Test Review: Intro PN
Which statement made by a child indicates they are functioning at the concrete operations level of Piaget theory?
"TIl be careful with her book because she'd be sad if it got torn.""
The family consists of an infant, school-aged child, teenager, mother, and father, and uncle. Which individual in this family exerts the most lasting influence on the ongoing development of the infant? Select all that apply.
Mother, Father
The nurse is collecting data about a baby in the well-baby clinic. The nurse reads in the electronic medical record that are present. What behavior observed during the physical assessment of a child confirms the presents of cephalocaudal direction movements?
Moves from a sitting to standing position with ease
The nurse is observing two toddlers in the pediatric play room, playing side by side but not interacting with each other. What type of play does the the nurse determine this is?
Parallel play
A family consists of an infant, school-age child, teenager, mother, and father. Which individual exerts the most lasting influence on the ongoing development of the adolescent?
Peer group
A teenager reports being sexually active to the nurse and expresses concern about acquiring a sexually transmitted infection (STIs). How can the nurse best address the teenager's concern?
Educate the client to use condoms.
A young-old nurse wishes to mentor the younger new nurse and askes the supervisor for permission to be a mentor. According to Erikson, which development stage is the young-old adult nurse is experiencing?
Ego integrity
Considering Erikson's theory of psychosocial development, what is an activity associated with the psychosocial challenge facing an older adult?
Reflecting on events and decisions made over one's lifetime.
A 4-year-old has broken his leg and is fitted with a full leg cast that impairs his mobility greatly. At a follow-up visit, the mother expresses concern that he has "started wetting the bed again." What response should the nurse provide the mother to address her concerns?
"A child's behavior may regress to an earlier stage of development during an acute illness."
The nurse is talking to a 15-year old client with diabetes type1. What statement made by the client demonstrates further instructions regarding risky behaviors is required?
"I am going to eat what I want. It wont hurt me."
Based on Erikson's theory of psychosocial development, which statement by an adolescent should cause the nurse the greatest concern?
"I don't have any idea who I really am."
During the annual physical examination, a teenage client tells the nurse about feeling anxious as well as frustrated because of facial acne. Which is the nurse's best response?
"Let's talk about how to care for your skin."
Parents ask the nurse what event identifies that their son has reached?
"Puberty occurs when the person becomes able to reproduce sexually."
Why is it important that the nurse assist in providing sex education when asked questions by an adolescent? Select all that apply.
-Adolescents will seek answers elsewhere. -Incorrect information may be gotten from peers. -They will benefit from a reliable source of information. -Unsafe sexual activities could result from a lack of knowledge.
What topics should the nurse incorporate into a discussion with an older adult concerning lifestyle changes? Select all that apply.
-Change in most body functions and abilities -General change in sociologic roles -Change in emplovee or employer role -Increased amount of leisure time
Which behaviors are associated with ageism? Select all that apply.
-Discrimination against older adults -Prejudice based on chronologic age -Negative labeling of the aging population
A young-old adult client informs the nurse *I want to remain independent and ot have to depend on my children." What key element does the nurse recognize will allow this to occur? Select all that apply.
-Healthcare -Financial stability -Social resources
During the annual physical examination, an adolescent girl shares with the nurse that she is interested in having an intimate relationship with her boyfriend but does not know much about sex. Which topics should the nurse address? Select all that apply.
-How sexually transmitted infections (STIs) are spread? -Review pubertal changes that occur in the body. -Provide information about sex and pregnancy. -Explain the role of birth control. -The importance of abstinence related to birth control and STI risk.
Parents of a 15 year old child are concerned about the influences of peers on their child's behavior. What suggestions can the nurse make to help the parents encourage the child to overcome these pressures? Select all that apply.
-Model safe habits and practices. -Listen without judgment. -Give positive reinforcement for good behavior.
What assessment should the nurse perform on a middle-aged client who is experiencing problems adjusting to the idea that not all life goals will be achieved? Select all that apply.
-Sexual dysfunction -Anxiety -Alcohol abuse -Depression
Which interventions should the nurse include in discussions related to counseling adolescent girls regarding potential sexual activities? Select all that apply.
-Stressing the importance of having a trusted source of sex information -Stressing the difference between preventing pregnancy and sexually transmitted infections (STIs) -Describing the appropriate use of condoms
A client asked the nurse why so many wrinkles have developed on the clients face. Which response by the nurse is the best?
Wrinkles are a result of a loss of elasticity.
What is considered to be a normal attention span for a toddler?
5 - 10 minutes
Which client should the nurse monitor more closely for signs of develeping depression?
A 68 year old Caucasian male who lives alone
A couple with young children asks the nurse about the factors that contribute to a strong family unit. What information should the nurse provide to the parents?
Both parents need to be involved in childrearing activities.
Parents inform the nurse that they found laxatives in their daughter's room and have heard her vomiting in the bathroom with the door locked after eating What should the nurse provide information to the parents regarding?
Bulimia
A male student tells the school nurse that he has started to experience the involuntary discharge of semen while sleeping. The nurse should place a priority on what topic of discussion with this client?
Changes that occur during adolescence.
A middle aged client is experiencing some age related skin changes. Which action is a priority by the nurse related to these changes?
Discuss with the client normal verses abnormal changes.
When discussing the growth and development of an infant with a client, the nurse refers to various theories and phases of development. The nurse is reviewing the major points of Erikson theory of development with a client. What explanation of this theory should the nurse provide?
Each stare of development contains a psychosocial challenge or critical period during which the person must deal with a major life change.
Considering Erikson's theory of psychological development, what is an example of psychosocial development during the middle adult period?
Earning an advanced academic degree
The nurse overhears an oldest adult client saying to another client "I feel depressed because I have so many regrets about my life." Which activity can the nurse provide to help this client gain a positive perspective?
Encourage reminiscence
A nurse discussing feeding practices with the mother of an infant learns that she regularly feeds the child by propping the bottle on a blanket in the crib. Based on this information, which assessment should the nurse perform on the child?
Erosion of tooth ehamet on the child's primary of Baby teeth
Which is the priority intervention for the nurse to implement when discussing retirement with a 45-year-old client?
Explore possible outside interests with the client.
A middle aged client informs the nurse of an increasing weight gain. Which screening should the nurse prepare the client for to assess for potential complications of the weight gain?
Glucose level to screen for diabetes.
A 16-year old states to the nurse, "Don't worry about me, nothing bad will happen. It's just sey and does not mean anything."
I would like to talk to you about the consequences' of sexual activitv.
The parent informs the nurse that their toddler is toilet trained but since being in the hospital has begun soiling. What nurse action is appropriate at this time?
Inform the parent that the child has regressed to an earlier stage due to the stress of being hospitalized.
The nurse obtains a 24-hour food recall from a 14-year old child and determines that the majority of the food consumed is "junk food" or empty calories. What education should be provided to the adolescent?
Provide information and suggestions for improvements in diet choices and portions
When considering human growth and development, what example describes proximodistal direction movements?
Rolling over before grasping objects.
What priority teaching should occur for a toddler well child exam?
Safety
According to Erikson, what intervention provided by the nurse caring for a 9 - month old infant during a hospitalization can assist the infant in mastering the developmental task of trust verses mistrust?
Satisfy the basic needs of the infant without delay.
A mother asks the nurse what is the first solid food that she should give her infant. What food should the nurse suggest the mother introduce first?
Small amounts of iron-fortified cereal
When asked about playing, the parents of a 3-year-old share that he plays with his toys in the same area as other children but never interacts with them. Nurse documents that the child engages in what form of play?
Solitary play
The nurse is providing care for a client with presbycusis. Which nursing action should the nurse perform to accommodate the client's condition?
Speak in a clear voice while facing the client.
A parent expresses concern over the amount of attention her daughter pays to "looking just right." The parent is concerned the teen is experiencing an eating disorder. What information should the nurse provide the parent about her concerns?
Teens are generally very concerned about their appearance
When considering Erikson theory of psychological development, which client is at greatest risk for isolation?
The 28-year-old who dislikes socializing with peers
The parent of a 1-month old infant states a concern that the "soft spot"' on the baby's head has not yet closed. What is the best response by the nurse?
The anterior fontanels may not close until 12-18 months and the posterior by 8-10 months
A middle-aged client informs the nurse of a 15 pound weight gain without changing any eating habits or level of activity. Which response by the nurse is the best?
This occurs from excessive caloric intake and decreased metabolism.
