The Evolution of Nursing/Lifespan Development
The nurse is assessing a 6-month-old infant, who was 21 inches long at birth. Based on expected growth patterns, what height would the nurse expect on measuring this healthy baby?
27 inches
The nurse is assessing a 1-year-old child who weighed 9 lbs at birth. Based on expected growth patterns, how much should this health child weigh?
27 lbs
The working mother has an 8-month-old child who has to go to daycare while she works. How can the nurse BEST help the mother prepare for the first day of daycare?
Explain the likelihood of separation anxiety as a normal behavior
Most of the weight gain in the first months of life is in the form of fat. What is the BEST physiologic explanation for this gain of fat?
Fat provides insulation and a source of nourishment if teething or other problems decrease food intake for a few days
The provider asks the nurse to please watch the 4-year-old child because she needs to talk privately to the mother. What would be the BEST way for the nurse to interact with the child?
Give him some crayons and paper and ask him to draw a picture
Which behavior demonstrates that a 60-year-old adult is meeting his developmental task of generativity?
Gives advice to nephew about succeeding in life
An intoxicated patient comes to the walk-in clinic and verbally threatens a nurse with bodily harm. The nurse refuses to care for the patient and informs the supervisor about the threats. Which document/concept supports the nurse's right to refuse to care for this patient?
Health Care Providers' Rights
Using Maslow's hierarchy of needs, the nurse gives PRIORITY to which problem?
Inability to eat because of difficulty chewing and swallowing
Which behaviors indicate that the young adult is achieving the developmental tasks of early adulthood? Select all that apply
Lives at home with parents, but is saving for an apartment deposit. Accepts that sister's decision to have a big family is okay. Establishes a permanent relationship with a same-sex partner. Decides to postpone marriage and focus on career
Based on knowledge of normal changes of the cardiovascular system, which recommendation would the nurse make to an older adult?
Maintain a low-fat, low-sodium diet
Which action is outside the scope of practice for the LPN/LVN?
Makes independent decision about altering the care plan
The nurse is caring for a patient with immobility related to a chronic musculoskeletal disorder. Using Orem's theory of nursing, what would the nurse do?
Monitor for self-care deficits
Which health care worker is demonstrating ageism?
Nurse continuously smiles and nods as an older patient makes a complaint about the nursing care
Isabel Hampton Robb (1860-1910)
Organized the first graded system of theory and practice in the schools of nursing
Which parent is doing the BEST job of using good parenting tips in dealing with an adolescent child?
Parent gives up smoking cigarettes and encourages 18-year-old to quit too
The nurse determines that the family is primarily autocratic. Which observation supports the nurse's analysis?
Parents implement strict rules and expectations
Dorothea Dix (1802-1887)
Pioneer crusader for elevation of standards of care for the mentally ill
Mary Breckenridge (1881-1965)
Pioneer in nurse-midwifery
Which infant behavior is consistent with Piaget's theory that infants are in the sesorimotor stage of cognitive development?
Reaches for objects and puts them into mouth
Which nursing actions contribute to accomplishing the Healthy People 2020 Health Indicators? Select all that apply
Reinforces the need for preventive dental care. Encourages patients to routinely exercise. Assists patients to locate smoking cessation literature. Teaches patients how to limit fats and sugar in the diet
The nurse is working in a long-term care facility. Which activity will help the residents to meet the developmental task of ego integrity as described by Erikson?
Reminiscing about past important events
Lillian D. Wald (1867-1940)
Responsible for the development of public health nursing in the United States through the founding of the Henry Street Settlement in New York City.
Lavinia Dock (1858-1956)
Responsible, with Robb, for the organization of the American Society of Superintendents of Training Schools, which evolved into the National League for Nursing Education.
A patient suddenly becomes unresponsive; therefore, he is unable to make decisions about health care options. What is the health care team MOST likely to do to determine the patient's wishes?
Review the patient's advance directives
The nurse has identified that a 56-year-old woman has an increased risk for heart problems because of family history. Which modifiable factor(s) should be included in the teaching plan to promote health and self-help practices for wellness for this patient? Select all that apply
Smoking cessation and stress reduction. Weight reduction and decreased alcohol consumption. Control over decision-making that affects the patient's own body and health
Which behavior MOST strongly indicates that the older adult is successfully aging?
Studies Latin and combines subject matter with previous matter with previous interest in literature
The parents report that their 3-year-old child has not started talking, but he seems happy and active and very interactive with the world in nonverbal ways. What should the nurse advise the parents to do?
Suggest consultation with the provider for possible hearing or speech problems
A mother tells the nurse that her 17-year-old son, who is wheelchair-bound for 1 year following an accident, has been depressed because basketball season is starting and he was a star player for his high school team. Using Maslow's hierarchy of needs, which intervention would address the adolescent's PRIORITY need?
Suggest the mother and son seek out a wheelchair basketball team
The mother of a 5-month-old infant reports the child is irritable; gums are red and edematous, and he demonstrates excessive drooling. What would the nurse recommend?
Suggest the mother wipe and massage the gums and offer sips of clear water
The school nurse is talking to a child who sustained an abrasion and bruise during recess. When the nurse asks the child what happened, he begins to cry, shakes his head, and refuses to answer. What should the nurse do FIRST?
Talk to him while treating the wounds and give encouragement to establish rapport
The nurse must give the school-age child an immunization. Based on the nurse's awareness that the child is in the concrete operational stage, what would the nurse do prior to giving the child the injection?
Tell the child that it hurts a bit, but prevents sickness
Which situation includes the four major concepts that are the basis for nursing theories and models?
The home health nurse assesses the patient's health and the home setting
Which nursing actions are appropriate to the roles/responsibilities of the LPN/LVN? Select all that apply
Uses active listening techniques when interacting with a depressed patient. Reports changes in vital signs to the health care provider in a timely fashion. Ensures that the correct medication is given to the correct patient at the correct time. Collects data from the patient, the family, and previous medical records
Which action BEST demonstrates the nurse's consistent effort to contribute to cost-containment?
Uses time and materials economically
One of the major problems of hospitals of the early nineteenth century has been addressed by which measure in contemporary health care?
Using Standard Precautions and improving hygienic practices
Which routine check-ups or screenings are recommended for school-age children? Select all that apply
Vision testing. Dental examination every 6 months. Scoliosis screening
The nurse is assessing the vision of an older adult patient. Which finding is NOT associated with the aging process?
Visualization of half of the field
The nurse is interviewing the parents of a toddler who must be admitted for 23-hour observation for a febrile illness. What would be the MOST important question to ask about the child's bedtime?
What do you usually do when you put him to bed?
Mary Eliza Mahoney (1845-1926)
Worked for acceptance of African-Americans in the nursing profession
The parent reports that her 15-year-old daughter seems more moody than usual and she is concerned because there was a teenager in the neighborhood who recently committed suicide. What is the MOST important question that the nurse should ask to determine if the daughter has a high risk of suicide?
"Has she talked about ways to commit suicide?"
A mother reports that her child occasionally complains of pain in the legs particularly at night. Which question would the nurse ask to determine if this is an expected symptom?
"How old is your child?"
Which statement by a male nursing student is MOST likely to represent a factor associated with the high attrition rate of male students from nursing education programs?
"The nursing instructors claim that I am not caring."
The nurse is working with a group of parents of high school students. During the discussion, the following statements are made by the parents. Based on an understanding of the needs of adolescents, which statement requires follow-up by the nurse?
"We are generally not in favor of allowing sex education to be taught at school."
A 53-year-old woman tells the nurse that she has been experiencing flushing, mood swings, night sweats, and breast tenderness for the past several months. Based on knowledge of lifespan development, which question is the nurse MOST likely to ask?
"When was your last normal menstrual period?"
Which set of tasks should be assigned to an unlicensed assistive personnel who has been cross-trained as a unit secretary?
Ambulate patients and order unit supplies
Which patient needs to get both pneumococcal and influenza vaccines?
68-year-old resident in an assisted-living facility
Which patient is MOST at risk for being one of the "medically underserved" in the US?
A 65-year-old Vietnam veteran who lives on the street
Which patient typifies the demographic changes of the population in the twenty-first century and represents an increased need for nursing care?
A 78-year-old woman with chronic illness
Which patient group is the nurse MOST likely to assess for possible exposure to teratogens?
A group of young women who are planning pregnancy
The nurse must perform a dressing change on a 7-year-old child. The nurse explains that the procedure will not be painful, but the child appears apprehensive. What is the BEST approach for the nurse to use?
Ask the child to hold the tape strips and praise her
The home health nurse is interviewing an older patient who lives alone. The patient is underweight and the kitchen is so cluttered that it appears impossible to do any cooking or cleaning. What should the nurse do FIRST?
Assess for additional factors that are contributing to the malnutrition
Which nursing action reflects Florence Nightingale's vision of how to improve patient care?
Attends an in-service to learn about a new infusion pump
Under what circumstance would the nurse advise the parents to contact the provider about their 1-year-old infant?
Baby cries persistently during usual sleep periods and is inconsolable
The nurse is watching a group of mothers interact with their young children. Which behavior by a mother would MOST strongly suggest that additional assessment for a potential child abuse might be required?
Berates and shames her toddler for refusing to share toys with other children
The mother is ordering lunch for her toddler. The nurse would intervene if the mother selected which food for the toddler?
Carrot sticks
The nurse is teaching the parents of an infant the principles of introducing new foods. Which information should be provided. Select all that apply
Cereals should be started before vegetables and meats. New foods should be introduced one at a time. Several days should pass between introducing new foods
Mary Ann Ball (1817-1901)
Championed the rights and comforts of soldiers; organized diet kitchens, laundries, and ambulance service
The school nurse notices than an 8-year-old boy comes to her office during recess for a "tummy ache" which seems to disappear as soon as recess is over. What should the nurse do FIRST?
Contact the parents and discuss the pattern of stomachache and recess time
The nurse is interviewing a woman who is from a different culture than the nurse's. The nurse directs the questions to the woman, but the woman consistently looks toward her husband and he gives all of the answers. What should the nurse do FIRST?
Continue the interview and observe for additional nonverbal behaviors
Linda Richards (1841-1930)
Credited with the development of our present-day documentation system
The nurse is caring for several patients on the medical-surgical unit. Which action(s) indicate(s) that the nurse is providing care that adheres to the American Hospital Association's Patient Care Partnership? Select all that apply
Ensures that the housekeeping staff empties the trash receptacles in a timely fashion. Assists a patient to make a list of questions to ask about a surgical procedure. Identifies a problem with a broken side rail and contacts the maintenance department. Keeps up to date with the latest information on medications and side effects. Contacts the hospital's financial counselor if a patient has questions about the bill
Mary Adelaide Nutting (1858-1947)
Developed curriculum concepts and guidelines for student nurses
Clara Barton (1821-1912)
Developed the American Red Cross in 1881
A parent expresses concern because her healthy, active 11-year-old son seems very shorts. She reports that all men on both sides of the family are tall. What is the BEST information that the nurse can give to the mother about growth and development? Select all that apply
During the school-age period, the growth pattern is usually gradual and subtle. A second period of rapid growth is expected during adolescence. From ages 6-12, height increases by about 2 inches