NR222 Final Exam Prep

Which clients are ideal candidates for interpreter service in order to prevent contributing health disparities? Select all that apply. *An African American client with a hearing impairment *An English-speaking client with a speech disorder *An Native American who does not speak the language used at the facility *A Spanish-speaking client ready to be discharged from the facility *A non-English-speaking client in the emergency department

*An Native American who does not speak the language used at the facility *A Spanish-speaking client ready to be discharged from the facility *A non-English-speaking client in the emergency department

A nurse is using Campinha-Bacote's model of cultural competency. Which areas will the nurse focus on to become competent? (select all that apply) *Cultural desire *Cultural knowledge *Cultural skills *Cultural transition

*Cultural desire *Cultural knowledge *Cultural skills

Definition & Example: Trust vs. Mistrust

*From this basic trust in parents, individuals in this stage are able to trust in themselves, in others, and in the world *Feeding, consoling, and changing diapers

Definition & Example: Generativity vs. Self-Absorption and Stagnation (Middle Age)

*Individuals achieve success in this stage by contributing to future generations through parenthood, teaching, mentoring, and community involvement *Taking care of children and parents.

Definition & Example: Initiative vs. guilt (3 to 6 years)

*Individuals in this stage are developing their superego, or conscience. Conflicts often occur between a child's desire to explore and the limits placed on his or her behavior. *Playing pretend and having an imaginative friend.

Definition & Example: Identity vs. Role Confusion (Puberty)

*Individuals in this stage begins with the goal of achieving some perspective or direction, answers the question "Who am I?" *Peer pressure, risk taking behaviors, preoccupation with appearance with body image

Definition & Example: Autonomy vs. sense of shame and doubt (18 months to 3 years)

*Individuals in this stage develop their autonomy by making choices. Choices typical for the age-group include activities related to desires and playthings. *Toilet training

Definition & Example: Integrity vs. Despair (Old Age)

*Individuals in this stage interpret their lives as a meaningful whole or experience regret because of goals not achieved. *Reflecting on the past 40 years spent working as an Engineer.

Definition & Example: Intimacy vs. Isolation (Young Adult)

*Individuals in this stage search for meaningful friendships and an intimate relationship with another person. *Boyfriend asking girlfriend for her hand in marriage.

Definition & Example: Industry vs. Inferiority (6 to 12 Years)

*Individuals learn to work and play with their peers, thrive on their accomplishments and praise. *Student of the month award, price for winning spelling bee, medal for fastest mile ran

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. 5. A young man drives over the speed limit regularly because he thinks he is an excellent driver and will not get into a car accident.

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.

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. Alcohol abuse 3. Pregnancy 4. Unemployment 5. Drug use

Sequence the skills in the expected order of gross-motor development in an infant, beginning with the earliest skill. 1. Can lift head 45 degrees off table, when prone 2. Pulls self to standing position 3. Sits upright without support 4. Rolls from back to abdomen 5. Rolls from abdomen to back

1. Can lift head 45 degrees off table, when prone 5. Rolls from abdomen to back 4. Rolls from back to abdomen 3. Sits upright without support 2. Pulls self to standing position

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

1. Chlamydia

A nurse is completing an assessment on a 27-year-old female patient. Which questions best assess the psychosocial aspects of this young woman's health? (Select all that apply.) 1. Do you feel safe in your home and at work? 2. How many fruits and vegetables do you typically eat every day? 3. Describe your relationship with your family. 4. Have you had the vaccine to prevent HPV? 5. What are your long-term career goals?

1. Do you feel safe in your home and at work? 3. Describe your relationship with your family. 5. What are your long-term career goals?

A nurse is caring for a man who is recently retired and who appears withdrawn. He says he is "bored with life." The nurse helps this individual find meaning in life by: 1. Encouraging him to reflect on his relationships with others. 2. Encouraging relocation to a new city. 3. Explaining the need to simplify life. 4. Encouraging him to adopt a new pet.

1. Encouraging him to reflect on his relationships with others.

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 mealtimes to her 2. use terms such as "honey" and "deer" please 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 mealtimes to her

Which of the following should be included in health teaching for a pregnant patient? (Select all that apply.) 1. Exposure of the fetus to alcohol, drugs, or tobacco can cause abnormal development. 2. Nutritional needs increase during pregnancy, and eating healthy foods is important. 3. Complementary and alternative therapies should always be avoided during pregnancy. 4. Provide education on self-care to reduce common discomforts of pregnancy, such as nausea. 5. Recommend birthing classes to prepare the mother for the birthing process.

1. Exposure of the fetus to alcohol, drugs, or tobacco can cause abnormal development. 2. Nutritional needs increase during pregnancy, and eating healthy foods is important. 4. Provide education on self-care to reduce common discomforts of pregnancy, such as nausea. 5. Recommend birthing classes to prepare the mother for the birthing process.

A 9-year-old child has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: (Select all that apply.) 1. Feelings of inadequacy. 2. A sense of guilt. 3. A poor sense of self. 4. Feelings of inferiority. 5. Mistrust.

1. Feelings of inadequacy. 4. Feelings of inferiority.

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 or her family, the assessment should include which of the following? (Select all that apply.) 1. Medical course of the illness 2. Prognosis for the patient 3. Coping mechanisms of the patient and family 4. Socioeconomic status 5. Need for community and social services.

1. Medical course of the illness 2. Prognosis for the patient 3. Coping mechanisms of the patient and family 5. Need for community and social services.

When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: 1. Object permanence. 2. Sensorimotor play. 3. Schemata. 4. Magical thinking.

1. Object permanence.

At a well-child examination, the mother comments that her toddler eats little at mealtime, will sit only briefly at the table, and wants snacks all the time. Which of the following should the nurse recommend? (Select all the apply.) 1. Provide nutritious snacks for a healthy diet. 2. Offer rewards for eating at mealtimes. 3. Avoid snacks so she is hungry at mealtime. 4. Offer finger foods so she can eat as she walks. 5. Explain to her why eating at mealtime is important.

1. Provide nutritious snacks for a healthy diet. 4. Offer finger foods so she can eat as she walks.

A 36-year-old patient newly diagnosed with type 1 diabetes shares with you that he is frustrated with the time it takes to prepare meals and monitor his exercise and blood sugar. He also is having trouble understanding his insulin schedule. Which of the following suggestions would be most appropriate? (Select all that apply.) 1. Provide patient education materials that are easy to read. 2. Refer this patient to a diabetes support group. 3. Refer the patient to his endocrinologist. 4. Suggest that the patient make an appointment with a registered dietitian. 5. Suggest ways to modify his schedule.

1. Provide patient education materials that are easy to read. 2. Refer this patient to a diabetes support group. 4. Suggest that the patient make an appointment with a registered dietitian. 5. Suggest ways to modify his schedule.

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

1. Routine screening and diagnostic tests 3. Regular exercise 4. Consistent seat belt use

A 45-year-old woman who is obese tells a nurse that she wants to lose weight. Which assessment findings 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 says that she has little time to prepare meals at home and eats out at least four nights a week. 3. The woman works out at the corporate gym at 5 AM three mornings per week. 4. The woman says that she tries to eat "low-cholesterol" foods to help lose weight.

1. The woman works in an executive position that is very demanding. 2. The woman says that she has little time to prepare meals at home

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 child and the family when addressing the issue 2. first plan for weight loss through dieting and then add activity as tolerated 3. plan food intake to allow for growth 4. consider consulting a bariatric surgeon if other measures fail

1. consider both child and the family when addressing the issue 4. consider consulting a bariatric surgeon if other measures fail

a single young adult interacts with a group of close friends from college and work period 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. family

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

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, mothers age, and fetal infections 4. fetal infections, prematurity, and placenta previa

1. nutrition, stress, and mother's age

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. routine screening and diagnostic tests 3. regular exercise 5. consistent seat belt use

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. sandwich generation 2. the millennial generation 3. generation X 4. Generation Y

1. sandwich generation

Which of the following activities are examples of the use of activity therapy in older adults (select all that apply) 1. teaching an older adult how to use email 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. teaching an older adult how to use email 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 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. prognosis for the patient 3. socioeconomic status 4. coping mechanisms of the patient and family 5. the need for a community and social services

1. the medical course of the illness 2. prognosis for the patient 4. coping mechanisms of the patient and family 5. the need for a community and social services

A nurse is teaching the mother of a young infant about prevention of sudden infant death syndrome (SIDS). Which of the following statements indicates that the teaching has been effective? (Select all that apply.) 1. "I'll let the baby sleep in bed with me so I can watch her." 2. "I'll remove stuffed animals and pillows from the crib." 3. "I'll place my baby on her back for sleep." 4. "I'll be sure to keep my baby's room cool." 5. "I'll keep a crib bumper in the bed to prevent drafts."

2. "I'll remove stuffed animals and pillows from the crib." 3. "I'll place my baby on her back for sleep." 4. "I'll be sure to keep my baby's room cool."

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. 20

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. Adequate staffing is available on all shifts. 3. Social activities are available for all residents. 5. Staff encourage family involvement in care planning and assisting with physical care.

When nurses are communicating with adolescents, they should: 1. Ask closed-ended questions to get straight answers. 2. Ask the adolescent to collaborate on plan of care. 3. Avoid looking for meaning behind adolescents' words or actions. 4. Avoid discussing sensitive issues such as sex and drugs.

2. Ask the adolescent to collaborate on plan of care.

A 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. Normal aging. 2. Delirium. 3. Depression. 4. Worsening dementia.

2. Delirium.

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. Anxiety.

2. Depression.

The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's 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

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 maladaptive stress response 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

According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? (Select all that apply.) 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 5. Hanging out with a best friend

2. Writing a story about a clown who wants to leave the circus 5. Hanging out with a best friend

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 efficiency anemia

2. depression

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 can give her plenty of fruit juice to increase her vitamin intake." 4. "I can start giving her solid food now, introducing one food at a time."

3. "I can give her plenty of fruit juice to increase her vitamin intake."

A 15-year-old patient tells the nurse that she is sexually active. What is the best action by the nurse? 1. Contact her parents to alert them of her need for birth control. 2. Explain that having sex is not appropriate for her age-group. 3. Counsel her on safe sex practices and on minimizing health risks. 4. Ask her to have her partner come to the clinic for STI testing.

3. Counsel her on safe sex practices and on minimizing health risks.

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 the patient's current diet trends and describe 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. Health education.

A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his family history is not significant for chronic illnesses, and his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: (Select all that apply.) 1. Instructing him to return in 2 years. 2. Instructing him in secondary prevention. 3. Instructing him in health promotion activities. 4. Instructing him about routine screenings. 5. Instructing him about proper vaccinations.

3. Instructing him in health promotion activities. 4. Instructing him about routine screenings. 5. Instructing him about proper vaccinations.

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. Motivation

Which factor affects a middle-age adult's adherence to a treatment plan? 1. Gender 2. Lifestyle 3. Motivation 4. Family history

3. Motivation

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. Oral 5. Anal 2. Latency 1. Oedipal 4. Genital

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. 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. counseled her on safe sex practices 4. ask her to have her partner come to the clinic for sexually transmitted infection testing

3. counseled her on safe sex practices

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 describe dietary changes to reduce the risk. This nurse activity is a form of: 1. referral 2. counseling 3. health education 4. stress management techniques

3. health education

The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of: 1. Logical reasoning. 2. Egocentrism. 3. Concrete thinking. 4. Animism.

4. Animism.

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.

When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? 1. Allowing the child to watch another child undergoing the same procedure 2. Showing the child pictures of what he or she will experience 3. Talking to the child in simple terms about what will happen 4. Preparing the child through play with a doll and toy medical equipment

4. Preparing the child through play with a doll and toy medical equipment

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 34-year-old female executive has a job with frequent deadlines. She notes that when the deadlines appear, she tends to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. After receiving health education from the nurse, the executive decides to try 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. Stress-management technique.

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 the toddler to eat lunch? 1. Would you like to eat your lunch now? 2. Would you like to sit at the big table to eat? 3. When would you like to eat your lunch with your friends? 4. Would you like apple slices or applesauce with your sandwich?

4. Would you like apple slices or applesauce with your sandwich?

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"

The type of injury to which a child is most vulnerable 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

which approach would be best for a 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 mother

4. establish a supportive relationship with mother

A patient is laboring with her first baby who is about to be delivered two weeks early period 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. net assist 4. lay doula

4. lay doula

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. personal hygiene habits

A student nurse is educating her class about the three levels of prevention through different client care scenarios. Which scenario mentioned by the student nurse is an example of secondary prevention? *"A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility." *"A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a client." *"A nurse arranges for a client's rehabilitation to help in gaining maximum limb function after amputation." *"A nurse educates a young couple regarding sex and sexually transmitted infections."

A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."

A nurse is assessing a client as part of an admission history. The client reports drinking an herbal tea every afternoon at work to relieve stress. The nurse should suspect the tea includes which of the following ingredients? A. Chamomile B. Ginseng C. Ginger D. Echinacea

A. Chamomile

A nurse is planning a health promotion and primary prevention class for the parents of school‑age children. Which of the following information should the nurse include? (Select all that apply.) A. Provide information about the risk of childhood obesity. B. Discuss the danger of substance use disorders. C. Promote discussion about sexual issues. D. Recommend the school‑age child sit in the front seat of the car. E. Reinforce stranger awareness.

A. Provide information about the risk of childhood obesity. B. Discuss the danger of substance use disorders. C. Promote discussion about sexual issues. E. Reinforce stranger awareness.

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.) A. Store toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways. E. Make sure balloons are fully inflated.

A. Store toxic agents in locked cabinets. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways.

A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply.) A. Suggest that his parents bring in video games for him to play. B. Provide a television and DVDs for the adolescent to watch. C. Limit visitors to the adolescent's immediate family. D. Involve the adolescent in treatment decisions when possible. E. Allow the adolescent to perform his own morning care

A. Suggest that his parents bring in video games for him to play. B. Provide a television and DVDs for the adolescent to watch. D. Involve the adolescent in treatment decisions when possible. E. Allow the adolescent to perform his own morning care

Intimacy vs. isolation occurs at what stage? A. Young adult B. Middle Adult C. Older Adult D. Infancy

A. Young adult

A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring? *Prevalence of complications *Accessibility of health care services *Outcomes of health conditions *Incidence of diseases

Accessibility of health care services

A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first? *Learning about the world view of others *Understanding organizational forces *Developing cultural skills *Assessing own biases and attitude

Assessing own biases and attitude

Match Erikson's stage of psychosocial development to the associated task: Willpower

Autonomy vs. Shame and doubt

nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan should the nurse initiate at this time? (Select all that apply.) A. Tell the client which coping skills to use in this situation. B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. D. Provide extensive instructions on the client's treatment regimen. E. Encourage the client in the expression of feelings and concerns.

B. Allow the client to provide input in the treatment plan. E. Encourage the client in the expression of feelings and concerns.

Why is the successful completion of the trust vs. mistrust stage important? A. If this stage is not successfully completed, the individual will not be trustworthy. B. If this stage is not successfully completed, the individual will not understand the concept of trust. C. If this stage is not successfully completed, the individual will become a liar. D. If this stage is not successfully completed, the individual will become anxious and insecure.

B. If this stage is not successfully completed, the individual will not understand the concept of trust.

A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse including in her counseling? (Select all that apply.) A. Most food poisoning is caused by a virus. B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high risk should eat or drink only pasteurized dairy products. D. Healthy individuals usually recover from the illness in a few weeks. E. Handling raw and fresh food separately can prevent food poisoning.

B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high risk should eat or drink only pasteurized dairy products. E. Handling raw and fresh food separately can prevent food poisoning.

A nurse is caring for a school‑age child who is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take? A. Touch the child's arm. B. Sit at eye level with the child. C. Stand facing the child. D. Stand with a relaxed posture.

B. Sit at eye level with the child.

A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risks for this age group? (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.E. Remove throw rugs from the home.

Which is an example of the autonomy vs. shame and doubt stage? A. An adolescent trying out a new hair color B. A preschooler playing hide and seek C. A toddler learning how to potty train D. A school-age child receiving recognition from a teacher

C. A toddler learning how to potty train

The nurse is taking care of a client who has a BMI of 30. This BMI is considered: A. Normal B. Overweight C. Obese D. Morbidly obese

C. Obese

Which topic is most important for the nurse to teach in a community health promotion class of middle-aged adults? *Abstinence from alcohol *Prevention of infection *Decreasing high-density lipoproteins (HDL) levels *Cessation of smoking

Cessation of smoking

A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence? *Functions effectively in a multicultural context *Speaks a different language *Visits a foreign country *Communicates effectively in a multicultural context

Communicates effectively in a multicultural context

A nurse is evaluating teaching about nutrition with the parents of an 11‑year‑old child. Which of the following statements should indicate to the nurse an understanding of the teaching? A. "She wants to eat as much as we do, but we're afraid she'll soon be overweight." B. "She skips lunch sometimes, but we figure it's okay as long as she has a healthy breakfast and dinner." C. "We limit fast‑food restaurant meals to three times a week now." D. "We reward her school achievements with a point system instead of a pizza or ice cream."

D. "We reward her school achievements with a point system instead of a pizza or ice cream."

According to Erikson's Psychosocial Stages of Development, which stage describes a child who needs to learn important academic skills and compare favorably with peers in school to achieve competence? A. Trust vs. Mistrust B. Integrity vs. despair C. Generativity vs. Stagnation D. Industry vs. Inferiority

D. Industry vs. Inferiority

Generativity vs. Stagnation occurs in which age group? A. Older Adult B. Toddler C. Young Adult D. Middle Adult

D. Middle Adult

Health promotion includes efforts related to secondary prevention. Which activities reflect secondary prevention interventions in relation to health promotion? Select all that apply. *Encouraging regular dental checkups *Facilitating smoking cessation programs *Administering influenza vaccines to older adults *Referring clients with a chronic illness to a support group *Teaching the procedure for breast self-examination Check

Encouraging regular dental checkups Teaching the procedure for breast self-examination Check

Match Erikson's stage of psychosocial development to the associated task: Give care to others

Generativty vs. Stagnation

A nursing student lists examples of health promotion activities that can help clients maintain or enhance their present levels of health. Which examples are accurate? Select all that apply. *Immunization against measles *Physical awareness *Good nutrition *Regular exercise *Education about stress management Check

Good nutrition Regular exercise

Match Erikson's stage of psychosocial development to the associated task: Sense of self

Identity vs. role confusion

Match Erikson's stage of psychosocial development to the associated task: Competence

Industry vs. Inferiority

Match Erikson's stage of psychosocial development to the associated task: Sense of purpose regarding activities

Inititave vs. Guilt

Match Erikson's stage of psychosocial development to the associated task: Sense of fulfillment

Integrity vs. Despair

Match Erikson's stage of psychosocial development to the associated task: Ability to commit oneself

Intimacy vs. Isolation

A nurse is assessing the client's meaning of illness. Which area of focus by the nurse is priority? *On the way a patient reacts to family/social interactions *On the malfunctioning of biological processes *On the way a patient reacts to disease

On the way a patient reacts to disease

What type of health promotion strategies does the nurse describe while teaching a new mother about immunizations? *Primary prevention *Secondary prevention *Unique for children *Tertiary prevention

Primary prevention

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care? *Provides care that is the same as the values of the professional health care system *Provides care that makes the nurse the leader in determining what is needed *Provides care that fits the patient's valued life patterns and set of meanings *Provides care that is based on meanings generated by predetermined criteria

Provides care that fits the patient's valued life patterns and set of meanings

Which action indicates the nurse is meeting a primary goal of cultural competent care for patients? *Provides care to restore relationships *Provides care to surgical patients *Provides care to patients that is individualized *Provides care to transgender patients

Provides care to transgender patients

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

Social contract orientation

An experienced nurse tells the student nurse, "I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers." How should the student nurse best classify this statement? *Prejudice *Discrimination *Stereotyping *Misinformed

Stereotyping

What is the goal of Healthy People 2020? *To have the nurse act as an advocate for clients who are not capable of self-determination *To ensure the well-being of clients cared for in a hospital setting *To eliminate health disparities related to race, ethnicity, and socioeconomic status *To encourage the nurse to do good for the client

To eliminate health disparities related to race, ethnicity, and socioeconomic status

Match Erikson's stage of psychosocial development to the associated task: Attachment to mother

Trust vs. Mistrust