NR 222 Exam 2 practice Q's

The nurse utilizes strategies associates with client centered communication by doing what?

-Not being "too busy" to talk -developing mutual understanding -using a conversational interviewing style -tuning in to the clients preferences and style

What are some strategies that nurses can use to promote health literacy?

-Speak clearly & distictly -face person when speaking -conclude with summary of key points

What are some ethical standards that nurses can utilize for interpersonal communications?

-communicate information accurately -be sensitive to gender & cultural context -communicate verbal and non verbal messages in a congruent manner

The nurse is preparing an educational activity for adolescents. The primary reason that emphasis is placed on teaching testicular self-examination is because: · adolescents are naturally interested in their developing bodies. · baseline assessment data is necessary for comparison in the future. · rapid anatomical changes are occurring in the testes · testicular cancer is the number one cancer in the adolescent male.

-testicular cancer is the number one cancer in the adolescent male.

A single young adult interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. These individuals are viewed as: 1. Family. 2. Siblings. 3. Substitute parents. 4. Alternative family structure.

1

Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of: 1. The sandwich generation. 2. The millennial generation. 3. Generation X. 4. Generation Y.

1

Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI? 1. Chlamydia 2. Syphilis 3. Gonorrhea 4. Herpes zoster

1

The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing: 1. Delirium. 2. Depression. 3. New-onset dementia. 4. Worsening dementia.

1

When nurses are communicating with adolescents, they should: 1 Be alert to clues to their emotional state. 2 Ask closed-ended questions to get straight answers. 3 Avoid looking for meaning behind adolescents' words or actions. 4 Avoid discussing sensitive issues such sex and drugs.

1 Be alert to clues to their emotional state. Pg. 154; Good communication skills are critical for adolescents in overcoming peer pressure and unhealthy behaviors.

A school nurse is counseling an obese 10-year-old child. Which factors would be important to consider when planning an intervention to support the child's health? (select all that apply) 1 Consider both the child and the family when addressing the issue. 2 Consider the use of medications to suppress the appetite. 3 First plan for weight loss through dieting and then add activity as tolerated. 4 Plan food intake to allow for growth 5 Consider consulting a bariatric surgeon if other measures fail.

1 Consider both the child and the family when addressing the issue. 4 Plan food intake to allow for growth. Pg. 153; Children need adequate caloric intake for growth throughout childhood accompanied by activity for continued gross-motor-development.

An 8-year-old child is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will most help her adjust to the hospital? 1 Explain hospital routines such as meal times to her. 2 Use terms such as "honey" and "dear" to show a caring attitude. 3 Explain when her parents can visit and why siblings cannot come to see her. 4 Since she is young, orient her parents to her room and hospital facility.

1 Explain hospital routines such as meal times to her. Pg. 152; The nurse helps the child cope with stress by helping the parents and the child identify potential stressors and designing interventions to minimize stress and the child's stress response.

In an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development. They are: 1 Nutrition, stress, and mother's age. 2 Prematurity, stress, and mother's age. 3 Nutrition, mother's age, and fetal infections. 4 Fetal infections, prematurity, and placenta previa.

1 Nutrition, stress, and mother's age. Pg. 142; The diet of a women both before and during pregnancy has a significant effect on fetal development as well as stress and anxiety. Fetuses of older mothers are at risk for chromosomal defects.

At a well-child examination, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time. Which of the following should the nurse recommend? 1 Provide nutritious snacks. 2 Offer rewards for eating at mealtimes. 3 Avoid snacks so she is hungry at mealtime. 4 Explain to her firmly why eating at mealtime is important.

1 Provide nutritious snacks. Pg. 149; Encourage parents to offer a variety of nutritious meals and to provide only nutritious snacks between meals.

In evaluating the gross-motor development of a 5-month-old infant, which of the following would the nurse expect the infant to do? 1 Roll from abdomen to back 2 Move from prone to sitting unassisted 3 Sit upright without support 4 Turn completely over

1 Roll from abdomen to back Pg. 145; Table 12-1

Which of the following are examples of the conventional reasoning form of cognitive development? (Select all that apply.) 1. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. 2. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. 3. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. 4. A single mother of two children is unhappy with her employer. She has been unable to secure alternate employment but decides to quit her current job

1, 2

Which of the following activities are examples of the use of activity theory in older adults? (Select all that apply.) 1. Teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state 2. Introducing golf as a new hobby 3. Leading a group walk of older adults each morning 4. Engaging an older adult in a community project with a short-term goal 5. Directing a community play at the local theater

1, 2, 4 1. Teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state 2. Introducing golf as a new hobby 4. Engaging an older adult in a community project with a short-term goal

Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. When assessing the health-related knowledge base of both the middle-age patient with a chronic illness and his family, your assessment includes which of the following? (Select all that apply.) 1. The medical course of the illness 2. The prognosis for the patient 3. Socioeconomic status 4. Coping mechanisms of the patient and family 5. The need for community and social services

1,2,4,5

A 45-year-old woman who is obese tells a nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (Select all that apply.) 1. The woman works in an executive position that is very demanding. 2. The woman works out at the corporate gym at 5 AM two mornings per week. 3. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. 4. The woman says that she tries to eat "low-cholesterol" foods to help lose weight. 5. The woman says that she vacations annually to reduce stress.

1,3,4

Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) 1. Alcohol abuse 2. Marriage 3. Pregnancy 4. Unemployment 5. Drug use

1,3,4,5

Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits? (Select all that apply.) 1. Routine screening and diagnostic tests 2. Unprotected sexual activity 3. Regular exercise 4. Excess alcohol consumption 5. Consistent seat belt use

1,3,5

1. Motivational interviewing is a technique that applies understanding of patient values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? Select all that apply 1. Gaining an understanding of patient's motivations 2. focusing on opportunities to avoid poor health choices 3. recognizing patient strength and supporting their efforts 4. providing assessment data that can be shared with families to promote change 5. identifying differences in patient's health goals and current behaviors

1,3,5 1. Gaining an understanding of patient's motivations 3. recognizing patient strength and supporting their efforts 5. identifying differences in patient's health goals and current behaviors

Allison, age 15 years, calls her best friend Laura and is crying. She has a date with John, someone she has been hoping to date for months, but now she has a pimple on her forehead. Laura firmly believes that John and everyone else will notice the blemish right away. This is an example of the: 1. Imaginary audience. 2. False-belief syndrome. 3. Personal fable. 4. Personal absorption syndrome.

1. Imaginary audience.

A patient with chest pain is having an emergency cardiac Catherine is Asian. Which teaching approach does the nurse use in this situation? 1. telling approach 2. selling approach 3. trusting approach 4. participating approach

1. telling approach

A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse that's a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse patient relationship? 1. working phase 2. pre-interaction phase 3. termination phase 4. orientation phase

1. working phase

1. With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of: 1. 18. 2. 20. 3. 25. 4. 30.

2

A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse assesses for the following: 1. Cardiovascular disease 2. Depression 3. Sexually transmitted infection 4. Iron deficiency anemia

2

A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: 1. Dementia. 2. Depression. 3. Delirium. 4. Hypoglycemic reaction.

2

The nurse is providing information on prevention of sudden infant death syndrome (SIDS) to the mother of a young infant. Which of the following statements indicates that the mother has a good understanding? (Select all that apply.) 1 "I won't use a pacifier to help my baby sleep." 2 "I'll be sure my baby does not spend any time on her abdomen." 3 "I'll place my baby on her back for sleep." 4 "I'll be sure to keep my baby's room cold." 5 "I'll keep a crib bumper in the bed to prevent drafts.

2 "I'll be sure my baby doesn't spend anytime sleeping on her abdomen". 3 "I'll place my baby on her back for sleep." 4 "I'll be sure to keep my baby's room cold." Pg. 144; Safeguards include proper positioning; removing stuffed animals, soft bedding, and pillows; and avoiding overheating the infant. Individuals should avoid smoking during pregnancy and around the infant because it places the infant at a greater risk for SIDS

You are caring for a 4-year-old child who is hospitalized for an infection. He tells you that he is sick because he was "bad." Which is the most correct interpretation of his comment? 1 Indicative of extreme stress 2 Representative of his cognitive development 3 Suggestive of excessive discipline at home 4 Indicative of his developing sense of inferiority

2 Representative of his cognitive development Pg. 150; Erikson recommends that parents help their children strike a healthy balance between initiative and guilt by allowing them to do things on their own while setting firm limits and providing guidance.

A nurse works on a pediatric unit and is using a psychosocial developmental approach to child care. In which order from the first to the last will the nurse place the developmental stages? 1. Initiative versus guilt 2. Trust versus mistrust 3. Industry versus inferiority 4. Identity versus role confusion 5. Autonomy versus shame and doubt · 2, 5, 3, 1, 4 · 2, 1, 3, 5, 4 · 2, 3, 1, 5, 4 · 2, 5, 1, 3, 4

2, 5, 1, 3, 4

The nurse is organizing a disease prevention program for specific cultural group. To effectively meet the needs of this group the nurse will: (select all that apply) 1. assess the needs of the community in general 2. involve those affected by the problem in the planning process 3. develop generalize goals and objectives for the program 4. use educational materials that are simplistic and have many pictures 5. Assess commonly held beliefs among the cultural group 6. educate the specific cultural group about western concepts of health and illness 7. include cultural practices that are relevant to the specific community

2, 5, 7 2. involve those affected by the problem in the planning process 5. Assess commonly held beliefs among the cultural group 7. include cultural practices that are relevant to the specific community

A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.) 1. The center needs to be clean, and rooms should look like a hospital room. 2. Adequate staffing is available on all shifts. 3. Social activities are available for all residents. 4. The center provides three meals daily with a set menu and serving schedule. 5. Staff encourage family involvement in care planning and assisting with physical care.

2,3,5

According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? 1. Using building blocks to determine how houses are constructed 2. Writing a story about a clown who wants to leave the circus 3. Drawing pictures of a family using stick figures 4. Writing an essay about patriotism

2. Writing a story about a clown who wants to leave the circus

A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? 1. simulation 2. demonstration 3. group instruction 4. one on one discussion

2. demonstration

A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? 1. describing difficulties a family member had and taking insulin 2. expressing the importance of learning the skill correctly 3. being able to see and understand the markings on the syringe 4. having the dexterity needed to prepare and inject the medication

2. expressing the importance of learning the skill correctly

The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Eriksons stages of development? 1. trust versus mistrust 2. initiative versus guilt 3. industry versus inferiority 4. autonomy versus sense of shame and doubt

2. initiative versus guilt

A nurse is talking with a young adult patient about the purpose of a new medication the nurse says "I want to be clear can you tell me in your own words the purpose of this medicine?" This exchange is an example of which element of the transactional communication process? 1. Message 2. obtaining feedback 3. channel 4. referent

2. obtaining feedback

A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. One method to control this risk factor is to identify current diet trends and 171describe dietary changes to reduce the risk. This nursing activity is a form of: 1. Referral. 2. Counseling. 3. Health education. 4. Stress-management techniques.

3

A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: 1. Instructing him to return in 2 years. 2. Instructing him in secondary prevention. 3. Instructing him in health promotion activities. 4. Implementing primary prevention with vaccines.

3

The nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. The nurse suspects that the woman may have: 1. Presbyopia. 2. Presbycusis 3. Cataract(s). 4. Depression.

3

When determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect his or her compliance with the regimen, including educational level and socioeconomic factors. Which additional factor affects compliance? 1. Gender 2. Lifestyle 3. Motivation 4. Family history

3

A parent has brought her 6-month-old infant in for a well-child check. Which of her statements indicates a need for further teaching? 1 "I can start giving her whole milk at about 12 months." 2 "I can continue to breastfeed for another 6 months." 3 "I've started giving her plenty of fruit juice as a way to increase her vitamin intake." 4 "I can start giving her solid food now."

3 "I've started giving her plenty of fruit juice as a way to increase her vitamin intake." Pg. 147; The use of fruit juices and nonnutritive drinks such as fruit-flavored drinks or soda should be avoided since these do not provide sufficient and appropriate calories during this period.

A 4-month old infant has not been feeling well for 2 days. His mother has brought him to the clinic to be seen by his health care provider. Which number identifies the area of the infants head where the nurse can assess for dehydration? 1 2 3 4 5

3 Anterior fontanel Pg. 143;

You are working in an adolescent health center when a 15-year-old patient shares with you that she thinks she is pregnant and is worried that she may now have a sexually transmitted infection (STI). Her pregnancy test is negative. What is your next priority of care? 1 Contact her parents to alert them of her need for birth control. 2 Refer her to a primary health care provider to obtain a prescription for birth control. 3 Counsel her on safe sex practices. 4 Ask her to have her partner come to the clinic for STI testing.

3 Counsel her on safe sex practices. Pg. 156; Be proactive by using the interview process to identify risk factors in the adolescent and provide education to prevent STI's including (HIV), HPV, and unwanted pregnancies.

Parents are concerned about their toddler's negativism. To avoid a negative response, which of the following is the best way for a nurse to demonstrate asking a toddler to eat his or her lunch? 1 Would you like to eat your lunch now? 2 When would you like to eat your lunch? 3 Would you like apple slices or applesauce with your sandwich? 4 Would you like to sit at the big table to eat?

3 Would you like apple slices or applesauce with your sandwich? Pg. 149; If parents struggle to control toddlers' dietary intake, problem behaviors and conflicts can result.

Place the following stages of Freud's psychosexual development in the proper order by age progression. 1. Oedipal 2. Latency 3. Oral 4. Genital 5. Anal

3,5,2,1,4

A patient is newly diagnosed with cervical cancer and is going home. The patient is avoiding discussion of her illness and post operative orders. What is the nurses best plan in teaching this patient? 1. Teach the patient spouse 2. focus on knowledge the patient will need in a few weeks 3. provide only the information that the patient needs to go home 4. convince the patient that learning about her health is necessary

3. provide only the information that the patient needs to go home

A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a (n): 1. Outpatient referral. 2. Counseling technique. 3. Health promotion activity. 4. Stress-management technique.

4

A nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1° C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient's temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend first? 1. Tell the student that temporary confusion is normal and simply requires reorientation 2. Tell the student to increase the patient's fluid intake since the urine is concentrated 3. Tell the student that her assessment findings are normal for an older adult 4. Tell the student that he will notify the patient's health care provider of the findings and recommend a urine culture

4

A patient is laboring with her first baby, who is about to be delivered 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area as a support person to be present during labor? 1. Nurse 2. Midwife 3. Geneticist 4. Lay doula

4

Older adults frequently experience a change in sexual activity. Which best explains this change? 1. The need to touch and be touched is decreased. 2. The sexual preferences of older adults are not as diverse. 3. Physical changes usually do not affect sexual functioning. 4. Frequency and opportunities for sexual activity may decline.

4

Sexuality is maintained throughout our lives. Which of the following answers best explains sexuality in an older adult? 1. When the sexual partner passes away, the survivor no longer feels sexual. 2. A decrease in an older adult's libido occurs. 3. Any outward expression of sexuality suggests that the older adult is having a developmental problem. 4. All older adults, whether healthy or frail, need to express sexual feelings.

4

Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from: 1. Lifestyle. 2. Community. 3. Family history. 4. Personal hygiene habits.

4

Which of the following statements is most descriptive of the psychosocial development of school-age children? 1 Boys and girls play equally with each other. 2 Peer influence is not yet an important factor to the child. 3 They like to play games with rigid rules. 4 Children frequently have "best friends."

4 Children frequently have "best friends." Pg. 152; School age children often develop "best friends" with whom they share secrets and with whom they look forward to interacting on a daily basis.

The type of injury a child is most vulnerable to at a specific age is most closely related to which of the following? 1 Provision of adult supervision. 2 Educational level of the parent 3 Physical health of the child 4 Developmental level of the child

4 Developmental level of the child Pg. 146; An understanding of the major developmental accomplishments during this time period allows for injury prevention planning.

Which approach would be best for the nurse to use with a hospitalized toddler? 1 Always give several choices. 2 Set few limits to allow for open expression. 3 Use noninvasive methods when possible. 4 Establish a supportive relationship with the mother.

4 Establish a supportive relationship with the mother. Pg. 149; Establishing a trusting relationship with the parents often results in toddler acceptance of treatment.

A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and, Recommendation) communication. 1. "She is a 53-year-old female who is admitted to days ago with pneumonia and was started on Levaquin at 5 PM yesterday. She complains of a poor appetite." 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 3. "Would you like to make changes in antibiotics or could we give her a nutritional supplement before her medication?" 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night."

4,1,2,3 Situation : 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night." Background: 1. "She is a 53-year-old female who is admitted to days ago with pneumonia and was started on Levaquin at 5 PM yesterday. She complains of a poor appetite." Assessment: 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." Recommendation: 3. "Would you like to make changes in antibiotics or could we give her a nutritional supplement before her medication?"

Dave reports being happy and satisfied with his life. What do we know about him? 1. He is in one of the later developmental periods, concerned with reviewing his life. 2. He is atypical, since most people in any of the developmental stages report significant dissatisfaction with their lives. 3. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. 4. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.

4. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.

Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy? You know, she fools around so much; I heard she was pregnant. That would never happen to me!" This is an example of adolescent: 1. Imaginary audience. 2. False-belief syndrome 3. Personal fable. 4. Sense of invulnerability.

4. Sense of invulnerability.

A nurse is assigned to care for a patient for the first time and states "I don't know a lot about your culture and want to learn how to better meet your health care needs." Which therapeutic communication technique did the nurse use in the situation? 1. validation 2. empathy 3. sarcasm 4. humility

4. humility

Sequence the skill in the expected order of gross-motor development in an infant beginning with the earliest skill: 1 Move from prone to sitting unassisted 2 Sit down from standing position 3 Sit upright without support 4 Roll from abdomen to back 5 Can turn from side to back

5 Can turn from side to back 4 Roll from abdomen to back 3 Sit upright without support 1 Move from prone to sitting unassisted 2 Sit down from standing position Pg. 145 Table 12-1

Socialization into one's primary culture as a child is known as enculturation. A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as: Assimilation. Acculturation. Biculturalism. Enculturation

Assimilation results when an individual gradually adopts and incorporates the characteristics of the dominant culture.

Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients? · Shows sympathy appropriately · Uses automatic responses fluently · Demonstrates passive remarks accurately · Self-examines personal communication skills

Self-examines personal communication skills

A nurse is teaching a 27-year-old gentleman how to adjust his insulin dosages on the basis of his blood sugar results. This type of activity address is learning in the cognitive domain at the level of ________ ?

application

The communication of health information in a manner which is clear and understandable to the client is:

health literacy

Understanding that an individual needs a break before processing best describes

metacommunication

You are working in a clinic that provides services for homeless people. The current local regulations prohibit providing a service that you believe is needed by your patients. You adhere to the regulations but at the same time are involved in influencing authorities to change the regulation. This action represents ___________ stage of moral development.

social contract orientation

Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age? · Accidents · Suicide · Cancer · Sport injuries

suicide

What is a closed loop communication technique used to evaluate pt understanding and retention of material?

teach back method

Which statement, if made by a parent, will require further instruction from the nurse? · "I should not be surprised that my teenage son has so many friends." · "I get worried because my teenage son thinks he's indestructible." · "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes." · "I usually have nutritious snacks available because my 10-year-old son is always hungry right after school."

· "I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."

According to Erikson's developmental theory, the primary developmental task if the middle years is to: · Achieve intimacy · Achieve generativity · Establish a set of personal values · Establish a sense of personal identity

· Achieve generativity

According to Kohlberg, children develop moral reasoning as they mature. Which of the following is most characteristic of a preschooler' stage of moral development? · The rules of correct behavior are obeyed. · Behavior that pleased others is considered good. · Showing respect for authority is important behavior. · Actions are determined as good or bad in terms of their consequences.

· Actions are determined as good or bad in terms of their consequences.

A nurse is caring for an older adult. Which goal is priority? · Adjusting to career · Adjusting to divorce · Adjusting to retirement · Adjusting to grandchildren

· Adjusting to retirement

A mother has delivered a healthy newborn. Which action is priority? · Encourage close physical contact as soon as possible after birth. · Isolate the newborn in the nursery during the first hour after delivery. · Never leave the newborn alone with the mother during the first 8 hours after delivery. · Do not allow the newborn to remain with parents until the second hour after delivery. · After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents' and newborn's need for close physical contact.

· After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents' and newborn's need for close physical contact.

A nurse is caring for a young adult after surgery. Which action by the nurse will be priority? · Allow involvement of peers · Allow involvement of partner · Allow involvement of volunteer activities · Allow involvement of consistent schedule

· Allow involvement of partner

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use? · Provide several topics of discussion at once to promote independence and making choices. · Avoid uncomfortable silences after questions by helping patients complete their statements. · Ask patients to recall past experiences that correspond with their interests. · Speak in a high pitch to help patients hear better.

· Ask patients to recall past experiences that correspond with their interests.

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient's learning needs? · Assess the patient's total health care needs. · Assess the patient's health literacy. · Assess all sources of patient data. · Assess the goals of patient care.

· Assess the patient's health literacy.

A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included? · Some form of mild dementia is a normal part of aging. · All forms of dementia have the same symptoms, but progress at different rates. · Assessment for dementia should be part of routine physical exams. · Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem.

· Assessment for dementia should be part of routine physical exams.

A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (Select all that apply) · Can deliver anticipatory guidance to families · Have a better understanding of genetics and genomics · Can meet the requirements of Healthy People 2020 · Can provide more effective health education

· Can deliver anticipatory guidance to families · Have a better understanding of genetics and genomics ·· Can provide more effective health education

A nurse determines that a middle-aged patient is a typical example of the "sandwich generation." What did the nurse discover the patient is caught between? · Job responsibilities or family responsibilities · Stopping old habits and starting new ones · Caring for children and aging parents · Advancing in career or retiring

· Caring for children and aging parents

According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by: · Concrete operations · Conventional thought · Post-conventional thought · Identity versus role diffusion

· Concrete operations

A nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development which statement most accurately represents these concepts · Growth patterns are qualitative changes. · Growth is from the head to toe or cephalocaudal. · Development reflects an increase in the number and size of cells. · Development is a gradual change that includes advances in skills.

· Development is a gradual change that includes advances in skills.

A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority? · Assess laboratory results for high cholesterol and other data. · Identify that teaching is the same as the nursing process. · Perform nursing care therapies to address hypertension. · Focus on a patient's learning needs and objectives.

· Focus on a patient's learning needs and objectives.

A nurse is using Jean Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient? · Latency · Formal operations · Intimacy versus isolation · The postconventional level

· Formal operations

According to Erikson, the developmental task of adolescence is : · Industry vs. inferiority · Identity vs. role confusion · Autonomy vs. shame and doubt · Role acceptance vs. role confusion

· Identity vs. role confusion

Which information from the nurse indicates a correct understanding of emerging adulthood? · It is a type of young adulthood. · It is a type of extended adolescence. · It is a type of independent exploration. · It is a type of marriage and parenthood.

· It is a type of independent exploration.

An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care? · Keep a routine. · Continue to reorient. · Allow several choices. · Socially isolate patient.

· Keep a routine.

The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority? · Maintain industry · Maintain identity · Maintain intimacy · Maintain initiative

· Maintain identity

The referent in the communication process is: · Information shared by the sender · The means of conveying messages · That which motivates the communication · The person who initiates the communication · Motivates one person to communicate with the other.

· Motivates one person to communicate with the other.

According to Healthy People 2020, the leading causes of death among children and young adults are due to injuries from which of the following? · Homicide · Suicide · Burns · Motor Vehicle Crashes

· Motor Vehicle Crashes

A nurse is developing a plan of care for an older adult. Which information will the nurse consider? · Should be standardized because most geriatric patients have the same needs · Needs to be individualized to the patient's unique needs · Focuses on the disabilities that all aging persons face · Must be based on chronological age alone

· Needs to be individualized to the patient's unique needs

A nurse is working in the delivery room. Which action is priority immediately after birth? · Open the airway. · Determine gestational age. · Monitor infant-parent interactions. · Promote parent-newborn physical contact.

· Open the airway.

A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use which of the following instructions should the nurse include? · Use a car seat that has a three point harness system. · Position the car seat so that the infant is rear facing. · Secure the car seat in the front passenger seat of the vehicle · Convert to a booster seat after 12 months.

· Position the car seat so that the infant is rear facing.

A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IPV? · White males · Pregnant females · Middle-aged adults · Nonsubstance abusers

· Pregnant females

Taking into account all of the agents that affect middle-age adults, the nurse plans a health education workshop focused on developing an individualized lifestyle change program for each participant. Which of the following actions should the nurse stress that individuals take first? · Limiting unprotected exposure to sun · Starting a smoking cessation program · Exercising at least three times a week · Scheduling a complete physical and dental exam

· Scheduling a complete physical and dental exam

The nurse works with pediatric patients who have Diabetes. Which is the youngest age group to which the nurse can effectively teach psychomotor skills such as insulin administer? · Toddler · Preschool · School age · Adolescent

· School age

The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant? · Set of cards to organize and separate into groups · Set of sock puppets with movable eyes · Set of plastic stacking rings · Set of paperback book

· Set of plastic stacking rings

A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply). · Store toxic agents in locked cabinets · Keep toilet seats up · Turn pot handles toward the back of the stove · Place safety gates across stairways · Make sure balloons are fully inflated

· Store toxic agents in locked cabinets · Turn pot handles toward the back of the stove · Place safety gates across stairways

The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement? · Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases. · Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy. · Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early. · Offer all teenagers free condoms when they come in for physical exams.

· Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.

Demonstration of the principles of body mechanics used when transferring patients from bed to chair would be classified under which domain of learning? · social · affective · cognitive · psychomotor

· psychomotor