Funds final exam #3

Which of the following sets of terms best characterizes the school aged child?

Doing, succeeding, accomplishing

A nurse is developing a plan of care for an older adult who has chronic heart disease. Which of the following factors must be considered?

Medications, hospitalizations, and medical supplies increase economic difficulties

A child 2 years of age is hospitalized for a surgical procedure. Although previously all fluids were taken from a cup, the toddler wants a bottle to suck on. The nurse recognizes this behavior as what?

Normal regression

A nurse working in a physician's office uses the managerial function known as "organizing". What is involved in this function?

Resources

A home care client has both visual and hearing deficits. Although all of the following are important, what would be a high priority concern when planning and implementing care?

Safety

A nurse is observing a group of toddlers at play. What behavior illustrates normal physiologic development in children of this age?

Using fingers to pick up small objects

A nurse is teaching a group of expectant parents about infant safety. Which of the following is mandated by the law to promote infant safety?

Using special car safety seats and restraints

A nurse is teaching a group of parents about the dangers of Sudden Infant Death Syndrome (SIDS). The nurse recommends that parents place their children on a firm surface lying on their:

back

What type of cognitive responses might a nurse assess in a client with sensory deprivation?

decreased attention span, difficulty problem solving

Developing an education plan is comparable to what other nursing activity?

formulating a nursing care plan

How would a nurse document the condition in which a client has a normal state of awareness?"

"Aware of self and environment, responsive, well oriented"

A mother of three children under the age of 4 tells the nurse, "I don't understand why my children are so hard to toilet train before they are 2". How should the nurse respond?

"Bladder control during the day usually occurs by ages 2.5 to 3 years"

A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use. Which statement by the client suggests the nurses' education has resulted in affective learning?

"I'm starting to see how my lifestyle has caused me to end up here"

The nurse is assessing a client's gustatory function. What approach by the nurse will assist in assessing this sensation?

"Tell me if the taste on your tongue is sweet, sour, bitter, or salty?"

The staff at a long term care facility have made minimal effort to secure a shared room for a couple in their late 80's, who have been married for several decades. The manager states "I'm sure that bedroom activity is the last thing on their minds these days". How should the nurse respond to the manager's characterization of sexuality of older adults?

"They might not be as active as in years past, but sexuality is still important for older people"

The nurse has been working with a client for several days during the client's recovery from a hip fracture. How should the nurse best evaluate whether client education regarding the prevention of falls in the house has been effective?

"What changes will you make around your house to reduce the chance of future falls?"

A nurse documents the following on a client chart: "Client exhibits difficulties with spatial orientation, memory, language, and changes in personality." What state of arousal/awareness does this describe?

Dementia

Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed?

A course of action is chosen from among the alternative solutions

Which of the following nurses is most likely to care for clients who are trying to resolve identity versus role confusion?

A nurse who provides care in a large junior high school

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for this nurse?

An experienced nurse who was a preceptor in a previous clinical area

A nurse is teaching a young woman about healthy behaviors during the embryonic stage of pregnancy. Which of the following should the nurse emphasize to prevent congenital anomalies?

Avoid nicotine and alcohol

The nurse is employed in an area in which there is interaction with clients of all age groups with varying degrees of development. What is the role of the nurse when applying principles and theories of growth and development to practice?

Assess the client with an awareness there is an overlap of stages

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?

Cognitive

A child gains weight and becomes taller each year. What is this process called?

Growth

A second trend occurring with growth and development of the infant states that development is proximodistal. This means:

Growth progresses from gross motor movements to fine motor movements

As the fetus develops, certain growth and development trends are regular and predictable. The first trend is cephalocaudal growth. What does this mean?

Head and brain develop first

The nurse is educating group of clients in the community about safe sex practices. When is the best time to evaluate teaching effectiveness?

Immediately after the education session

Which strategy might a nurse use to increase compliance with education?

Include the client and family as partners

There are myths associated with aging and older adults. Which of the following statements is true of the older adult population?

Incontinence is not a part of aging

Which hospital unit is more likely to cause severe sensory alterations?

Intensive care

A nurse assesses a mother who rocks and cuddles her newborn son. What sense is the mother stimulating?

Kinesthetic

In which health care setting is a client more likely to be at risk for sensory deprivation?

Long term care

Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager's office after a meeting. The graduate nurse reflects upon the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario?

Self-evaluation skills

A client tells his nurse that he has difficulty hearing related to working in a loud factory setting for 15 years. What is the term for this condition?

Sensory deficit

A client admitted to the hospital for major surgery is at risk for what type of sensory alteration?

Sensory overload

While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger clients. What should the nurse do?

Slow the pace and allow extra time for answers

In which of the following conflict resolution strategies is the conflict rarely resolved?

Smoothing

An older adult who is newly widowed is not adjusting to this change in her role. She is unable to form new relationships. What is the client at risk for developing?

Social isolation

The daughter of an older adult calls the nurse to report that her mother is becoming very confused after dark. What is this type of confusion named?

Sundowning syndrome

Which type of skills is not needed for nursing leadership?

Technical skills

While caring for an older adult male, the nurse observes that his skin is dry and wrinkled, his hair is gray, and he needs glasses to read. Based on these observations, what would the nurse conclude?

These are normal physiologic changes of aging

According to Erikson, normal adolescent behavior includes trying on new roles and possibly even rebelling. What is the purpose of this behavior in adolescents?

To establish a sense of identity

All humans learn from both formal and informal experiences. Changes occur in an orderly, sequential, continuous, and complex manner. What changes result in part from learning?

Development

A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nurse leader?

Flexible

Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)?

Assisting a client with ambulation

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation (CPR). What should the nurse assess first regarding the parents?

Baseline knowledge of these concepts

A student nurse is assigned to care for a preschool child who is scheduled for surgery. How can the student decrease the child's fears about the surgery?

Be honest about pain and use words the child can understand

At birth, the neonate must adapt to extrauterine life through several significant physiologic adjustments. Which of the following is the most important adjustment that occurs?

Breathing begins

In general, how do most people view change?

By how they are affected personally

A nurse is teaching a pregnant woman about nutritional needs. Which of the following nutritional deficiencies during pregnancy might result in neural tube defects in the developing fetus?

Folic acid

A nurse educates adults in preventive measures to avoid problems of middle adult years. Which of the following are the major health problems during the middle adult years?

Cardiovascular disease, cancer

A nurse is designing an education program for individuals who have recently immigrated from Iraq. Which consideration is necessary for culturally competent client education?

Develop written materials in the client's native language

Middle adults tend to gain weight. What is the reason for the middle aged adult to gain weight?

Decreased physical activity

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?

Encourage open communication and feedback

A home health nurse has observed that a client 80 years of age, who has multiple chronic health problems, takes a total of 19 medications on either a scheduled or as needed basis. How should the nurse address this client's risk of harm from polypharmacy?

Ensure that the client's care is coordinated and encourage the primary care provider to review the medication regimen

What is the most critical element of documentation of education?

Evidence that learning has occurred

A nurse refers a client with a new colostomy to a support group. This nurse is practicing which aim of nursing?

Facilitating coping

A nurse asks a young adult questions about family, friends, and support systems based on Erikson's stages of psychosocial development. What is the reason this information is important during assessments of young adults?

Fear of commitments may lead to loneliness and isolation

Many different factors affect growth and development. For example, why does one child have blonde hair and blue eyes, while another child has brown hair and green eyes?

Genetic inheritance