial development, what is the first task that all people need to accomplish?
trust
The mother of a 1 month old infant states that she is curious as to whether her infant is developing normally. Which of the following
turning head from side to side
The nurse is writing expected outcomes for his patient. This should occur during which stage in the nurse-patient relationship?
working phase
