Foundations of nursing test #6 ch. 10, 11, 13, 14, 37, 2
Carol is 21 years old. Which phase of Erikson's theory of psychosocial development is Carol experiencing? A. Identity versus role confusion B. Intimacy versus isolation C. Trust versus mistrust D. Initiative versus guilt
B. Intimacy versus isolation
What is the most common reason for calling on grandparents to raise their grandchildren? A. Single parenthood B. Legal interventions C. Dual-income families D. Increased divorce rate
B. Legal interventions
A nurse is planning a presentation for a group of older adults about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? (Select all that apply.) A. Human papilloma virus (HPV) immunization. B. Pneumococcal immunization. C. yearly eye examination. D. Periodic mental health screening. E. Annual fecal occult blood test.
B. Pneumococcal immunization. C. yearly eye examination. D. Periodic mental health screening. E. Annual fecal occult blood test.
A family has decided to care for their father who is in the last stages of a debilitating neurological illness. Although he is alert, he cannot speak clearly or carry out self-care activities; he indicates that he wants to remain involved in family life as long as possible and loves spending time with his wife and two teenage children. Which best defines family caregiving? (Select all that apply.) A. Designing a nurturing family to raise children B. Providing physical and emotional care for a family member C. Establishing a safe physical environment for a family D. Monitoring for side effects of illness and treatments E. Reducing the use of community resources
B. Providing physical and emotional care for a family member C. Establishing a safe physical environment for a family D. Monitoring for side effects of illness and treatments
Carol knows that the _____________ _________ _______________ phase of Erikson's theory of psychosocial development is when older adults review their lives.
integrity v.s. despair
Mr. Sampson is a member of the ___________ generation.
millennial
Which of the following are examples of the conventional reasoning form of cognitive development? Select all that apply. A. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. B. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. C. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. D. A single mother of two children is unhappy with her employer. She has been unable to secure alternate employment but decides to quit her current job.
A & B
Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) A. Alcohol abuse B. Marriage C. Pregnancy D. Unemployment E. Drug use
A. Alcohol abuse B. Pregnancy C. Unemployment D. Drug use
Which of the following might be a cause of stress for young adults? (select all that apply) A. Being single B. Career C. Sexuality D. Activity
A. Being single B. Career C. Sexuality
Mr. Lawrence becomes confused on the third day of hospitalization. Mrs. Lawrence wants to know what is causing this confusion. Katy explains that the confusion could be the result of what factors? (Select all that apply.) A. Cerebrovascular accident B. Electrolyte imbalance C. Emotional distress D. Unfamiliar environment E. Adverse effect of medication
A. Cerebrovascular accident B. Electrolyte imbalance C. Emotional distress D. Unfamiliar environment E. Adverse effect of medication
Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI? A. Chlamydia B. Syphilis C. Gonorrhea D. Herpes zoster
A. Chlamydia
A family has decided to care for a grandparent with terminal cancer in the daughter's home. Family caregiving is new to the family. When helping this family as they begin to plan for their caregiving roles, what are the two top priority assessments to best learn about family functioning? (Select all that apply.) A. Communication B. Decision making C. Development D. Economic status E. Family structure
A. Communication B. Decision making
A new immigrant family consisting of a grandparent, two adults, and three school-age children has decided to receive their health promotion care at the Community Wellness Center. This is their first visit, and a family assessment, a health history, and a physical of each family member are needed. Which of the following are included in a family function assessment? (Select all that apply.) A. Cultural practices B. Decision making C. Neighborhood services D. Rituals and celebrations E. Neighborhood crime data F. Availability of parks
A. Cultural practices B. Decision making D. Rituals and celebrations
Cherise teaches Ms. Scott about the physiological changes of the gastrointestinal system that occur in older adults. Which of the following changes may occur in the older adult's gastrointestinal system? (Select all that apply.) A. Delayed gastric emptying B. Constipation C. Increased peristalsis D. Diarrhea
A. Delayed gastric emptying B. Constipation D. Diarrhea
Which of the following factors should Sarah assess in determining the health of the Wall family? (select all that apply) A. Economic stability B. Ethnic background C. Social class D. Structure of the family
A. Economic stability B. Ethnic background C. Social class D. Structure of the family
You are caring for a family that consists of a father and 3-year-old boy who has well-managed asthma but misses care infrequently. They live in state-supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? (Select all that apply.) A. Economic status B. Chronic illness C. Underinsured D. Government-assisted day care E. Frequency of fast-food dinners F. State-supported housing
A. Economic status C. Underinsured E. Frequency of fast-food dinners
You are caring for a recently retired man who appears withdrawn and says he is "bored with life." Applying the work of Havinghurst, you would help this individual find meaning in life by: A. Encouraging him to explore new roles. B. Encouraging relocation to a new city. C. Explaining the need to simplify life. D. Encouraging him to adopt a new pet.
A. Encouraging him to explore new roles.
A nurse is preparing a healthy promotion course for a group of middle adults. Which of the following strategies should the nurse recommend? (Select all that apply.) A. Eye examination every 1 to 3 years. B. Decrease intake of calcium supplements. C. DXA screening for osteoporosis. D. Increase intake of carbohydrate in the diet. E. Screening for depressive disorders.
A. Eye examination every 1 to 3 years. C. DXA screening for osteoporosis. D. Increase intake of carbohydrate in the diet. E. Screening for depressive disorders.
A single young adult female interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. She views these individuals as: A. Family B. Siblings. C. Substitute parents. D. Alternative family structure.
A. Family
Which of the following are possible outcomes with clear family communication? (Select all that apply.) A. Family goals B. Increased socialization C. Decision making D. Methods of discipline E. Improved education F. Impaired coping
A. Family goals C. Decision making D. Methods of discipline
Which of the following might be a cause of stress for the older adult? (select all that apply) A. Financial security B. Planned retirement C. Housing D. Adjusting to decreasing health and physical strength
A. Financial security C. Housing D. Adjusting to decreasing health and physical strength
Rochelle assesses Mr. Sanders' support system to ensure that he is receiving the attention he requires. The strength of Ms. Jones and Mr. Sanders' relationship and their ability to adapt to challenges and stressors shows that their relationship is built on which of the following factors? (Select all that apply.) A. Hardiness B. Friendship C. Resiliency D. Compatibility E. Trust
A. Hardiness C. Resiliency
Katy is to first determine whether Mr. Lawrence is meeting the development tasks for an older adult. Which of the following would Katy use to determine this? (Select all that apply.) A. He has adjusted to retirement. B. He maintains satisfactory living arrangements. C. He has a good relationship with his daughter. D. He is adjusting to having a cardiac disease.
A. He has adjusted to retirement. B. He maintains satisfactory living arrangements. C. He has a good relationship with his daughter. D. He is adjusting to having a cardiac disease.
During a visit to a family clinic, a nurse teaches a mother about immunizations, car-seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? A. Health promotion activities B. Acute care activities C. Restorative care activities D. Growth and development care activities
A. Health promotion activities
Allison, age 15 years, calls her best friend Laura and is crying. She has a date with John, someone she has been hoping to date for months, but now she has a pimple on her forehead. Laura firmly believes that John and everyone else will notice the blemish right away. This is an example of the: A. Imaginary audience. B. False-belief syndrome. C. Personal fable. D. Personal absorption syndrome.
A. Imaginary audience.
A nurse is talking with an older adult client about improving her nutritional status. Which of the following interventions should the nurse recommend? (Select all that apply.) A. Increase protein intake to increase muscle mass. B. Decrease fluid intake to prevent urinary incontinence. C. Increase calcium intake to prevent osteoporosis. D. Limit sodium intake to prevent edema. E. Increase fiber intake to prevent constipation.
A. Increase protein intake to increase muscle mass. C. Increase calcium intake to prevent osteoporosis. D. Limit sodium intake to prevent edema. E. Increase fiber intake to prevent constipation.
A nurse is collecting history and physical examination data from a middle adult. The nurse should expect to find decreases in which of the following physiologic functions? (Select all that apply.) A. Metabolism B. Ability to hear low-pitched sounds C. Gastric secretions D. Far vision E. Glomerular filtration
A. Metabolism C. Gastric secretions E. Glomerular filtration
When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: A. Object permanence. B. Sensorimotor play. C. Schemata. D. Magical thinking.
A. Object permanence.
While Jeff is assessing Lisa, one of his goals for the interaction is to review any health risks that Lisa might have. Based on her age, what factors would Jeff focus on? (Select all that apply) A. Potential for unplanned pregnancy B. Need for smoking cessation C. Job stress D. Compliance with health screenings
A. Potential for unplanned pregnancy B. Need for smoking cessation C. Job stress D. Compliance with health screenings
A family is undergoing a major change. Just as twins graduate from college and leave home to begin their careers, the husband loses his executive well-paying job. Because the family had two children in college at the same time, they did not save for retirement. They planned to save aggressively after the children left college. In this situation, which of the following demonstrate family resiliency? (Select all that apply.) A. Resuming full-time work when spouse loses job B. Increasing problems among siblings C. Developing hobbies when children leave home D. Placing blame on family members E. Expecting children to help financially F. Consulting a financial planner
A. Resuming full-time work when spouse loses job C. Developing hobbies when children leave home F. Consulting a financial planner
A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following best describes the client's role problem? A. Role conflict B. Role overload C. Role ambiguity D. Role strain
A. Role conflict
Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits? (Select all that apply.) A. Routine screening and diagnostic tests B. Unprotected sexual activity C. Regular exercise D. Excess alcohol consumption E. Consistent seatbelt use
A. Routine screening and diagnostic tests C. Regular exercise E. Consistent seatbelt use
Which of the following activities are examples of the use of activity theory in older adults? Select all that apply. A. Teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state B. Introducing golf as a new hobby C. Leading a group walk of older adults each morning D. Engaging an older adult in a community project with a short-term goal E. Directing a community play at the local theater
A. Teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state B. Introducing golf as a new hobby D. Engaging an older adult in a community project with a short-term goal
Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. When assessing the knowledge base of both the middle-age patient with a chronic illness and his family, the assessment should include which of the following? (Select all that apply.) A. The medical course of the illness B. The prognosis for the patient C. Socioeconomic status D. Coping mechanisms of the patient and family E. The need for community and social services
A. The medical course of the illness B. The prognosis for the patient D. Coping mechanisms of the patient and family E. The need for community and social services
Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of: A. The sandwich generation. B. The millennial generation. C. Generation X. D. Generation Y.
A. The sandwich generation.
A 45-year-old obese woman tells the nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (Select all that apply.) A. The woman works in an executive position that is very demanding. B. The woman works out at the corporate gym at 5 AM two mornings per week C. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. D. The woman says that she tries to eat "low cholesterol" foods to help lose weight. E. The woman says that she vacations annually to reduce stress.
A. The woman works in an executive position that is very demanding. C. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. D. The woman says that she tries to eat "low cholesterol" foods to help lose weight.
Mr. Sampson is 5 feet 11 inches and weighs 238 pounds. Wayne teaches Mr. Sampson that obesity is linked to which of the following illnesses? (Select all that apply.) A. Type 2 diabetes B. High cholesterol C. Asthma D. Joint problems E. Urinary tract infections
A. Type 2 diabetes B. High cholesterol C. Asthma D. Joint problems
A patient comes from a close knit family. The patient's family functions as context. You will need to evaluate: A. attainment of patient needs B. Family attainment of developmental tasks C. individual family members caring about one another D. Family satisfaction with it's new level of functioning
A. attainment of patient needs
A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she likes. Which of the following contribute to this family's hardiness? (Select all that apply.) A.Family meetings B. Established family roles C. New neighborhood D. Willingness to change in time of stress E. Passive orientation to life
A.Family meetings B. Established family roles D. Willingness to change in time of stress
A nurse is counseling a middle adult client who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? A. "I am struggling to accept that my parents are aging and need so much help." B. "It's been so stressful for me to think about having intimate relationships." C. "I know I should volunteer my time for a good cause, but maybe I'm just selfish." D. "I love my grandchildren, but my son expects me to relive my parenting days."
B. "It's been so stressful for me to think about having intimate relationships."
A nurse is caring for a client whose partner passed away 4 months ago and who has been recently diagnosed with diabetes mellitus. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following is an appropriate response by the nurse? A. "It takes time to get over the loss of a loved one." B. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling." C. "Why don't you try something to take your mind off your troubles, like watching a funny movie." D. "I might not share your exact situation, but I do know what people go through when they deal with a loss."
B. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."
With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of: A. 18. B. 20. C. 25. D. 30.
B. 20.
What is the proper order by age progression for the stages of Freud's psychosexual development?1. Phallic 2. Latent 3. Oral 4. Genital 5. Anal A. 3, 5, 1, 4, 2 B. 3, 5, 2, 1, 4 C. 5, 3, 2, 1, 4 D. 3, 5, 1, 2, 4
B. 3, 5, 1, 2, 4
Jeff wants to include the most frequent cause of mortality and morbidity in his teaching to Lisa. What is the most common cause of death in this age group? A. Heart disease B. Accidents and violence C. Cancer D. Stroke
B. Accidents and violence
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan would be appropriate at this time? (Select all that apply.) A. Suggest coping skills for the client to utilize in this situation. B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. D. Provide extensive instructions on the client's treatment regimen. E. Encourage the client in the expression of feelings and concerns.
B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. E. Encourage the client in the expression of feelings and concerns.
Ms. Jones and Mr. Sanders explain their relationship and living arrangement to Rochelle. Ms. Jones and Mr. Sanders are an example of which type of family form? A. Split B. Alternative C. Nuclear D. Blended E. Extended
B. Alternative
A 50-year-old male patient is seen in the clinic. He tells the nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse should assess for the following: A. Cardiovascular disease B. Depression C. Sexually transmitted infection D. Iron deficiency anemia
B. Depression
An 18-month-old child is noted by the parents to be "angry" about any change in routine. This child's temperament is most likely to be described as: A. Slow to warm up. B. Difficult. C. Hyperactive. D. Easy.
B. Difficult.
Cherise explores Ms. Scott's diet and cooking habits. Preparing meals is an example of an activity of daily living (ADL). A. True B. False
B. False
A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. When the nurse visits, the focus is on symptom management for the grandmother and helping the family with coping skills. This approach is an example of which of the following? A. Family as context B. Family as patient C. Family as system D. Family as structure
B. Family as patient
Jane is developing a care plan for Mr. Thomas. She wants to make sure that she includes not only physical needs but also psychological. She refers to Erikson's stages of development to help her in planning care. Which stage of development is Mr. Thomas in? A. Intimacy versus isolation B. Generativity versus self-absorption C. Identity versus role confusion D. Integrity versus despair
B. Generativity versus self-absorption
Mrs. Thomas tells Jane that her 5-year-old son has been acting up since Mr. Thomas came home from the hospital. Jane tells Mrs. Thomas that her son is in the initiative versus guilt stage of development. What are some signs that he is progressing appropriately through this stage? A. He chooses not to eat the same food his father is eating. B. He cooperates with the request from his mother to play quietly instead of jumping on his father's bed. C. He starts putting things in his mouth. D. He cries when his mother leaves him with a sitter while she goes to the grocery store.
B. He cooperates with the request from his mother to play quietly instead of jumping on his father's bed.
The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development? A. Trust versus mistrust B. Initiative versus guilt C. Industry versus inferiority D. Autonomy versus sense of shame and doubt
B. Initiative versus guilt
Mr. Lawrence is prescribed a diuretic by his cardiologist and a sleeping aid by his primary care physician. Since these are both new medications, what nursing diagnosis should Katy add to Mr. Lawrence's plan of care? A. Potential for fluid deficit B. Risk for injury by falling C. Sleep deprivation D. Risk for impaired skin integrity
B. Risk for injury by falling
A nurse is collecting data to evaluate a middle adult's psychosocial development. The nurse should expect middle adults to demonstrate which of the following developmental tasks? (Select all that apply.) A. Develop an acceptance of diminished strength and increased dependence on others. B. Spend time focusing on improving job performance. C. Welcome opportunities to be creative and productive. D. Commit to finding friendship and companionship. E. Become involved with community issues and activities.
B. Spend time focusing on improving job performance. C. Welcome opportunities to be creative and productive. E. Become involved with community issues and activities.
According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? A. Using building blocks to determine how houses are constructed B. Writing a story about a clown who wants to leave the circus C. Drawing pictures of a family using stick figures D. Writing an essay about patriotism
B. Writing a story about a clown who wants to leave the circus
a nurse is using an interpreter to communicate with a client. which of the following actions should the nurse use when communicating with a client and his family (select all that apply) A. talk to interpreter about family while the family is in the room B. ask family one question at a time C. look at interpreter when asking family questions D. use lay terms if possible E. do not interrupt interpreter and family talking
B. ask family one question at a time D. use lay terms if possible E. do not interrupt interpreter and family talking
a nurse is planning care for a client who is a devout Muslim and is 3 days postop following a hip arthroplasty, the clients is scheduled for two PT sessions today, which of the following statements by the nurse indicates culturally appropriate care to the client A. i will make sure the menu includes kosher options B. i will discuss the daily schedule with the client to make sure the client will have time for prayer C. i will make sure to use direct eye contact when speaking with this client D. i will make sure daily communion is available for client
B. i will discuss the daily schedule with the client to make sure the client will have time for prayer
A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lb) since his last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "Eat three large meals a day." B. "Eat your meals in front of the television." C. "Eat foods that are easy to eat, such as finger foods." D. "Invite family members to eat meals with you." E. "Exercise every day to increase appetite."
C. "Eat foods that are easy to eat, such as finger foods." D. "Invite family members to eat meals with you." E. "Exercise every day to increase appetite."
A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in blood pressure and heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)? A. Exhaustion stage B. Resistance stage C. Alarm reaction D. Recovery reaction
C. Alarm reaction
Which of the following family assessments are most important for successful family caregiving? (Select all that apply.) A. Educational level of family members B. Cultural food preferences C. Collaboration between family members D. Social support E. Conflict resolution practices
C. Collaboration between family members D. Social support E. Conflict resolution practices
Nine-year-old Brian has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: A. A sense of guilt. B. A poor sense of self. C. Feelings of inferiority. D. Mistrust.
C. Feelings of inferiority.
A 50-year-old woman has elevated cholesterol profile values that increase her cardiovascular risk factor. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of: A. Referral. B. Counseling. C. Health education D. Stress management techniques.
C. Health education
The nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: A. Instructing him to return in 2 years. B. Instructing him in secondary prevention. C. Instructing him in health promotion activities. D. Implementing primary prevention with vaccines.
C. Instructing him in health promotion activities.
Lisa asks Jeff what changes would signify when she is no longer considered a young adult. Which of the following is not a physical change that would indicate this to Lisa? A. Graying of the hair B. Thickening of the waist C. Menopause D. Skin becoming more thick and taut
C. Menopause
When determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect the patient's compliance with the regimen, including educational level and socioeconomic factors. Which additional factor affects compliance? A. Gender B. Lifestyle C. Motivation D. Family history
C. Motivation
Jane wants to understand more about the development of the Thomas' son. Which theorist would give her information related to his moral development? A. Freud B. Erikson C. Piaget D. Gesell
C. Piaget
The Collins family includes a mother; stepfather, two teenage biological daughters of the mother; and a 25-year-old biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into Stacey's bedroom and is in the process of distributing household chores. When you talk to members of the family, they all think that their family can adjust to lifestyle changes. This is an example of family: A. Diversity. B. Durability. C. Resiliency. D. Configuration
C. Resiliency.
You are caring for a patient. Visitors at the bedside include the patient's life partner, widowed father, brother, and niece. The nurse acknowledges the current trends in American families include: A. couples without children B. more singles choosing to live alone C. a very different look from 15 years ago D. a mother, father, and more than one child
C. a very different look from 15 years ago
When completing the nursing data on a client, to complete the admission and develop a plan of care, the nurse will need to: A. test the family unit's ability to cope. B. evaluate communication patterns C. identify family unit form and attitudes D. gather health data from all family members
C. identify family unit form and attitudes
a nurse is caring for a client who is crying while reading from his devotional book .what should the nurse do A. contact hospitals spiritual services B. ask him what is making him cry C. provide quiet times for these moments D. turn on tv for a distraction
C. provide quiet times for these moments
a nurse is caring for a client who shares the nurses religious background. which of the following info should the nurse anticipate A. members of same religion share similar feelings about their religion B. a share religious background generates mutual regard for one another C. the same religious beliefs can influence individuals differently D. nurse and client should discuss the difference and commonalities in their beliefs
C. the same religious beliefs can influence individuals differently
A nurse is counseling an older adult who describes having difficulty dealing with several issues. Which f the following problems verbalized by the client should the nurse identify as the priority? A. "I spent my whole life dreaming about retirement, and now I wish I had my job back." B. "It's been so stressful for me to have to depend on my son to help around the house." C. "I just heard my friend Al died. That's the third one in three months." D. "I keep forgetting which medications I have taken during the day."
D. "I keep forgetting which medications I have taken during the day."
As Wayne is talking to Mr. Sampson about his addictions, Mr. Sampson tells Wayne that he suspects he may have a sexually transmitted infection (STI) since he is experiencing discharge from his penis. Wayne informs the health care provider, who then orders an STI panel. Wayne knows that which of the following diseases will be tested for in the panel because of its high rate of incidence in men Mr. Sampson's age? A. Genital herpes B. Syphilis C. AIDS D. Gonorrhea E. Chlamydia
E. Chlamydia
Sarah Buchanan is a nursing student who is doing a home health care nursing clinical. She is assigned to visit Ted Wall, a 50-year-old black man who is in the late stage of AIDS. His wife Sheri is also 50 years old and is raising their daughter's two children who are 3 and 5 years of age. Sheri does not work outside the home. Ted is receiving Social Security benefits. The mother of the children is in jail for dealing drugs. The children's father has not been involved with them at all. Sarah determines that this is an example of what type of family? A. Nuclear family B. Blended family C. Extended family D. Alternative family
D. Alternative family
Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent? A. Diverse family relationship B. Blended family relationships C. Extended family relationship D. Alternative family relationship
D. Alternative family relationship
Carol is reviewing the psychoanalytical/psychosocial theories. Which stage of psychosocial development as defined by Freud focuses on delayed gratification? A. Oral B. Latency C. Phallic D. Anal
D. Anal
The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of: A. Logical reasoning. B. Egocentrism. C. Concrete thinking. D. Animism.
D. Animism.
Which of the following might be a cause of stress for the middle-aged adult? A. Financial security B. Planned retirement C. Arrival of grandchildren D. Caring for children and aging parents
D. Caring for children and aging parents
A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse use when working with a family using an open structure for coping with crisis? A. Prescribing tasks unilaterally B. Delegating care to one member C. Speaking to the primary client privately D. Convening a family meeting
D. Convening a family meeting
Which of the following most greatly affects a family's access to adequate health care, opportunity for education, and sound nutrition? A. Development B. Family function C. Family structure D. Economic stability
D. Economic stability
In viewing the family as context, what is the primary focus? A. Family members within a system B. Family process and relationships C. Family relational and transactional concepts D. Health needs of an individual member
D. Health needs of an individual member
Dave reports being happy and satisfied with his life. What do we know about him? A. He is in one of the later developmental periods, concerned with reviewing his life. B. He is atypical, since most people in any of the developmental stages report significant dissatisfaction with their lives. C. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. D. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.
D. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.
A patient is laboring with her first baby, which is coming 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area to be a support person to be present during labor? A. Nurse B. Midwife C. Assistant D. Lay doula
D. Lay doula
Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from: A. Lifestyle. B. Community. C. Family history. D. Personal hygiene habits.
D. Personal hygiene habits.
When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? A. Allowing the child to watch another child undergoing the same procedure B. Showing the child pictures of what he or she will experience C. Talking to the child in simple terms about what will happen D. Preparing the child through play with a doll and toy medical equipment
D. Preparing the child through play with a doll and toy medical equipment
Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy? You know, she fools around so much; I heard she was pregnant. That would never happen to me!" This is an example of adolescent: A. Imaginary audience. B. False-belief syndrome. C. Personal fable. D. Sense of invulnerability.
D. Sense of invulnerability
A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a(n): A. Outpatient referral. B. Counseling technique. C. Health promotion activity. D. Stress-management technique.
D. Stress-management technique.
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. Which of the following examples should the nurse include as a developmental task for middle adulthood? A. The client evaluates his behavior after a social interaction. B. The client states he is learning to trust others. C. The client wishes to find meaningful friendships. D. The client expresses concerns about the next generation.
D. The client expresses concerns about the next generation.
A nurse who has recently graduated has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes for the older adult include: A. a transition from young adulthood. B. the ability of the older adult to achieve sexual arousal. C. a time when cognitive performance begins to peak. D. adjusting to decreasing health and physical strength.
D. adjusting to decreasing health and physical strength.
According to Kohlberg, moral development is a component of psychosocial development. Moral development depends on the child's ability to integrate: A. modeling of others B. faith and optimism C. self-control and independence D. decisions of right and wrong
D. decisions of right and wrong
a nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a car crash. the surgeon tells the client that a blood transfusion is essential. the client tells the nurse that based on his religious values he cannot receive the transfusion. which of the following responses should the nurse make A. i believe in this case you should really make an exception and accept the transfusion B. i know your family would approve of your decision to have a transfusion C. why does your religion mandate that you cant receive a transfusion D. lets discuss the necessity for a transfusion with your religious and spiritual leaders and come to a reasonable conclusion
D. lets discuss the necessity for a transfusion with your religious and spiritual leaders and come to a reasonable conclusion
Ms. Scott tells Cherise that she always adds table salt to her meals. Ms. Scott most likely adds table salt to her meals because of her ________________________.
diminished sense of taste
Rochelle adds the social and family information to Mr. Sanders' existing care plan. She knows that family nursing practice involves three levels of approach. These levels of approach are the family as ___________, _________, and __________.
context, patient, and system.
A nurse is reviewing CDC immunization recommendations with a young adult client. Which of the following vaccines should the nurse recommends routine, rather than catch-up, during young adulthood (select all that apply) a. influenza b. measles mumps rubella c. pertussis d. tetanus e. polio
a. influenza c. pertussis d. tetanus
A nurse is teaching a young adult client about health promotion and illness prevention. Which of the following statements by the client indicates an understanding of the teach? a. "I already had my immunizations as a child, so im protected in that area" b. "it is important to schedule routine health care visits even if I am feeling well." c. "I will just go to an urgent care center for my routine medical care" d. "theres no reason to seek help if I am feeling stressed because its just part of life"
b. "it is important to schedule routine health care visits even if I am feeling well."
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations. should the nurse include to address common health risks for this age group? (select all that apply) a. install bath rails and grab bars in the bathrooms b. wear a helmet while skiing c. install a carbon monoxide detector d. secure firearms in a safe location e. remove throw rugs from the home
b. wear a helmet while skiing c. install a carbon monoxide detector d. secure firearms in a safe location
A nurse is counseling a young adult who describes having difficulty with dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? a. "I have my own apartment now, but its not easy living away from my parents" b. "its been so stressful for me to even think about having my own family" c. "I don't even know who I am yet, and now im supposed to know what to do" d. "my girlfriends pregnant, and I don't think I have what it takes to be a good father"
c. "I don't even know who I am yet, and now im supposed to know what to do"
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse include as a developmental task for a young adult? a. becoming actively involved providing guidance to the next generation b. adjusting to major changes in roles and relationships due to losses c. devoting a great deal of time to establishing an occupation d. finding oneself sandwich between and being responsible for two generations
c. devoting a great deal of time to establishing an occupation
Sheri's mother is a widow and is becoming unable to care for herself. Sheri is now also spending more of her time taking care of her mother. What is the term for this phenomenon?
sandwiched
