Human Dev Final

Each of the following children visits the school nurse on a regular basis. Which of these children would the nurse identify as being at risk for a learning disability and suggest follow-up care? 9-year-old whose parents recently divorced 10-year-old who is inattentive and fidgets constantly 12-year-old with a 4000-word vocabulary 11-year-old who scored 102 on an IQ test

10-year-old who is inattentive and fidgets constantly

The school nurse is evaluating children for signs and symptoms of depression. Which of the following children may be most at risk for depression? (Select all that apply.) 11-year-old girl who has been involved in fighting during the past month 10-year-old boy who no longer wants to play on the school's soccer team 12-year-old boy who has started lifting weights 9-year-old girl who visits the nurse on a daily basis for vague complaints

11-year-old girl who has been involved in fighting during the past month 10-year-old boy who no longer wants to play on the school's soccer team 9-year-old girl who visits the nurse on a daily basis for vague complaints

Approximately how much sleep do toddlers require each day? 10 h 11 h 12 h 13 h

12 h

How many words are in a toddler's receptive language at 2ab4irbm.comn/tthest of age? 500 words 1200 words 2400 words 3600 words

1200 words

A nurse is determining caloric needs for a preschooler who weighs 18kg. Which of the following represents the daily caloric needs for this child? 1360 calories 1540 calories 1620 calories 1800 calories

1620 calories

Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae? 1 2 3 4

2

When do females usually begin puberty? 1 year before males 1 year after males 2 years before males 2 years after males

2 years before males

A mother asks her toddler if she is tired. The toddler responds by saying, "Sammy bed." Based on her expressive language and speech pattern, the nurse determines that this child is likely how old? 18 months 24 months 30 months 36 months

24 months

A -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be 13 pounds, 4 ounces. 19 pounds, 14 ounces. 26 pounds, 8 ounces. 33 pounds, 2 ounces.

26 pounds, 8 ounces.

Which Tanner stage of male genital development is characterized by initial enlargement of the penis, mainly in length along with further growth of the testes and scrotum? 1 2 3 4

3

Which of the following young adults exemplifies Kohlberg's postconventional level of moral reasoning? 28-year-old person who calls in sick so as to help a friend move to a new location 22-year-old man who uses marijuana on the weekends with friends. 30-year-old woman who volunteers at a soup kitchen several days a month 35-year-old who works long hours so as to be considered for a promotion

30-year-old woman who volunteers at a soup kitchen several days a month

A community health nurse has received a grant to present a program about violence prevention. Which of the following individuals has a higher than average risk of homicide? (Select all that apply.) 33-year-old woman who served 5 years in prison 20-year-old homeless man 28-year-old man with a history of bipolar disorder 24-year-old woman who has a female partner

33-year-old woman who served 5 years in prison 20-year-old homeless man 28-year-old man with a history of bipolar disorder

A nurse is working in a domestic violence shelter. Which of the following individuals would the nurse expect to encounter? (Select all that apply.) 34-year-old White woman who is vice president of a communications company 26-year-old Black woman who has a live-in boyfriend 29-year-old Hispanic man who has been married for 2 years. 21-year-old unemployed White woman who has been with her boyfriend for 3 years

34-year-old White woman who is vice president of a communications company 26-year-old Black woman who has a live-in boyfriend 29-year-old Hispanic man who has been married for 2 years. 21-year-old unemployed White woman who has been with her boyfriend for 3 years

The nurse is observing the development of gross motor skills of young children at a community recreation center. The nurse is watching a particular child who alternates feet when descending stairs and uses a pencil with good controalb.irOb.cnomav/tesrtage, what is the youngest age this child is likely to be? 3 years old 4 years old 5 years old 6 years old

4 years old

A 30-year-old woman with a BMI of 36 is counseled by the nurse regarding interventions to assist with weight reduction. In which order would the nurse discuss the implementation of these interventions? 1. Gastric stapling 2. Medication to reduce appetite 3. Nutrition and exercise education 4. Assessment of lipid profile and blood pressure 4, 3, 2, 1 4, 2, 3, 1 3, 4, 2, 1 3, 2, 1, 4

4, 3, 2, 1

At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler's approximate final adult height to be 4 feet 8 inches. 5 feet. 5 feet 2 inches. 5 feet 4 inches.

5 feet 4 inches.

A nurse is conducting a community health-education program about osteoporosis with a group of older adults. Which of the following individuals in attendance is at greatest risk for developing osteoporosis? (Select all that apply.) 65-year-old Asian woman who smokes one pack of cigarettes per week 80-year-old White man who has three glasses of wine per day. 74-year-old White woman on daily oral prednisone for emphysema 68-year-old Black man who has a sedentary lifestyle

65-year-old Asian woman who smokes one pack of cigarettes per week 80-year-old White man who has three glasses of wine per day. 74-year-old White woman on daily oral prednisone for emphysema

A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates? 300 calories 700 calories 900 calories 1200 calories

700 calories

According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair? 72-year-old man who is reluctant to retire because "Work is everything to me" 78-year-old woman who has scheduled her third face lift 80-year-old man who has informed his children that he has made his funeral arrangements 67-year-old woman who is depressed because she has not been promoted at work for the past 10 years

80-year-old man who has informed his children that he has made his funeral arrangements

Which of the following children should the school nurse monitor closely for hypertension (HTN)? (Select all that apply.) 7-year-old White male with no known family history of HTN 9-year-old White female whose 20 year old brother has HTN 6-year-old Black child with no family history of HTN 10-year-old Mexican American child with known family history of HTN

9-year-old White female whose 20 year old brother has HTN 6-year-old Black child with no family history of HTN 10-year-old Mexican American child with known family history of HTN

The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam? A 14-year-old girl who has not experienced menarche A 7-year-old boy who has grown 2 inches in a year A 10-year-old girl who has gained 11 pounds in a year An 8-year-old boy who has lost four deciduous teeth in the past year.

A 10-year-old girl who has gained 11 pounds in a year

Which of the following children is at risk for developing encopresis? A 6-year-old child who has occasional bed wetting A 3-year-old child who is not fully toilet-trained A 5-year-old child who has been in four foster care homes since age 3 A 4-year old child who passes stool every morning after breakfast

A 5-year-old child who has been in four foster care homes since age 3

A community health nurse is caring for a variety of different people in the community. Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics? (Select all that apply.) A 54-year-old couple whose young adult daughter and grandson move back into their home A 44-year-old single mother raising three adolescent children without child support A 60-year-old couple whose children have established successful careers in another state A 36-year-old couple whose child plays competitive tennis.

A 54-year-old couple whose young adult daughter and grandson move back into their home A 44-year-old single mother raising three adolescent children without child support A 36-year-old couple whose child plays competitive tennis.

Which of the following individuals is at risk for developing osteoporosis? (Select all that apply.) A 55-year-old man who is on a low dose of oral prednisone every day because of rheumatoid arthritis A 40-year-old woman who works as a secretary A 60-year-old woman who walks three miles a day A 50-year-old man who works as a mason

A 55-year-old man who is on a low dose of oral prednisone every day because of rheumatoid arthritis A 40-year-old woman who works as a secretary

Which of the following middle-age adults has successfully transitioned to Erikson's generativity-versus-stagnation stage of development? A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week A 63-year-old man who regrets his career choice and feels he cannot change careers at this late stage of his life. A 45-year-old woman who resents having to care for her aging mother-in-law A 50-year-old man who has not saved for retirement and also spends his discretionary income on solo vacations.

A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week

Which of the following people has exceeded the recommended guidelines for activity? A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity A 45-year-old woman who swims and has a pulse rate of 145 during activity A 50-year-old man who jogs and has a pulse rate of 120 during activity A 60-year-old woman who walks briskly to achieve a pulse rate of 135 during activity

A 60-year-old woman who walks briskly to achieve a pulse rate of 135 during activity

During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-year-old child. Which of the following should the nurse encourage the parent to purchase? A box of wooden blocks of various sizes for sorting A jar of sea shells in various shapes, colors, and textures A world map A beginning encyclopedia of animals

A jar of sea shells in various shapes, colors, and textures

Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development? A 21-year-old man who has had multiple intimate relationships with women over the course of one year A 25-year-old man who makes no effort to date anyone of either gender but he is very close to his two dogs. A stable young couple with a long-term close relationship who has decided not to marry All of the above meet the criteria on one level or another.

A stable young couple with a long-term close relationship who has decided not to marry

A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger's syndrome. Which of the following findings is the nurse most likely to discover? Eating finger foods at 10 months old Absent crawling at 10 months old Separation anxiety at 10 months old Saying ―ma-ma‖ at 10 months old

Absent crawling at 10 months old

Which of the following events poses the greatest threat to a toddler's health? Childhood diseases Complications from adverse vaccine reactions Accidents Influenza in an unvaccinated child

Accidents

Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was most successful? Reduction of fat consumption Increase in consumption of fruit Adequate food supplies at home Reducing obesity rates

Adequate food supplies at home

Which of the following factors would be considered predictors of satisfaction with retirement? (Select all that apply.) Participation in competitive sports but most especially golf Adequate income Having grandchildren Good functional ability

Adequate income Good functional ability

A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child? A fenced-in pool in the backyard An entertainment center with the remote control on the top shelf A closed window in the child's bedroom A toy box overflowing with toys

An entertainment center with the remote control on the top shelf

The school nurse has written a grant to obtain funding for a vision screening program and glasses for children in his pre-K to 6th grade elementary school. Which of the following statements should be included with the rationale for the need for funding? Many preschool children are hyperopic and need glasses to prevent headaches. Most states require vision screening on entering school. Vision screening can diagnose vision/eye problems before they become severe. Approximately one in four children has a vision problem.

Approximately one in four children has a vision problem.

According to Erikson, which of the following teenager is at risk for not meeting his developmental task? Arrested for petty theft Decided he wants to major in accounting Has recently broke up with his girlfriend Is a member of the varsity basketball team

Arrested for petty theft

A 45-year-old care recipient who has experienced a ten pound weight gain during the past year asks the nurse if she thinks iron supplements would help increase her energy. Which of the following would be the most appropriate action for the nurse to take? Ask the care recipient to describe her daily activity and diet Leave a note requesting an iron supplement on the care recipient's chart for the doctor. Provide the care recipient with information related to aerobic exercise classes. Ask the care recipient if she is still menstruating.

Ask the care recipient to describe her daily activity and diet

A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child? Report the suspected child abuse to the Department of Children and Families. Not a significant concern as the vast majority of toddler bruises are from falls. Ask the mother about the bruises. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present.

Ask the mother about the bruises.

A school nurse is caring for a child with an upper respiratory tract infection. Which of the following nursing interventions should the nurse implement? Send the child with a mild sore throat back to class. Advise the parent of a child with a group A strep throat infection that they cannot return to school for 5 days. Educate the parent that treatment of group A strep infections usually requires extra fluid intake. Ask the parent of a child with a mild fever and mild sore throat to take the child to his or her health care provider.

Ask the parent of a child with a mild fever and mild sore throat to take the child to his or her health care provider.

A nurse working in a rural location is interested in starting a weight management group for care recipients in the area. Which of the following interventions is most likely to ensure success? Using a pre-set list of topics for discussion to be sure to cover all important areas Using standardized, validated State materials/tools to relay information to the group Asking for a list of topics that interest the group Beginning each session with a 1 to 2-mile walk

Asking for a list of topics that interest the group

Which of the following medications is generally recommended to help preserve cardiovascular health in middle-age women? Aspirin Folic acid Estrogen Estrogen receptor modulator

Aspirin

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. Confusion is a reliable indicator of dementia. 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 discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation? (Select all that apply.) Driving mid-sized two door vehicles is recommended. Avoiding talking on cell phones Driving during daytime hours Wearing safety belt

Avoiding talking on cell phones Driving during daytime hours Wearing safety belt

A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation? (Select all that apply.) Bare spots on the scalp, and broken hair Overly concerned parents Burns with sharply demarcated edges Bruises to the knees and chin, reportedly from a fall.

Bare spots on the scalp, and broken hair Burns with sharply demarcated edges

The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse? Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted. Everyone is different; it will happen in the near future. Based on when the breast buds first appeared, she should start menstruating around in the age of 14. She will not start menstruating until her breasts are of adult size and contour.

Based on when the breast buds first appeared, she should start menstruating around in the age of 14.

Which of the following circumstances accounts for one of the leading cause of death in young adults? Tobacco use Binge drinking and driving Illegal drug use HIV infection

Binge drinking and driving

An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease? (Select all that apply.) Black man with a blood pressure of 130/80 Mexican American man with a blood pressure of 110/60 White woman with a bold pressure of 120/80 Black woman with a blood pressure of 128/78

Black man with a blood pressure of 130/80 Black woman with a blood pressure of 128/78

Which of the following signs may be indicative of childhood cancer? (Select all that apply.) Bruises Pale skin Enlarged lymph nodes Hives

Bruises Pale skin Enlarged lymph nodes

During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing? Bulimia nervosa Binge eating disorder Idiopathic constipation Irritable bowel syndrome

Bulimia nervosa

A nurse is conducting a community health-education program for Hispanic women ages 18 to 35. Which of the following items should the nurse recommend that they increase in their diet on a daily basis? (Select all that apply.) Calcium Folic acid Iron Sodium

Calcium Folic acid Iron

A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next? Call the pediatrician on call. Give ipecac syrup. Call the Poison Control Center. Wait to see if the child will vomit.

Call the Poison Control Center.

Which of the following diseases disproportionately affects non-hispanic black persons? These persons are affected with a greater incidence than what would be expected based on population demographics OR because they have a higher morbidity/mortality for the disease as compared to Whites. (Select all that apply.) Cancer Heart disease HIV disease Osteoporosis

Cancer Heart disease HIV disease

A nurse is conducting a school-wide in-service program about child abuse and is asked to describe common indicators of abuse. Which of the following signs would the nurse include? (Select all that apply.) Caregivers and parents who are reluctant to take the child for treatment for an injury Statement by the day care provider that the child was injured by falling off a chair Explanation of the injury from the child and caregiver or parent is similar Lack of emotional response from child to a playground injury

Caregivers and parents who are reluctant to take the child for treatment for an injury Statement by the day care provider that the child was injured by falling off a chair Lack of emotional response from child to a playground injury

Which of the following nursing interventions implies respect for a person's spirituality? (Select all that apply.) Changing the position of the bed in a Muslim client's room so that it faces east At the request of a Buddhist patient, asking the home health aide to pick up incense when she next shops for the patient. Saying a silent prayer with a client, at the client's request Praying out loud in the room of a dying client

Changing the position of the bed in a Muslim client's room so that it faces east At the request of a Buddhist patient, asking the home health aide to pick up incense when she next shops for the patient. Saying a silent prayer with a client, at the client's request

Which of the following foods will a 5-year-old child need help eating? Pudding Macaroni and cheese Chicken Jelly sandwich

Chicken

A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler. Which of the following statements would the nurse most likely make? Temper tantrums are expected, so giving into them reduces parental stress Put your toddler in time out if he has a temper tantrum Childproof your home Always provide your toddler with challenging toys

Childproof your home

20. Which of the following effects of divorce on middle-age adults and children has been documented by research? Children adapt to divorce more rapidly than do adults. Emotional healing after a divorce takes approximately 24 months in adults. Children of divorced parents may have emotional effects lasting for decades Children of divorced parents undergo similar emotional turmoil as their parents.

Children of divorced parents may have emotional effects lasting for decades

A preschooler and her school-age brother both have received the same swimming tube as a gift. The brother accidentally took his sister's swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister? Abstract thinking Concrete thinking Jealousy A temper tantrum

Concrete thinking

17. A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse? Congratulate the child on a job well done. Tell the child that he is too young to invent anything. Nicely tell the child that it does not sound like a song. Ask the child to come back later when there is more time to listen to the song.

Congratulate the child on a job well done.

A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children's parents died in a car accident. Which of the following is nursing interventions is a priority to help the grandparents cope with the responsibility of raising their grandchildren? Connecting them with the "Grandparents Raising Grandchildren" support group Encouraging them by reminding them how they successfully raised their own children Volunteering to provide respite time for them as needed Assuring them that their stress level will lessen, as they gain confidence

Connecting them with the "Grandparents Raising Grandchildren" support group

A nurse is assigned to provide care for a 96-year-old bedridden man who experiences severe pain from a chronic neurological disease. The man asks the nurse to please help him leave this world so that his suffering will end. Which of the following actions would be most appropriate for the nurse to take? Assist the doctor with the man's request. Refuse to care for the man. Contact the pain care specialist. Provide the man with names of doctors who participate in assisted suicide.

Contact the pain care specialist.

A nurse is planning activities to help children learn about good nutritional practices. Which of the following strategies should the nurse implement? Coordinate a, "Try This" food day offering a variety of nutritious snacks. Find a book about nutrition to read the students. Plan a video using the concept of MyPlate. Search on-line for a video about nutrition to the students.

Coordinate a, "Try This" food day offering a variety of nutritious snacks.

A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation? Down syndrome is most likely to appear during the preschool years. Hemophilia is most likely to appear during the preschool years. Cystic fibrosis is most likely to appear during the preschool years. Multiple sclerosis is most likely to appear during the preschool years.

Cystic fibrosis is most likely to appear during the preschool years.

A nurse is completing a health counseling session with a 25-year-old woman. Which of the following statements should be made by the nurse during this session? A yearly Pap test is recommended for detection of ovarian cancer. Research supports that breast self-exams reduce breast cancer mortality. The incidence of cervical cancer is very low in your age group. Daily physical activity and weight control is one way to stay healthy.

Daily physical activity and weight control is one way to stay healthy.

A nurse has received a grant to provide a community-based education series for middle-age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group? Diet and exercise Seat belt use Depression screening Cancer prevention

Diet and exercise

The nurse collects the following assessment data from a woman: Hispanic ethnicity, BMI 29 kg/m2, age 41. Which of the following actions should be taken by the nurse? Encourage the care recipient to continue her dietary and exercise patterns. Discuss her current dietary and exercise lifestyle habits. Formulate a plan for increased exercise incorporating her preferences for type of exercise. Encourage the care recipient to adopt a low-calorie diet to help control her weight.

Discuss her current dietary and exercise lifestyle habits.

A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents? Do not read to the child while sitting on the sofa in front of the fireplace. Do not cook on a gas grill until the child is a teenager. Do not leave cigarettes and matches on the kitchen counter. Do not cook with the child in the kitchen.

Do not leave cigarettes and matches on the kitchen counter.

A 63-year-old woman complains to the nurse that she has insomnia and sleeps only 6 h a night. Which of the following responses should be made by the nurse? Prescription sleeping pills are preferable. Over-the-counter sleeping aids have more undesirable side effects Make sure that you do not nap during the day, even if you are tired. Do you feel excessively tired during the day? The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping.

Do you feel excessively tired during the day?

As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine? Do you have any food allergies? Have you had the pneumococcal vaccine? Have you had the flu in the past 5 years? Do you have Medicare?

Do you have any food allergies?

The school nurse has been asked to conduct a community awareness program about accidents that impact the school-age child. Which of the following facts should be included in the program? Poisonings and falls are the leading causes of death. Drowning and motor vehicle accidents are the leading causes of fatality. The majority of accidents happen inside the home. Burn accidents are more common in the summer months.

Drowning and motor vehicle accidents are the leading causes of fatality.

Which of the following statements about smoking is true? Black children begin smoking at an earlier age than do White children. Almost 90% of schools prohibit tobacco use in all locations. Each day over 6000 children try smoking. Tobacco use prevention programs should be initiated in eighth grade.

Each day over 6000 children try smoking.

A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account? Television commercials frequently advertise food-related products. Children watch approximately 2 h of television a day. Each day, approximately 60% of children eat fast food. A child is three times more likely to eat in a restaurant than at home.

Each day, approximately 60% of children eat fast food.

A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement? Educate the public about violence and the potential for abuse. Remove a child who has been abused from the home. Report a case of child abuse. Refer a parent who abused their child to counseling.

Educate the public about violence and the potential for abuse.

A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to the students and parents. Which of the following statements is NOT correct concerning how the nurse should implement this program? Offer gender-segregated sex education classes. Education on sexually transmitted diseases is not advised until school. Determine how this education has been provided in the past, as a first step. Survey parents to determine their desire for this education to be provided.

Education on sexually transmitted diseases is not advised until school.

Which of the following statements concerning sleep patterns in teenagers is correct? Adolescents need 7 to 8 h of sleep nightly. Electronic devises have been associated with sleep deprivation. Extra-curricular sports, like all exercise, help teens maintain adequate sleep. All of the above statements are correct.

Electronic devises have been associated with sleep deprivation.

An occupational health nurse is planning injury-prevention educational sessions. Which of the following considerations should be made by the nurse? Food handlers should have TB testing every 2 years. Employees may need to be educated concerning the use of protective clothing or devises when needed. OSHA rules apply to all companies with more than 25 employees. In a union shop, the union steward's approval is needed to remove a worker from a job.

Employees may need to be educated concerning the use of protective clothing or devises when needed.

A nurse has recently accepted the position of unit nurse manager on a long-term care unit. Which of the following directives should the nurse give to the staff nurses? Encourage residents to participate in unit activities such as scrabble and bingo. Demonstrate the caring aspect of nursing by dressing residents before breakfast. Discourage exercise for patients with Parkinson because it has been shown to accelerate muscle stiffness. Switch places at the table every 3 weeks and change roommates every 6 weeks to alleviate boredom.

Encourage residents to participate in unit activities such as scrabble and bingo.

A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make? Encourage the toddler to drink orange juice and eat yogurt. Encourage the toddler to eat concentrated carbohydrates to absorb the lead. Limit foods high in iron such as spinach because iron retains lead in the body Encourage dark chocolate, which contains antioxidants to help reduce lead levels.

Encourage the toddler to eat concentrated carbohydrates to absorb the lead.

Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how best to help their daughter. In addition to closer supervision to prevent such activity, which of the following recommendations should the nurse give to the parents? Talk to their daughter at length regarding the dangers associated with drinking. Have her favorite aunt, with whom she is very close, talk to her about drinking. Enroll their daughter in a peer support group focused on teenage drinking. Provide their daughter with literature regarding the dangers of drinking.

Enroll their daughter in a peer support group focused on teenage drinking.

A nurse is conducting a home visit for an older adult in the summer. Which of the following items should the nurse should locate in the home in the interest of preventing a heat stroke? Fan Porch chair Synthetic blend clothing Air thermometer

Fan

Which of the following statements is NOT correct concerning adolescent sexual issues? Sexting is becoming an increasingly common practice among teenagers. Experimenting with same sex intimacy may put teens at risk for suicide. Fantasizing about sexual activities has been shown to lead to promiscuity. Anticipatory guidance appropriately includes information about contraception and STDs.

Fantasizing about sexual activities has been shown to lead to promiscuity.

A nurse conducted a 5-week education series about health maintenance. Which of the following statements by a participant indicates the analysis stage of cognition as defined by Bloom's taxonomy? If I eat too much food and do not exercise, I will gain weight. Fat is more calorie-dense than is protein. If I eat calorie-dense foods and do not moderately exercise at least 5 days a week, I will gain weight. I will walk briskly at least a mile a day, 6 days a week, to maintain a healthy weight I can eat more if I exercise more.

Fat is more calorie-dense than is protein. If I eat calorie-dense foods and do not moderately exercise at least 5 days a week, I will gain weight.

Which of the following statements is correct regarding firearms? As with video games, toy guns has been shown to increase violence later in life. For safety, guns should be stored apart from ammunition The second amendment exempts hand guns. All of the above statements are correct.

For safety, guns should be stored apart from ammunition

According to Piaget, which of the following developmental stages is applicable for the teenage years? Concrete operational Formal operations Abstract operations Inductive operational

Formal operations

Which of the following statements concerning urinary incontinence is correct? Urge incontinence occurs when one has the urge to void but is unable to do so. Stress incontinence is associated with emotional turmoil. Functional incontinence is associated with environmental barriers. Incontinence with high post-void residual occurs when someone laughs or sneezes.

Functional incontinence is associated with environmental barriers.

Which of the following statements is correct concerning genetics as it pertains to childbearing? Genetic testing is available for just under 50 diseases. Genetic impairments or congenital defects account for 4% to 6% of perinatal deaths. Most of the genetic testing offered is for diseases with multi-gene etiologies. Genetic testing provides useful information but It cannot predict the probability of disease transmission.

Genetic impairments or congenital defects account for 4% to 6% of perinatal deaths.

A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping? Eat it herself. Ask her brother if he wants it. Feed it to her dog. Give it to her imaginary friend

Give it to her imaginary friend

The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information? Give the mother information about local support groups. Provide the mother the name of a prominent local attorney. Do not offer any advice unless the mother asks. Help the mother find a job.

Give the mother information about local support groups.

A 62-year-old person states to the nurse, "I have trouble with my peripheral vision. Sometimes, I do not notice objects unless they are in front of me." Which of the following disorders is the client likely experiencing? Presbyopia Glaucoma Cataracts Diabetic retinopathy

Glaucoma

A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents? Have him change his own pajamas before returning to bed. Take away one video game. Tell his 6-year-old sister about the incident. Make him wear his diaper to bed.

Have him change his own pajamas before returning to bed.

An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation? Ask the toddler if he wants to be examined today. Ask his mother to leave the room while the nurse examines him. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest. Have his mother hold him down while the nurse examines him.

Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.

3. The nurse working in a retirement community for older adults is conducting a psychosocial assessment of all residents to screen for depression and suicidal ideation. Which of the following questions should the nurse ask during the assessment process? (Select all that apply.) Have you thought about harming yourself? Are you still playing bridge every Thursday? How does your congestive heart failure affect your life? Do you still have any money left in your IRA account

Have you thought about harming yourself? Are you still playing bridge every Thursday? How does your congestive heart failure affect your life?

A nurse volunteered to work at a natural disaster site. Which of the following questions should the nurse ask to determine if the 26-year-old individual, being screened for depression, has suicide ideation? Tell me about your pets. What do you do for work? How has your work been affected by this disaster? Have you thought of harming yourself? Have you seen your friends since the disaster?

Have you thought of harming yourself?

A parent asks the nurse working in a pediatric clinic how she can help her 6-year-old child feel good about himself. Which of the following statements should be made by the nurse? Doing most things for your child will give the child a sense of security, and the child will have a positive self-image. Having your child help around the house with tasks such as setting the table will increase self-esteem. Make sure to highly praise even the smallest effort your child makes at completing a task. There is little you can do to increase your child's self-esteem. The child's peers have much more of an influence than parents at this age.

Having your child help around the house with tasks such as setting the table will increase self-esteem.

Which of the following statements is correct regarding substance abuse and teenagers? Marijuana is the most frequently abused substance by teenagers. Opioid overdosing is on the decline secondary to better education on the hazards. Heroin is now purer than in the past, sometimes laced with fentanyl. Opioids when legally prescribed are safe and rarely lead to the use of street drugs.

Heroin is now purer than in the past, sometimes laced with fentanyl.

A nurse formed a political action committee to advocate for health insurance for the uninsured. On which of the following populations would the nurse focus the group's efforts? Asian Americans Blacks Hispanic Americans Working-poor White Americans

Hispanic Americans

A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person? Transportation assistance Home-delivered meals Adult day care Home health nursing

Home health nursing

The son of a 70-year-old man dying of cancer asks the nurse to tell him about the hospice program, so he can help his father decide if the program would be of benefit to him. Which of the following responses should be given by the nurse? At hospice, your father will be heavily medicated, so he will not have pain. All of your father's care will be provided by nurses at hospice. Hospice care can take place either at home or in a hospice facility. Visiting hours are about the same at hospice as they are here in the hospital.

Hospice care can take place either at home or in a hospice facility.

A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse? Don't worry; eventually all children become toilet-trained How long does the child stay dry during the day Train him on a regular toilet instead of a potty chair Here is a training schedule to follow which is almost always successful

How long does the child stay dry during the day

Which of the following statements made by a client best identifies someone who would likely to be receptive to health-promotion interventions? I have a new grandchild and want to be part of her life. My mother lived until she was 90, so a long life is in my genes. Some chronic illness is just a part of aging. I hope I'll live a lot longer, but one never knows.

I have a new grandchild and want to be part of her life.

Which of the following statements made by a parent is most helpful when discussing rules of the household? You did not feed the dog like you promised, so you cannot have ice cream for dessert. I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened. Why did you forget to feed the dog? Would you like me to forget to feed you? What you did was bad. We all need to care for the dog.

I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened.

During a well-child visit, parents report to the nurse that they are concerned that their 8-year-old son has started wetting the bed at night. Which of the following statements should the nurse make to the parents? I'll be sure to mention this to the doctor; we rarely see a child who wets the bed at this age. There is not much you can do to stop this problem until he gets older. This is a common disease in children his age but there are treatment options. I'm going to collect a urine sample from him and then we will talk about bed wetting.

I'm going to collect a urine sample from him and then we will talk about bed wetting.

The occupational health nurse is planning a health fair for employees. Which of the following information about dental health should be included? Drinking bottled water helps prevent tooth decay. Gingivitis results in bone destruction and can be eliminated by flossing daily. Preventive dental care requires a visit to the dentist every 4 months. In addition to screening for tooth decay, dentists often screen for mouth cancer.

In addition to screening for tooth decay, dentists often screen for mouth cancer.

A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing? Increased bullying by peers Increased self-esteem Increased resiliency Increased motivation to lose weight

Increased bullying by peers

Which of the following is NOT characteristic of anorexia nervosa? Increased frequency or heavy menses due to increased ovulation Co-morbid depression or anxiety Perfectionism Compulsive physical activity

Increased frequency or heavy menses due to increased ovulation

During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their ―road trips‖ that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next? Report the father to the local child protective agency. Encourage the father to have the child sit in the back seat instead. Instruct the father on the dangers of having small children in the front seat. Provide the parent with educational materials about car seat safety.

Instruct the father on the dangers of having small children in the front seat.

Which of the following elements is most likely deficient in a school-age child's diet? Protein Sodium Iron Vitamin B12

Iron

Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation? Feels happy on most days but on some days she feels sad Is agitated and has trouble sleeping Has a lot of homework and stays up late to finish it Values his friend's opinion more than his parent's opinion

Is agitated and has trouble sleeping

utism disorder is common and is invariably encountered by nurses providing care for children. Which of the following statements is correct concerning this disorder? It is caused by maternal drug abuse especially cocaine during the in utero period. It is caused by child vaccines. It is considered as a genetically determined disorder. It is more common with children who had high Apgar scores as newborns.

It is considered as a genetically determined disorder.

Which genetic disorder affecting the x chromosome is found in males and is often diagnosed at puberty? Gynecomastia Menstruation Turner syndrome Klinefelter syndrome

Klinefelter syndrome

Which of the following are symptoms or warning signs of anorexia nervosa? (Select all that apply.) Lack of menstruation in females Preoccupation with food Eating only small amounts of certain foods Dramatic weight fluctuations

Lack of menstruation in females Preoccupation with food Eating only small amounts of certain foods Dramatic weight fluctuations

From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers? Set strict rules to prevent the teenager from getting into any trouble. Learning how to let go Transition from the role of parent to friend/peer Drop rules and limits so as to foster maturity and self-determination.

Learning how to let go

The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam? Let the child listen to the nurse's heart with the stethoscope. Tell him to sit quietly while the nurse examines him. Ask his parents to leave the room to minimize distractions. Ask another nurse to hold him while the nurse examines him.

Let the child listen to the nurse's heart with the stethoscope.

A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which of the following responses should be made by the nurse? It is best to avoid milk or reading before bedtime. I'll ask the nurse practitioner to prescribe a sleeping pill for you. Taking naps during the day can help relieve excessive fatigue and will help you sleep better. Let's talk about your sleep schedule and things that may prevent you from getting a restful night's sleep.

Let's talk about your sleep schedule and things that may prevent you from getting a restful night's sleep.

A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother? Put the child in time out whenever he skips a meal. Offer small amounts of favorite foods (cookies, chips) at meals to stimulate appetite. Limit the child's consumption of juices and cookies. Talk to the child about how important it is to eat three meals a day.

Limit the child's consumption of juices and cookies.

The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program? Living in the dorm increases one's risk of developing meningococcal disease. The mortality rate from meningococcal disease is very low. There are no antiviral medications that can treat meningococcal outbreaks. A vaccine for meningococcal disease has not been developed.

Living in the dorm increases one's risk of developing meningococcal disease.

Which of the following statements is correct concerning adolescent pregnancies? Low birth weight is associated with teen pregnancies. Teen pregnancies have increased over the last two decades. Blacks have the highest rate of teen pregnancies. All of the above statements are correct.

Low birth weight is associated with teen pregnancies.

The occupational health nurse is asked to develop a plan to reduce work-related injuries. Which of the following recommendations would the nurse implement as the most effective way to reduce work-related injuries? Make the work environment smoke-free. Reduce environmental noise levels. Conduct regular walk-through assessments at the work site. Increase paid personal days from one to three.

Make the work environment smoke-free.

A nurse is conducting a community education program. Which of the following should be stressed the leading cause of death in middle-age adults? Automobile accidents Malignant disease Homicide Suicide

Malignant disease

Which of the following statements concerning nutrition and older adults is true? Older adults who live in their own homes are more likely to be malnourished than older adults living in a nursing home. Older adults lose their desire for high-fat, salty foods. Meals served in long-term care institutions are usually more well balanced than foods eaten by older adults living at home. Many older adults are not aware of food assistance programs.

Many older adults are not aware of food assistance programs.

Which of the following scenarios is outcome for the dissolution of families or divorce in young adults? There has been a movement toward increased church membership for solace. Many women will be forced to shelter in welfare hotels and group shelters. Marital counseling tends to be ineffective in this age group. All of the above statements are correct.

Many women will be forced to shelter in welfare hotels and group shelters.

A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam? May 11 May 14 May 17 May 23

May 23

Which of the following statements is correct concerning vaccinations for the school-aged child? The first of two HPV vaccines is given at age 10; the second given during high school. Tetanus booster every 5 years or when an unclean wound is acquired. Meningococcal vaccine at age 11 to 12 All of the above statements are correct.

Meningococcal vaccine at age 11 to 12

A nurse is planning a flu prevention fair for 9- to 11-year-old children. Which of the following activities should be included? (Select all that apply.) Microscopes set up to show bacteria on common objects Games such as ―find the germs‖ in a cartoon picture Research poster showing germ transmission Handwashing booth with colored soap

Microscopes set up to show bacteria on common objects Games such as ―find the germs‖ in a cartoon picture Handwashing booth with colored soap

A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother. Have him learn it at school. Model the behavior at home. Lecture him about hygiene. Punish him when he forgets to brush his teeth.

Model the behavior at home.

During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night and tells them about "scary things." He is fully awake when the parents enter the room. The child often recalls the incident the following morning. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up? Nightmares Night terrors Enuresis Hunger

Nightmares

A 2-year-old child has hives. Of the following items ingested which is most likely to have caused the allergic reaction? Apple juice Oatmeal-peanut cookies Jelly sandwich Banana

Oatmeal-peanut cookies

During a parent-nurse conference, the parent tells the nurse that her child sleeps approximately 7 h per night. Which of the following potential health problems would be of concern to the nurse? Hypertension Hyperactivity Obesity Type 2 diabetes

Obesity

Which of the following statements is correct concerning the "obesity paradox" as it pertains to older adults? Obesity in older adults is more detrimental than it is for younger adults. Unlike younger people, fruits and vegetables cause obesity in elderly people. Obesity in older adults is not related to caloric intake or exercise. Obesity in older adults is not clearly linked with shorter life span.

Obesity in older adults is not clearly linked with shorter life span.

Which of the following interventions will have the greatest impact on reducing constipation in older adults? (Select all that apply.) Offering strained fruit and vegetable juices to increase fiber content in the diet Encouraging fluids between meals Administering laxatives on a daily basis Assisting with ambulation

Offering strained fruit and vegetable juices to increase fiber content in the diet Encouraging fluids between meals Assisting with ambulation

A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements is accurate? The desire for sexual intimacy declines rapidly with age. Older adults are very well-informed about sexuality. Older adults need to practice safe sex. The danger of contracting STDs during sexual intimacy is extremely low in older adults.

Older adults need to practice safe sex.

A community health nurse is working with a diverse population of older adults within the community. Based on the data from the National Health Interview Survey, which of the following assumptions should be made by the nurse when working with this diverse population? White Non-Hispanic older adults tend to require more assistance with their activities of daily living. Hispanic older adults tend to rate their health as poorer than other ethnic groups. Older adults who tend to rate their health as fair or poor are also financially poor. Older adults tend to require more assistance with activities of daily living than with meeting their routine needs.

Older adults who tend to rate their health as fair or poor are also financially poor.

The occupational health nurse working for a large corporation is a member of a task force to improve the work environment. Which of the following suggestions by the nurse would help to improve work conditions? (Select all that apply.) On-site walking paths On-site food vendors On-site counter selling services On-site meetings of support groups such as Alcoholics Anonymous

On-site walking paths On-site counter selling services On-site meetings of support groups such as Alcoholics Anonymous

The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse's correct understanding of this issue? Dental problems are not as prevalent a problem as asthma, so you might want to consider a health fair about respiratory problems instead Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate Children are not usually receptive to learning about dental care, so the topic is not the best choice for a health fair This is not an appropriate focus for a health fair because the incidence of dental caries has dropped dramatically due to the use of sealants

Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate

The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse? By age 11, blood pressure readings are the same as for an adult Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake. Children in this age group have some difficulty with coordination and balance, so playground supervision is important Overall growth in school-age children is slower than during infancy and adolescence

Overall growth in school-age children is slower than during infancy and adolescence

Which of the following statements is correct? Tonsils in a school-age child are smaller than in an adult. The nervous system generally matures between ages 11 to 13. Fractures heal more slowly in a 10-year-old child than in an adult. Overweight children have muscle pain more often than average-weight children.

Overweight children have muscle pain more often than average-weight children.

A man tells a nurse that he is concerned about his risk and his wife's risk of developing cancer. Which of the following statements concerning cancer is accurate? PSA assessment alone is not ideal for purposes of screening for prostate cancer. Breast cancer risks are lower in women who have never had children. Smoking does increase the risk of cancer but non-smoking tobacco products do not increase risk. Increased immune function to adults after age 65 impacts cancer rates.

PSA assessment alone is not ideal for purposes of screening for prostate cancer.

A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child? Using corrective lenses Patching of the eye Applying artificial tears to the eye Allowing the passage of time

Patching of the eye

A public health nurse is interested in writing a grant to improve vaccination rates of young adults. His focus should be on obtaining funding to support which of the following vaccination initiatives? (Select all that apply.) Pertussis Lyme disease prevention Hepatitis B prevention Human papilloma virus (HPV) prevention

Pertussis Hepatitis B prevention Human papilloma virus (HPV) prevention

A nurse is working with a local day care center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend? Having the children bring their bikes to the center so they can go for bike rides in the neighborhood Drawing outdoor scenes using portable easels and chalks or crayons. Taking the children swimming at the neighborhood pool Playing on the outdoor preschool equipment while being supervised by day care personnel

Playing on the outdoor preschool equipment while being supervised by day care personnel

An 80-year-old person is admitted to the hospital. During the health assessment process, the nurse should screen for which of the following conditions? (Select all that apply.) Polypharmacy Renal insufficiency Illegal drug use Alcoholism

Polypharmacy Renal insufficiency Illegal drug use Alcoholism

Which of the following children may have difficulty with Erikson's ―industry versus inferiority‖ stage of development? (Select all that apply.) Poor motor skills and is rarely chosen for team play during recess Difficulty with math homework Difficulty making friends Cannot speak his or her native language fluently

Poor motor skills and is rarely chosen for team play during recess Difficulty making friends Cannot speak his or her native language fluently

Which of the following statements are correct concerning testing of developmental level? (Select all that apply.) The various approved screening tools serve as valid diagnostic tools. The Parent's Evaluation of Developmental Status (PEDS) is valid for ages 5 to 12 years. Positive findings on screening tests warrant referral to developmental and medical specialists. The Battelle Developmental Inventory Screening Tool is commonly used in the primary care setting.

Positive findings on screening tests warrant referral to developmental and medical specialists. The Battelle Developmental Inventory Screening Tool is commonly used in the primary care setting.

A nurse is planning community health programming for young adults. Based on the objectives for Healthy People 2020, which of the following topics would be priority areas for programming? (Select all that apply.) Prenatal care Physical activity Health Promotion Throughout the Life Span 9th Edition Edelman Test Bank c. HIVd. Suicide

Prenatal care Physical activity

Which of the following statements is correct concerning lifestyle change programs? Programs lasting 8 to 12 weeks are appropriate. Evaluation components should be discouraged in the interest of increasing enrollment and participation. Cultural factors, but not corporate policies, should be included in the content. All of the above statements are correct.

Programs lasting 8 to 12 weeks are appropriate.

Which of the following is a normal physiological change that occurs during middle age? Increase in gastric emptying resulting in acid reflux Reduction in height resulting in kyphosis Reduction of glomerular filtration by 50% Increase in the amount of estrogen produced in both genders.

Reduction of glomerular filtration by 50%

Which of the following behaviors exemplifies a toddler working through his developmental task? Clinging to his mother Refusing to take a bath Playing quietly with one toy Having no interest in a new toy

Refusing to take a bath

A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support? Increased regulation of WIC programs to insure compliance. Decrease the number of children exposed to pet dander Regulation of the paint allowed for use with toys All of the above

Regulation of the paint allowed for use with toys

The community health nurse has obtained a grant to offer a ―Safe Driving‖ series for older adults. Which of the following information should the nurse stress during the series? Traffic fatalities involving older adults occur mainly at dusk. The cause of two-vehicle accidents is frequently an older driver striking another Remaining inside during very hot weather is car The average blood alcohol level in older adults involved in accidents is higher than the blood alcohol level of younger drivers involved in accidents. Relearning the art of defensive driving can reduce the likelihood that an older driver will be involved in a motor vehicle accident.

Relearning the art of defensive driving can reduce the likelihood that an older driver will be involved in a motor vehicle accident.

Which of the following is correct concerning heat regulation in the older adult? Remaining indoors where temps are 90 degrees or higher is recommended. Increased sweating, characteristic of older adults, increases the risk of dehydration. Increased use of salt, secondary to declining taste, increases the risk for heat stroke. The ability to feel heat and cold is typically enhanced in the elderly due to thinner skin

Remaining indoors where temps are 90 degrees or higher is recommended.

Which of the following is the most common intraocular tumor in young children? Neuroblastoma Wilms' tumor Retinoblastoma Leukemia

Retinoblastoma

A woman who is being discharged from the hospital is oriented to person, place, and time, and her memory is intact. She has occasional forgetfulness without a consistent pattern of memory loss. Which of the following housing options would be most appropriate for this woman? Independent living Retirement community Assisted living Nursing facility

Retirement community

Which of the following behaviors is most reflective of a teenager? Riding an ATV without a helmet Not skiing for fear of falling and getting hurt Obeying a new parental rule without a challenge Walking away from a group of friends who are smoking cigarettes.

Riding an ATV without a helmet

The nurse working in the college health center is planning a program about sexually transmitted diseases (STDs). Which of the following information should the nurse include in the program? STDs are the second most common infection in persons aged 15 to 24. STDs can be transmitted by any intimate contact, not just sexual intercourse. Multiple STDs increases the risk of ovarian cancer. Untreated genital herpes virus is a risk factor for invasive cervical cancers.

STDs can be transmitted by any intimate contact, not just sexual intercourse.

Which sleep ritual is age appropriate for a preschooler? Asking for every light in the home to be turned on at bedtime Saying good night to all 20 stuffed animals in the room before going to sleep Going right to sleep Asking the parent to read multiple books on the bookshelf before going to bed

Saying good night to all 20 stuffed animals in the room before going to sleep

At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following abcirtbi.oconms/tsehstould the nurse recommend to the parents? Remind the toddler to brush his teeth every day. Have the dentist tell the toddler about the importance of dental hygiene. Schedule a time to brush their own teeth with their toddler. Have the toddler watch an educational cartoon video on the teeth brushing.

Schedule a time to brush their own teeth with their toddler.

Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (Select all that apply.) School nurse Parent or caregiver Teacher School principal

School nurse Parent or caregiver

A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse? Sharing a bed with siblings/parents has a long-lasting psychological impact. School-age children need between 6 and 9 h of sleep a night. Daytime naps are important in children until they reach the age of 9 or 10. School-age children generally agree with and adhere to a regular bedtime.

School-age children generally agree with and adhere to a regular bedtime.

Which of the following toddlers would require further investigation from the nurse? Sitting quietly on a couch Experiencing a temper tantrum Playing with a toy next to another child also playing with a toy Exploring his environment and playing with new toys

Sitting quietly on a couch

Which of the following statements is correct concerning tobacco use in adolescents? Smoking is most prevalent in Caucasian teenagers as compared to Blacks and Hispanics. Advertising has not been shown as effective in promoting smoking in teens. Rather peer pressure is effective. Health Promotion Throughout the Life Span 9th Edition Edelman Test Bank c. Electronic cigarettes involve flavored liquids with very low levels of actual smoke. d. All of the above statements are correct.

Smoking is most prevalent in Caucasian teenagers as compared to Blacks and Hispanics.

A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used? Snellen Screening test Denver Eye Screening test Ishihara's test Cover test

Snellen Screening test

Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years? Accidents Suicide Bone cancer Sport injuries, especially head trauma

Suicide

The nurse working at the college health center is asked about tanning. Which of the following statements is correct concerning sun exposure? Good quality sun-block agents protect for the entire day and should be applied in the morning. Tanning beds are much safer than exposure to actual sunlight. Sun tanning should be avoided between 10 am and 2 pm. All of the above statements are correct.

Sun tanning should be avoided between 10 am and 2 pm.

A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse? You should only get tattoos which can be covered by clothing on a job interview. It is okay to get a tattoo providing that you only go to a licensed artist. Tattoos are popular; however, they can lead to infection and/or bleeding A body piercing would be safer and less permanent.

Tattoos are popular; however, they can lead to infection and/or bleeding

A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client? Tell him to avoid any and all sweets. Tell him to be active, eat a balanced diet, and maintain normal weight. Tell him he should talk to his physician about genetic testing. Tell him that very little can be done to avoid developing this disorder.

Tell him to be active, eat a balanced diet, and maintain normal weight.

A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse? The American diet is much better now than when your mother was your age. You have a strong genetic risk factor. The odds are that you will also develop osteoporosis. You need about 1000 mg of calcium a day to keep your bones strong. Let's talk about your diet. Tell me about your diet, how much walking you do each day, and what medications you take.

Tell me about your diet, how much walking you do each day, and what medications you take.

A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit? Tell the child about the blood work early on the day of the appointment. Tell the child about the blood work right before leaving for the appointment. Tell the child at the office right before the phlebotomist enters the room. Do not tell the child about the blood work.

Tell the child about the blood work right before leaving for the appointment.

A 26-year-old care recipient has a total cholesterol of 206 mg/dl and an LDL of 110. Which of the following conclusions can be drawn by the nurse? The care recipient has achieved the target levels for cholesterol in young adults. The care recipient has a very low risk of developing heart disease. The care recipient requires counseling about cardiac disease risk factors. The care recipient has early-onset cardiac disease.

The care recipient requires counseling about cardiac disease risk factors.

The nurse suspects a 5-year-old child has asthma. Which information garnered from the child's medical history would be a risk factor for asthma or for exacerbating asthma? The child was breast-fed. The child sleeps every night with the family dog in his bed. The child was born via a C-section. The child had pressure equalizer tubes as an infant.

The child sleeps every night with the family dog in his bed.

A nurse has been asked to develop a visit plan for a mobile mammogram van. Which of the following considerations would be made by the nurse when deciding which neighborhoods to visit? Hispanic women have the highest rate of breast cancer as compared to other demographic groups in the United States. The death rate from breast cancer is higher in Hispanic women than for women in other ethnic groups. The death rate from breast cancer in Hispanic women has risen in the past 10 years. Breast cancer in Hispanic women is usually diagnosed at an early stage.

The death rate from breast cancer is higher in Hispanic women than for women in other ethnic groups.

The nurse is about to administer prescribed medication to a 4 year old. The medication is renally excreted. Which of the following statements is correct concerning this scenario? The dosage reflects the status that kidneys are not fully matured until after age 5. The dosage reflects the status that kidneys have reached full maturity. The dosage reflects the status that kidneys are hyperactive from birth to age 5. Renally excreted meds are contraindicated for children under 5 years. The nurse needs to call the physician for clarification.

The dosage reflects the status that kidneys have reached full maturity.

A nurse is planning to write a grant for a health promotion project the community. Which of considerations should the nurse make when determining the appropriate population for this project? The fastest growing population is children under the age of 12. The fastest growing population is young Black American adults. The fastest growing population is White middle-age adults. The fastest growing population is non-White older adults age 65 and older.

The fastest growing population is non-White older adults age 65 and older.

A 14-year-old female is in for a physical exam. Which finding requires further investigation? A height spurt since her last visit Facial acne The lack of breast buds or breast development Noticeable sweating and body odor with activity

The lack of breast buds or breast development

A nurse is discussing sexuality with middle-age men and women. Which of the following information should be stressed by the nurse? Contraception usage should be decreased as a woman nears menopause. Men are less vulnerable to sexual dysfunction than are women. Cardiovascular disease but not diabetes can result in erectile dysfunction. The majority of new HIV/AIDS cases occur among middle-age adults.

The majority of new HIV/AIDS cases occur among middle-age adults.

A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl? Wash your face at least four times a day, making sure to scrub well. The medications can make acne appear worse at first; try to give it a few more weeks, Avoid all chocolate products. Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day.

The medications can make acne appear worse at first; try to give it a few more weeks,

A nurse is planning a community health-education program for young adults. Which of the following considerations should be made by the nurse? The age span encompassing young adulthood is between 20 and 30 years of age. The number one cause of death for young adults is injury. The number of young adults in the United States is increasing. The maternal mortality rate is at its lowest point since 1980.

The number one cause of death for young adults is injury.

Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (Select all that apply.) The preschooler walks away from the situation. The preschooler blames a friend for causing the problem. The preschooler states what he is upset about. The preschooler has a temper tantrum.

The preschooler blames a friend for causing the problem. The preschooler states what he is upset about.

Which of the following statements concerning hearing in school-age children is correct? The rate of otitis media infections met Healthy People 2010 target. Hearing and visual problems occur with the same frequency. All 50 states require routine hearing evaluations. The use of tympanograms has improved the accuracy of hearing screenings.

The rate of otitis media infections met Healthy People 2010 target.

A 52-year-old woman going through menopause tells the nurse working in the women's health center that she is interested in slowing down the aging process and asks if she should take estrogen. Which of the following statements would be the best response by the nurse? The latest research has shown that estrogen is safe to take and will help keep you healthy. I'll tell the nurse practitioner that you are interested in estrogen therapy. Estrogen is safe to take for about 10 years. I'll get you some information on estrogen therapy that you can take home and read. The safety of long-term estrogen therapy is inconclusive. It is primarily used short-term to relieve hot flashes. You can get the same effects from natural products in a health food store, and each product is backed up by research showing that it is effective.

The safety of long-term estrogen therapy is inconclusive. It is primarily used short-term to relieve hot flashes.

Which is a common temperament pattern described by Chess and Thomas? The fussy child The happy child The unhappy child The slow-to-warm-up child

The slow-to-warm-up child

A child's parents ask the school nurse if there is any help available to help their child receive health insurance. They state they earn too much money to qualify for Medicaid but not enough to purchase health insurance. Which of the following recommendations should the nurse provide? Currently, there is no health care program available for your child. The school district has a health insurance policy that you can access. The state has an insurance program to assist you. You will need to find coverage through another member of your family.

The state has an insurance program to assist you.

Which of the following statements is the best definition of polypharmacy? The use of more than five medications prescribed by different physicians The use of multiple medications for the same or different health problems The use of multiple pharmacies and self-management of medications. The use of multiple medications and supplements simultaneously

The use of multiple medications for the same or different health problems

The clinic nurse has seen the following four widows today. Which of the following persons is demonstrating a healthy coping pattern for her loss? The widow who discusses very little except the loss of her husband 3 years ago The widow who talks about the "good times" she and her husband had before his illness and death 1 year ago The widow who states that life is not worth living without the husband, who died 2 years ago The widow who blames herself for her husband's death because she did not "make him go" to the doctor

The widow who talks about the "good times" she and her husband had before his illness and death 1 year ago

A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse? This is a sign that he is not ready to toilet train yet. This behavior is developmentally normal Tell him calmly to stop touching himself. Mentioning it to the child will increase the behavior; best to ignore it

This behavior is developmentally normal

Parents of an 8-year-old boy tell the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse? Sleepwalking is much more common in girls than boys. I am glad you mentioned this. Sleepwalking is sometimes a sign of a neurological deficit Nightmares are the cause of most cases of sleepwalking This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures

This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures

The public health nurse is conducting a screening of young adults for metabolic syndrome. When asked about the syndrome, which of the following responses should be made by the nurse? Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease. This syndrome helps predict heart disease. Once it is diagnosed, the correct medication can be prescribed and heart disease avoided. This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended. Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease. Once we make the diagnosis, we can begin to treat the disease.

This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended.

A nurse is counseling a 23-year-old woman about hormone-containing (estrogen or estrogen/progestin) contraceptive methods: oral, transdermal, injectable vaginal ring, and implant methods. Which of the following risks of using these methods should be stressed by the nurse? Toxic shock syndrome Heavy menses Thromboembolic disorders (blood clots) Ectopic pregnancy

Thromboembolic disorders (blood clots)

Which scenario places a toddler at risk for injury? (Select all that apply) Toddler playing with his preschool sibling's toy Mop and a bucket of clean water in the kitchen Cup of hot coffee on the kitchen counter A 25 pound toddler sitting in a forward-facing car seat in the back seat of a car

Toddler playing with his preschool sibling's toy Mop and a bucket of clean water in the kitchen Cup of hot coffee on the kitchen counter

Which of the following statements is correct concerning hearing in the toddler? Toddlers characteristically endlessly repeat sounds, words, and word combos. Mild hearing loss will not affect speech skills but moderate or worse loss will do so. Infants at risk who passed neonatal screening need diagnostic audiometry by age 15 to 18 months.d. All of the above statements are correct.

Toddlers characteristically endlessly repeat sounds, words, and word combos.

Which of the following statements is correct concerning stress and coping for toddlers? Toddlers commonly imitate their parent's behavior in dealing with stressors. Siblings are viewed as allies and, thus, not common sources of stress for toddlers. Regressing to earlier infantile behavior is serious developmental problem. Discussing upcoming stressful events is ill-advised; it intensifies the child's stress.

Toddlers commonly imitate their parent's behavior in dealing with stressors.

Which genetic disorder affecting the x chromosome is found in females? Gynecomastia Menstruation Turner syndrome Klinefelter syndrome

Turner syndrome

A 32-year-old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress? Sleeping 10 h/day Unintentional loss of 10 pounds in the past 4 weeks Expressed fear of company layoffs Calling in sick once every 2 weeks for the past month

Unintentional loss of 10 pounds in the past 4 weeks

A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote? Use of helmets Increasing the minimum age for motorcycle licensure Construction of bike paths along busy roads Right-of-way laws for bicyclists

Use of helmets

Which of the following is a hallmark of Piaget's preconceptual substage? Using language to function symbolically Using concrete thought processes cUsing mental abstracting Using transductive reasoning

Using language to function symbolically

Which of the following measure is appropriate for treating urinary incontinence? Increase caffeine to tighten urinary sphincter. Utilize voiding schedules. Decrease fiber to lessen pressure on the bladder from the colon. Avoid pilates, which have been shown to inflame pelvic floor in the elderly.

Utilize voiding schedules.

Which of the following reflects Piaget's theory as applied to young adults? Voting for a candidate based on popularity Voting for a candidate based on media advertisements Voting for a candidate based on support of the candidate by peers Voting for a candidate based on analysis of views about various issues

Voting for a candidate based on analysis of views about various issues

The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation? Radiator heating system Air conditioner Hardwood flooring Wall-to-wall carpeting

Wall-to-wall carpeting

Which of the following statements about alcohol intake is correct? Women have a higher death rate related to alcoholism than men. A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker. More women than men are considered problem drinkers. Women who experience fewer cognitive effects from drinking are less likely to drink excessively.

Women have a higher death rate related to alcoholism than men.

Which of the following statements is correct concerning young adults in the workforce? Women generally experience less workplace stress than do men. The trend has been toward shorter hours and shorter work weeks. With better job prospects, young adults will be ahead in wages for years to come. Work is of primary importance to young adults and helps form their self-image.

Work is of primary importance to young adults and helps form their self-image.

A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply? It is simply a part of normal aging and it is not preventable. As we age, we develop more cellulite under the skin which results in wrinkles. Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure. Wrinkles are caused by genetic factors combined with vitamin D deposits under the skin.

Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure.

A third grade teacher asks the school nurse what she can reasonably expect from children in her classroom related to language ability. Which of the following statements would be the best response from the nurse? Children in the second grade should have about a 4000-word vocabulary. Research has shown that children will learn to read more quickly if you use the whole word approach. You can expect that the children will write "b" and "d" without reversing them, and all of the letters in a word will be about the same size. You can evaluate the cognitive ability of the children in your classroom by noting how legible their writing is.

You can expect that the children will write "b" and "d" without reversing them, and all of the letters in a word will be about the same size.

After offering a teenager the HPV vaccine, the teenager responds by saying, "I can't have the vaccine because I have already been sexually active." Which of the following statements is the best response by the nurse? You can still benefit from the vaccine, but there is a chance it will not be as effective. The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine. You are correct, the vaccine is only indicated for females who have never been sexually active. It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.

You can still benefit from the vaccine, but there is a chance it will not be as effective.

A 19-year-old college student is seen by the health services nurse. The young woman is distraught that she had unprotected sex 4 days ago and is afraid she may have become pregnant. Which of the following statements should be made by the nurse? You must be 21 years of age to purchase emergency contraception. You can purchase Plan B without a prescription; it will terminate the pregnancy. Let's talk about how to deal with an unplanned pregnancy and childbirth. You have several options. Let's discuss what would be the best thing for you to do next.

You have several options. Let's discuss what would be the best thing for you to do next.

Which of the following statements is correct concerning aerobic exercise for young adults? Exercise improves cardiovascular function by decreasing capillary diameter in the muscles and heart. Raising heart rate to 150 beats per minute is not recommended for persons over the age of 25. Young adults are encouraged to engage in activity that raises heart rate to 150 beats per minute. Aerobic exercise should not be paired with muscle-strengthening activities so as to avoid over-taxing the heart.

Young adults are encouraged to engage in activity that raises heart rate to 150 beats per minute.

Which of the following statements is correct concerning health services and health delivery system? Young adults have the highest emergency room visits. The Affordable Care Act exempts young adults up to age 26 from insurance. Young adults should be screened for cardiovascular disease starting at age 30. Young adults, as a group, have a high rate of outpatient healthcare visits.

Young adults have the highest emergency room visits.

According to the American Academy of Pediatrics, at what age should blood pressure screening begin? a. 3 b. 6 c. 9 d. 12

a. 3

On average, how old is a preschooler with a receptive vocabulary of up to 5600 words? a.42 months old b. 48 months old c. 54 months old d. 60 months old

b. 48 months old

The inability of a toddler to put him- or herself in another's shoes is known as a. autonomy. b. egocentrism. c. self-perception. d. integrity.

b. egocentrism.

An individual's style of emotional and behavioral response across situations, especially those involving change or stress, is known as a. ritual. b. temperament. c. coping. d. autonomy.

b. temperament.

A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as a. amblyopia. b. farsightedness. c. nearsightedness. d. strabismus.

d. strabismus.

The school nurse has been asked to plan play and recess activities for children in grades 2 through 6. Which of the following activities should be developed by the nurse? (Select all that apply.) Highly competitive games that focus on individual accomplishment and winning Family activity days that promote nature walks and biking Co-ed organized sports 4-H club activities

individual accomplishment and winning 4-H club activities