exam 5 concepts nurs 112 fall
when the daughter of a client with Alzheimer disease expresses the need for assistance with care for a few hours a couple days a week, which care service would the nurse suggest?
adult day care
the nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?
advocay
a mother tells the nurse that her 2 year old cries all night if she doesn't get a bottle. how should the nurse respond?
allow the bottle if it contains water
normal physiologic changes that occur in older adults include which of the following?
difficulty falling asleep, increased risk for urinary tract infections, increased incidence of constipation
a 5 year old is admitted for chemotherapy and is fearful of hospitalization. which intervention should be implemented?
encourage the parents to stay with the child
which unique adverse effect of pharmacotherapy is the pediatric population most at risk for?
growth suspension
which growth changes are observed in a male client during adolescence?
increase in length of vocal cords by 0.4 in, uncontrollable shifting of the voice of deep to high tones
which intervention would the nurse provide during the initiative vs guilt stage?
teaching the parent about child impulse control
the nurse from the pediatric clinic who is strongly opposed to any chemical or mechanical method of birth control is asked to work in the family planning clinic. which response from the nurse to the requesting supervisor would demonstrate professionalism?
i would prefer another assignment that is not contrary to my beliefs
from which client would the nurse expect dramatic physical growth and marked development
9 month old infant
The nurse is assessing an older male client whose wife recently died. Which behavior indicates effective coping?
Keeping a photograph of his wife next to his bed, visiting her grave every month
which conditions can be met through the process of delegation?
achievement of nursing goals, improvement in client outcomes
the RN is caring for a client who underwent ileostomy. which activity performed by the nurse demonstrates following the principle of right circumstance of delegation?
assessing the equipment to determine VS, providing suspension of the delegatee during the task
which statement would be appropriate to include in a lecture for nursing student related to ethics and legal principles?
beneficence emphasizes promoting good, actively seeking benefit, and ensuring the client's well being
how do adolescents establish family identity during psychosocial development?
by acting independently to make his or her own decisions, by fostering his or her own development within a balanced family structure
the nurse is assessing a group of children. which child would the nurse determine requires further evaluation? child A: 3 years 95cm 14kg child B: 3.5 years 96cm 16kg child C: 4.1 years 103cm 17kg child D: 5 years 80cm 11kg
child D, a 5 year old should be around 110cm and 19kg
the addition of fluoride to drinking water is known to promote what?
dental health
which consideration would the nurse make when obtaining an informed consent from a 17 year old?
determine whether the client is legally allowed to give consent
which statement would the nurse include in a teaching session for pregnant clients regarding fetal growth and development?
development occurs in a head-to-toe and central-to-peripheral pattern, pregnancy includes the preembryonic, embryonic, and fetal stages of development, during pregnancy the embryo grows from a single cell to a complex physiologic being
which action would the nurse make to comply with the ethic of nonmaleficence in the healthcare setting?
focus on doing no harm
which type of car seat should be used for a 3 year old who weighs 28lbs?
front facing convertible seat
Which of the following conditions in a 70 year old client would be a concern for the nurse?
loss of language skills
which concern may be specifically seen in middle adolescents?
physical appearance and peer group acceptance
what should the nurse tell the MCT about caring for an older client with hearing loss?
they respond best to low frequency tones
which explanation would the nurse provide to the parent of a 2 year old who expresses concern regarding the child's rate of growth slowing?
this growth pattern is typical at this age
the nurse is caring for a client who is mobility is restricted to a wheelchair after MVA. The client has been prescribed physiotherapy as a part of rehab care. Which interventions with the nurse consider when the client was discharged from the healthcare facility?
Assist the family in identifying community support systems, encourage the primary caregiver to set a routine for respite care, consider the primary care caregivers experience in a discharge plan
The older client presents with sudden decreased LOC and incoherent speech. The nurse suspects which of the following?
Delirium
which theory states that a child's growth pattern is related to gene activity?
Gesell's theory
the RN teaches the student nurse about delegation. which statement made by the student nurse indicates appropriate learning?
LPNs can be expected to perform tasks with which they have experience
the RN is caring for a client who underwent brain surgery. the RN delegated the task of reinforcing ambulation to the LPN. which health care team member is accountable for the client's care?
RN
for which client would the nurse measure head circumference during the growth and development assessment?
a 2 month old infant, an 18 month old infant, and a 3 year old preschooler
which health care professionals would the nurse say work under active delegation?
a LPN administering oral medications as delegated by the RN, a UAP maintaining oral hygiene of the clients as delegated by the RN
place a child's growth and development milestones in the order of their achievement
sits momentarily without support and rolls over, waves bye bye and sits alone, walks alone and builds a tower of two blocks, climbs stairs and drinks from a cup, draws a vertical line and walks on tiptoes
which factors are unique to delirium when distinguishing between dementia and delirium?
slurred speech, visual or tactile hallucinations, a fluctuating level of consciousness
which strategy would the nurse include in a plan of care for a client with Alzheimer disease?
structure the environment for safety
which description of symptoms is consistent with dementia of the Alzheimer type?
symptoms reflect progressive disintengration
which situation accurately describes hospice care?
system of family centered care that allows clients to remain at home in comfort while easing the pains of terminal illness
A young couple comes to the fertility clinic for their first visit. How should the nurse proceed?
Gather a detailed history on those parents
what type of thinking occurs during the toddler stage?
magical thinking
which nursing intervention would the nurse implement for a forgetful, disoriented client who has Alzheimer disease?
managing the client's unsafe behaviors
The client states he worked as an insulator prior to retiring. The nurse knows this client is at risk for which condition?
mesothelioma
which scenarios mentioned by the student nurse relate to the health care ethic of fidelity?
monitoring a client after providing non pharmacological measures to relieve anxiety due to hospitalization, noting that the pain relief measures provided to that client have been ineffective the nurse formulates a different plan of care, caring for a client who refuses to be touched by people of certain skin color the nurse continues to provide care because other colleagues refuse to attend to the clients
at which age will an infant's anterior fontanel close?
12-18 months of age
the charge nurse is assigning client care to incoming staff. the new nurse on the unit expresses inability to care for the assigned client and is requesting to be reassigned. which course of action would the delegator take in this situation?
understand the delegatee's motivation in the situation
which response would be given by the nurse teaching growth and development to a group of parents when one parent asks at what age a girl will get her first period?
at the end of the prepubertal growth spurt
the nurse compares a 6 month old infant's height, weight, and head circumference with the previous findings. which conclusion would the nurse make based upon these findings? weight at birth: 3kg weight at 6 months 6.08kg height at birth: 19.5 in height at 6 months 25.5in head circumference at birth: 35cm head circumference at 6 months 44cm
the infant is developing normally
the nurse is preparing a presentation related to normal growth and development at a local community center. which statement would the nurse include in the presentation?
the loss of deciduous teeth during the school-age stage of development
Which action will the nurse take to support cognitive ability clients who have Alzheimer disease?
encouraging caregivers to support safe independence, using calendars clocks and pictures to support memory, providing a limited number of choices to support decision-making
which activity indicated improper follow-through on the park of the delegatee?
failure to report results in a timely manner
a nonprofit organization has conducted a survey on statewide primary health care facilities. the members of the organization provided feedback on the methods used by their facility's health care professionals to deliver high quality care. which health care facility provides highest quality care and is probably preferred by most clients?
health care facility A: monitor costs and follows interventions to reduce hospital stay and provide cost-effective care
an older client complains of not sleeping enough. which statement by the client indicates the need for further teaching?
i drink hot chocolate before bed
which client statement indicates that the client is experiencing a maturational crisis?
i just moved out of my parents house, i should be happy but i feel overwhelmed
at which stage of erikson's theory of psychosocial development would parents need to teach their child impulse control and cooperative behaviors?
initiative vs guilt
which description is correct for Alzheimer disease?
is a slow, relentless deterioration of the mind
which characteristic about confusion would the nurse keep in mind when an older adult client with alzheimer disease is admitted to a long term care facility?
occurs with a transfer to new surroundings
the nurse is working in a Catholic hospital discourages clients from using contraceptives per hospital policy. which category of ethics is the nurse following?
organizational ethics
the RN is evaluating the statements of the student nurse after teaching about delegation. which statement made by the student nurse indicates a need for correction?
professional aspects of care can also be delegated
which intervention would the nurse include when developing a plan of care for an older adult client with dementia?
provide consistency in carrying out nursing activities for the client
which approach would the nurse use for an older adult client with Alzheimer disease who frequently switches from being pleasant and happy to being hostile and unhappy without apparent external cause?
providing nursing care when the client is receptive
which task would be considered developmentally appropriate for a 2 year old to complete?
putting socks on feet, washing and drying hands, using fingers to eat food, building a tower of four cubes, identifying facial body parts
the nurse manager has delegated tasks to the RN and the UAP who are paired to provide care for a client with substance abuse. which hospital care setting uses this model to deliver care to the clients?
rehabilitative care
which manifestations are seen in an older adult with the diagnosis of dementia?
resistance to change, inability to recognize familiar objects, inability to concentrate on new activities, tendency to dwell on the past
which guideline would the nurse consider when planning care for a hospitalized older client with Alzheimer disease?
routines provide stability for clients with neurocognitive disorders
which client need would the nurse prioritize while providing care for an older adult client with dementia?
safety
in which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?
sensorimotor
which information would the nurse provide about respite care?
services are offered at home, in a day care setting, or in a health care institution that provides overnight care, medicare health care plans do not cover this service and medicaid has strict requirements for services and eligibility, it is a service that provides short term relief or time off for people providing home care to an ill, disabled, or frail older adult
a parent tells the nurse that her 3 year old keeps having temper tantrums. the nurse should provide which instruction?
set limits on the child's behavior
a parent tells the nurse my 9 month old doesn't have the same strong grasp as at birth, and my child is not startled by loud noises anymore. which education would the nurse provide the parent to explain these changes in behavior?
those responses are replaced by voluntary activity around 5 months of age
