Growth And Development

Ch. 12: Early and Middle Adulthood 1. Considering Erikson's theory of psychosocial development, what is an example of appropriate behavior during the early adult period? A) Deciding where one will work and live B) Climbing the corporate ladder and making a great deal of money C) Spending time with a significant other or pursing solitary interests D) Participating in known recreation for satisfaction

A) Deciding where one will work and live

5. What is the main characteristic of the pubescence stage of development? A) Desire for independence B) Grapple with everyday issues C) Grapple with career choices D) Fluctuations in self-assurance

A) Desire for independence

21) The nurse communicates during the sign-off report that the new admission is in the transitional stage of the family life cycle. What would the nurse most likely expect to be occurring for this client? A) Developing intimate relationships B) Building a mutually satisfying relationship C) Incorporating spouse/partner into relationships with extended family D) Setting up a household and delineating household responsibilities for each partner

A) Developing intimate relationships

19. An older adult client residing in an extended care facility is very depressed about the current phase of life. How can the nurse, according to Erikson, best help the client achieve psychosocial development? A) Encourage reminiscence. B) Assist the client to focus on necessary adjustments. C) Accomplish the developmental task of developing trust with caregivers. D) Achieve optimal successful transitions.

A) Encourage reminiscence

14) Who is considered members of one's extended family? A) Grandparents, aunts, uncles, cousins B) Parents and spouse C) Children who no longer live at home D) Close family friends

A) Grandparents, aunts, uncles, cousins

17. Which statement should be included in a discussion about finances for the older adult client preparing for retirement? A) Most older adults have to adjust to a fixed income. B) Most older adults spend more money on clothing. C) Most older adults find commuting expenses for preventive healthcare increase. D) Older adults own their homes and the value has increased to assist in moving to new neighborhoods.

A) Most older adults have to adjust to a fixed income

4. A family consists of an infant, school-age child, teenager, mother, and father. Which individual exerts the most lasting influence on the ongoing development of the adolescent? A) Peer group B) School-age child C) Mother D) Father

A) Peer group

6. Which behavior demonstrates the main characteristic of late adolescence stage of development? A) Walking to school alone B) Managing time for both chores and hobbies C) Still sleeps with a favorite stuffed toy D) Worrying about making the soccer team

B) Managing time for both chores and hobbies

8.) Which client statement indicates the family is entering the post-parenting phase of family life? A) "It's scary but I'm really excited about getting a place of my own." B) "Our life is so different now that the baby has arrived." C) "Our youngest child just left for college last week." D) "We are getting married soon and have just rented our first apartment together."

C) "Our youngest child just left for college last week"

13. A mother asks the nurse what is the first solid food that she should give her infant. What food should the nurse suggest the mother introduce first? A) A smashed, hard-boiled egg B) Small amount of apple sauce C) Small amounts of iron-fortified cereal D) Finely minced well-cooked chicken

C) Small amounts of iron-fortified cereal

15. A 70-year-old couple is considering marriage and is concerned about whether they will be able to participate in sexual activities. What is the nurse's most appropriate response? A) "Both of you may have to adapt to possible changes in sexuality." B) "Sexual activity is probably too demanding for older adults." C) "Older men have erectile dysfunction while women maintain sexuality." D) "Older adults are not interested in sexual activity."

A) "Both of you may have to adapt to possible changes in sexuality"

9. What is considered to be a normal attention span for a toddler? A) 5 to 10 minutes B) 10 to 15 minutes C) 15 to 20 minutes D) 20 to 25 minutes

A) 5 to 10 minutes

2) The nurse observes that an infant continuously smiles, babbles, follows light and reacts to the noises in the environment. Based on this information, the nurse conclude that the child is approximately how old? A) 6 weeks B) 8 weeks C) 2 to 3 months D) 3 months

A) 6 weeks

19. Which intervention should the nurse include in the care plan of a terminally ill client in the depression stage of dying? A) Allow for adequate rest. B) Encourage family support. C) Facilitate achievement of client's wishes. D) Provide appropriate physical care.

A) Allow for adequate rest

14. The nurse best demonstrates support of a dying client's right to death with dignity when completing which nursing action? A) Allowing the client to make as many decisions as possible about care B) Telling the client their personal views about the afterlife C) Avoiding conversations about the impending death D) Focusing on needs by completing most of physical care for the client

A) Allowing the client to make as many decisions as possible about care

15. Which religion demonstrates a death practice that includes family involvement in the care of the deceased body with the funeral ritual being held in the home? A) Amish B) Baptist C) Buddhist D) Christian Science

A) Amish

12. A 23-year-old recent college graduate is confused about the next steps to take in life. During the conversation what should the nurse identify as the most appropriate issue to focus on at this time? A) Applying for and accepting suitable employment B) Dating with the purpose of establishing a long-term relationship C) Determining how many children will be included in the established family D) Reflecting back on pervious decisions and redefining goals as necessary

A) Applying for and accepting suitable employment

16. What are the normal cognitive and motor development expectations that should be observed by a nurse in a 4-year-old child? A) Can state their full name and age B) Has developed the ability to say "no" C) Engages in parallel play D) Can eat without assistance

A) Can state their full name and age

7. A male student tells the school nurse that he has started to experience the involuntary discharge of semen while sleeping. The nurse should place a priority on what topic of discussion with this client? A) Changes that occur during adolescence. B) Communication with his parents C) Information about sex and sexuality. D) Sexually transmitted infections.

A) Changes that occur during adolescence

16. Members of which religion are most likely to deny consent for an autopsy? A) Christian Science B) Episcopal C) Greek Orthodox D) Hindu

A) Christian Science

13. A client who is the parent of four children has started divorce proceedings. Which intervention should the nurse implement to assist the client with this decision? A) Provide information concerning financial assistance the family may qualify for B) Suggest marriage counseling as an alternative to divorce C) Advise the client to discuss the divorce with parents and in-laws D) Recommend that the client focus on re-establishing adult relationships

A) Provide information concerning financial assistance the family may qualify for

22. A 13-year-old female client tells the nurse about an increase in weight and fat deposits during the past year. When considering the girl's developmental stages, which nursing action is most appropriate at this time? A) Provide reassurance that these are normal changes associated with puberty. B) Review dietary measures to assist in controlling the weight gain. C) Encourage increased exercise to control weight gain. D) Share information on what foods can be eaten on a low-fat diet.

A) Provide reassurance that these are normal changes associated with puberty

Ch. 11: Adolescence 1. Parents ask the nurse what event identifies that their son has reached puberty. What is the best response by the nurse? A) Puberty occurs when the person becomes able to reproduce sexually B) Puberty spans the ages between 11 and 20 years of age C) A rapid growth spurt occurs during puberty D) Emotional needs predominate the puberty period

A) Puberty occurs when the person becomes able to reproduce sexually

9.) Which is the most likely characteristic of a communal family? A) Several people living together and sharing work B) Unmarried individuals living together C) Intimate partners of the same sex living together D) Children living with paid caregivers temporarily

A) Several people living together and sharing work

10. When asked about playing, the parents of a 3-year-old share that he plays with his toys in the same area as other children but never interacts with them. Nurse documents that the child engages in what form of play? A) Solitary play B) Parallel play C) Cooperative play D) Interactive play

A) Solitary play

11. A parent expresses concern over the amount of attention her daughter pays to "looking just right." The parent is concerned the teen is experiencing an eating disorder. What information should the nurse provide the parent about her concerns? A) Teens are generally very concerned about their appearance B) Eating disorders among teens is rare C) Bulimia is characterized by eating minimal amounts of food. D) Anorexia includes binge eating followed by induced vomiting.

A) Teens are generally very concerned about their appearance

18. When discussing the concrete operations stage of development, which example of childhood behavior should the nurse present? A) The ability to understand the concepts of weight and volume. B) The ability to understand jokes; especially puns. C) The ability to investigate and explore the environment that surrounds them. D) The ability to avoid danger by using their sense of touch.

A) The ability to understand the concepts of weight and volume

2. A client with a terminal illness is in the acceptance stage of dying. The family is worried that the client is devoid of all feelings and has given up everything associated with life. How can the nurse explain the client's behavior to the family? A) The client is resolving emotional conflicts about death. B) The client is not willing to communicate with family. C) The client is trying to escape the reality of death. D) The client is concentrating on past losses.

A) The client is resolving emotional conflicts about death

20. While collecting data from the parents of a 2-year-old child, the child starts to cry, scream, and lashes out every time the nurse tries to pick up the child from the mother's arms. During a physical assessment a 2-year-old screams and lashes out each time the nurse attempts to move the child from the mother's arms to the examine table. Based on this observation, what conclusion should the nurse make about this child's emotional development? A) The nurse recognizes that the child is displaying normal toddler development. B) The nurse needs to focus the assessment on possible signs of abuse. C) The nurse recognizes that the child is demonstrating manipulative behaviors. D) The nurse recognizes that the child is exhibiting development regression.

A) The nurse recognizes that the child is displaying normal toddler development

12) What is the primary reason the nurse should encourage the older client to have regular health check-ups? A) To detect minor problems before they become more serious B) To enable the client to maintain an active lifestyle C) To ensure that their end-of-life wishes are followed D) To foster an effective relationship with a healthcare provider

A) To detect minor problems before they become more serious

17) The nurse is collecting data about the impact of a child's diagnosis of cancer. Which assessment question will assist the nurse in collecting the most relevant data about at this time? A) "When did you first notice that your child was ill?" B) "How has your child's illness affected your family?" C) "What has the family done to cope with the illness?" D) "Are there other families in the community who have a child with cancer?"

A) When did you first notice that your child was ill?

2. Considering Erikson's theory of psychological development, what is an example of psychosocial development during the middle adult period? A) Making the decision to marry B) Working in a people-oriented occupation as a teacher C) Establishing life goal of owning a small business D) Earning an advanced academic degree

D) Earning an advanced academic degree

11.) What is the biggest challenge facing a family that is established by individuals with different cultural backgrounds? A) Determining which customs will be introduced to the children B) Acknowledging and accepting differences in religion and belief systems. C) Deciding how family decision making will be managed D) Assigning roles and responsibilities with the family

B) Acknowledging and accepting differences in religion and belief systems

18. Which factor should the nurse recognize as being the priority when considering a young adult's ability to adapt to adverse employment circumstances? A) Expectations of the financial returns of the joy B) Adjustments skills acquired throughout childhood and adolescence C) The support provided by family and peers D) The amount of parental dependence the young adult has

B) Adjustment skills acquired

10. How can the nurse best assist a client draw strength from religious faith? A) Limit visitors to immediate family during prayer sessions. B) Arrange for individuals from the client's religious group to pray with the client. C) Have the hospital chaplain visit with the client each day. D) Find out what religious materials would be of help to the client.

B) Arrange for individuals from the client's religious group to pray with the client

10. A couple with young children ask the nurse about the factors that contribute to a strong family unit. What information should the nurse provide to the parents? A) The grandparents should be respected as authority figures. B) Both parents need to be involved in childrearing activities. C) Female children learn housekeeping tasks from the females of the family. D) The role of provider and protector are modeled by the males of the family.

B) Both parents need to be involved in childbearing activities

12. A client's family tells the nurse that their cultural and ethnic beliefs will not allow their father's body to be left alone at any time before burial. The mortuary is unable to pick up the body until morning because of a terrible storm and the hospital's policy is that all bodies must be stored in the hospital morgue until the body can be transported. What is the initial intervention the nurse should implement to resolve this situation? A) Arrange to have the body moved to the morgue after explaining the policy to the family. B) Contact the nursing supervisor to discuss possible arrangements to resolve the issue. C) Contact the client's primary care provider to talk to the family about the situation. D) Move the deceased client to an unoccupied room and allow family to stay with the body.

B) Contact the nursing supervisor to discuss possible arrangements to resolve the issue

16. A teenage boy, reveals to the nurse that he is sexually active and is concerned about acquiring a sexually transmitted disease (STD). How can the nurse best address the teenager's concern? A) Advise the client to attend a sex education class. B) Educate the client to use condoms. C) Educate the client on the various forms of birth control. D) Advise the client to avoid intimate relationships.

B) Educate the client to use condoms

14. An older client has just experienced the loss of a spouse. How can the nurse best help this client overcome the depression? A) Tell the client to join the local community fitness center. B) Explore with the client her beliefs about religion and spirituality. C) Teach the client to explore local volunteer opportunities. D) Encourage the client to explore continuing education programs at the local school.

B) Explore with the client her beliefs about religion and spirituality

9. When reviewing the status of a middle-aged client's psychosocial development, which activity is the priority for the nurse to explore further with the client? A) Selection of a life partner B) How the client balances the needs of others C) Review of the client's life choices D) How the client has established a sense of self

B) How the client balances the needs of others

Chapter 10: Infancy and Childhood 1) Based on age, what should the nurse teach the mother of a 3 month old regarding the cognitive development of her child? A) Develops a preferred sleeping position and cry to signal needs B) Laughs, squeals, and looks at objects for several seconds, and reaches for and grasps objects C) Smiles, babbles, follows lights and reacts to sounds D) Develops social smile, responds to pleasurable interactions, such as looking at the mother's face

B) Laughs, squeals, and looks at objects for several seconds, and reaches for and grasps objects

11. The nurse and a social activist are discussing topics for a planned seminar on issues related to the growing population of older adults. Which issue is the priority when considering continued concerns of both the individual and society? A) Healthcare training opportunities in the area of aging B) Legal and ethical issues of the process of dying and death C) Urban transportation systems D) Use and benefit of the Internet

B) Legal and ethical issues of the process of dying and death

16. The nurse observes that an 88-year-old woman at an assisted living facility frequently shares stories about her military service during World War II. What action should the nurse take based on the client's behavior? A) Refer the client for a geriatric psychiatric evaluation. B) Listen and ask the client questions about World War II. C) Distract the client and change the subject of the conversation. D) Involve the client in the facility's social activities.

B) Listen and ask the client questions about world war II

12. The nurse is collecting data about a baby in the well-baby clinic. The nurse reads in the electronic medical records that are present. What behavior observed during the physical assessment of a child confirms the presents of cephalocaudal direction movements? A) While on their belly, child lifts head off the bed B) Moves from a sitting to standing position with ease C) Laughs when playing "Peek-a-boo" with mother D) Parallel plays with other children in the waiting area

B) Moves from a sitting to standing position with ease

19. Which characteristic behavior is demonstrated by a 4-year-old child in the preoperational stage as described by Piaget? A) Comparing how fast a ball and a block fall from the same height B) Not wanting to share their blocks but feeling sad that the other child is crying C) Understanding how differently shaped figures fit together into a jigsaw puzzle D) Showing parents that they can ride a bicycle without training wheels

B) Not wanting to share their blocks but feeling sad that the other child is crying

7.) The client tells the nurse that she is married and lives with her husband and has no children. How would the nurse correctly document this type of family? A) Nuclear family B) Nuclear dyad C) Commuter family D) Extended family

B) Nuclear dyad

6.) What is the most familiar family form? A) Single adult household B) Nuclear family C) Dual worker families D) Commuter family

B) Nuclear family

12. A nurse is addressing a group of schoolteachers on the importance of sex education for children. Who should the nurse suggest be the primary source of sex education information for adolescents? A) Clergy B) Parents C) Teachers D) Counselors

B) Parents

Ch. 14: The End of Life: Death, Dying, and Loss 1. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs

B) Physical needs

17. A mother has just delivered her first baby and asks the nurse about routines at home. Based on this question, what information should the nurse provide the new mother about establishing routines with an infant? A) Routines are vital to a baby's ability to thrive. B) Routines establish trust along with learning to expect. C) Routines promote bonding between mother and infant. D) Routines help the child adjust to toilet training.

B) Routines establish trust along with learning to expect

20. Which word would best describe the denial stage of dying? A) Rage B) Shock C) Guilt D) Grief

B) Shock

5.) The nurse is confident that the family is meeting the physiologic needs of its members when they engage in which activity? A) The older child helps their younger sibling with homework each night B) Taking the children shopping for winter coats, gloves and hats. C) Scheduling an eye examination for the oldest son when he reports, "I can't see the writing on the blackboard." D) Encouraging the older sibling to shovel snow for the older neighbors next door.

B) Taking the children shopping for winter coats, gloves, and hats

6. The long-term life partner of a client diagnosed with terminal cancer is unable to confront the situation. What intervention should the nurse offer the partner to assist in appropriate participation in the client's dying process? A) Strive to accept the inevitability of death for each of us B) Talk honestly about death with both the client and the staff. C) Provide the client with hope and encouragement for the time that remains. D) Assure the client that you will remain with them until the end

B) Talk honestly about death with both the client and the staff

5. When considering Erikson's theory of psychological development, which client is at greatest risk for isolation? A) The toddler who rarely shares toys with other children B) The 28-year-old who dislikes socializing with peers C) The 40-year-old who finds it hard to volunteer as a coach for his child's soccer league D) The adolescent who spends hours each day learning to play a guitar

B) The 28 year old who dislikes socializing with peers

11. A 33-year-old unmarried client reveals a desire to parent a child. What challenge should the nurse discuss with this client? A) Career goals B) The negative affect of being an only child C) Adoption options for the single individual D) Challenges of single parenthood E) Financial considerations

B) The negative affect of being an only child

3) A 4 year old has broken his leg and is fitted with a full leg cast that impairs his mobility greatly. At a follow-up visit, the mother expresses concern that he has started wetting the bed again. What response should the nurse provide the mother to address her concerns? A) Don't worry about it, it wont last, its just a way to get your attention. B) Sometimes children get a little angry when they are unable to move about freely; he's just acting out his frustration. C) A child's behavior may regress to an earlier stage of development during an acute illness D) The medications your child is receiving can cause incontinence and once the medication is discontinued it will no longer be an issue.

C) A child's behavior may regress to an earlier stage of development during an acute illness

8. The nurse is caring for a terminally ill client who is angry and unable to comprehend dying. Which principle should the nurse consider to best ensure that the client reaches a stage of acceptance and peace? A) Dying is a human inevitability B) Prayer may be viewed as a source of comfort C) Acceptance of death comes in its own time D) The process of death incorporates many emotion

C) Acceptance of death comes in its own time

7. An older terminally ill client tells the nurse of hoping to live to see a child receive a promotion to full professor. This statement suggests to the nurse that the client is in what stage of dying A) Denial B) Anger C) Bargaining D) Depression

C) Bargaining

3. A young male client diagnosed with terminal cancer is experiencing anger and rage as a result of the impending death. Based on the data collected, how does the nurse best explain the client's reaction? A) Client is angry with the nurse. B) Client is upset with the family. C) Client is rebelling against helplessness. D) Client is denying the the diagnosis

C) Client is rebelling against helplessness

8. A mother tells the nurse that her child has been able to recognize a quart of milk whether it is in the milk container or poured into a plastic jug as the same amount. Based on this information that the nurse collected about the child's current cognitive development, this skill most likely is an example of what concrete operation characteristic of Piaget's theory of cognitive development? A) Reversibility B) Seriation C) Conservation of matter D) Complex problem-solving

C) Conservation of matter

14. A nurse discussing feeding practices with the mother of an infant learns that she regularly feeds the child by propping the bottle on a blanket in the crib. Based on this information, which assessment should the nurse perform on the child? A) The mucous membrane of the mouth for the while patches associated with thrush B) The surface of the tongue signs of infection including redness C) Erosion of tooth enamel on the child's primary or baby teeth D) The lips for signs of cracking

C) Erosion of tooth enamel on the child's primary or baby teeth

20. Which is the priority intervention for the nurse to implement when discussing retirement with a 45-year-old client? A) Explore why the client wants to retire at such a young age. B) Discuss the client's financial plans for the future. C) Explore possible outside interests with the client. D) Strongly advise the client to consider a new full-time career option.

C) Explore possible outside interests with the client

9. A nurse is working with community leaders to present a program discussing issues related to the growing population of older adults. What issue is the nurse's priority when considering measures to lower healthcare costs? A) Financial planning B) Urban transportation C) Fitness programs D) Nutrition counseling

C) Fitness programs

19. Which should the nurse identify as the priority challenge for the young adult who is about to acknowledge homosexual orientation to family and friends? A) Establishing a sense of security and well-being B) Maintaining previous long-term relationships C) Gathering social support for decisions D) Establishing a nuclear family

C) Gathering social support for decisions

13. Based on Erikson's theory of psychosocial development, which statement by an adolescent should cause the nurse to have the greatest concern? A) "I don't know if I can trust my friends to be there when I need them." B) "Mom and Dad just don't understand me." C) "I don't have any idea who I really am." D) "I'm afraid of failing and looking foolish."

C) I dont have any idea who I really am

15. A mother expresses concern that her toddler still sucks her thumb and asks about the adverse effect of thumb sucking. What response should the nurse make to this mother's concern? A) "Thumb sucking in a child her age may cause ulcers in the mouth." B) "Thumb sucking may lead to the development of oral thrush." C) "It can cause problems she sucks intensely for long periods of time D) "It isn't a problem until her baby teeth are being replaced by her permanent teeth."

C) It can cause problems if she sucks intensely for long periods of time

10.) What is the most important task for those adults in the post-parenting phase of a family's lifecycle? A) Adjusting to retirement from full time employment B) Being financially able to avoid dependency on children C) Maintaining healthy relationships with their grown children D) Getting involved in activities they enjoy

C) Maintaining healthy relationships with their grown children

17. Considering Erikson's psychosocial development concepts, which client should the nurse recognize as having the greatest risk for stagnation? A) Teenage college student B) Early adulthood client C) Middle-aged adult client D) Older-aged adult client

C) Middle-aged adult client

16. What factor should the nurse identify has having the greatest influence on a client's decision making process? A) Financial considerations B) Family culture C) Previous life experiences D) Medical history

C) Previous life experiences

11. A nurse is caring for a dying client who belongs to an organized religious group. Why is religion important for some individuals faced with death? A) Family and friends are unable to support an individual's organized religious beliefs. B) Spirituality alone fails to answer life after death questions C) Religion can support spirituality and the existence of the soul. D) Organized religion can ensure what will occur before the afterlife.

C) Religion can support spirituality and the existence of the soul

11. When considering human growth and development, what example describes proximodistal direction movements? A) Lifting head before sitting B) Sitting before walking C) Rolling over before grasping objects D) Making sounds before being able to walk

C) Rolling over before grasping objects

16) The nurse is teaching families to avoid possible development of a future health issue. Which family's risk factor is the priority when considering who needs education? A) The nuclear family has recently expanded to include an ailing grandparent B) There is a history of cardiovascular disease in the family C) The primary wage earner has recently lost their job D) The family leads a sedentary lifestyle and watches television 4 to 5 hours per day.

C) The primary wage earner has recently lost their job

18. A client diagnosed with terminal cardiovascular disease is angry and verbally abusive to staff as well as visitors. When a visitor expresses being hurt by the client's actions but wanting to be supportive, which response best supports the client? A) "Don't argue with him; his anger will soon pass." B) "Just keep reminding yourself that you love him." C) "Try to see past the anger and listen to what he is saying." D) "Such anger is a normal part of the dying process."

C) Try to see past the anger and listen to what he is saying

3. According to Erikson's theory of psychological development, which scenario demonstrates generativity? A) When a 45-year-old proposes to a life partner B) When a 25-year-old decides to remain celibate C) When a 55-year-old voluntaries at a local school D) When a 30-year-old learns to fly a plan

C) When a 55-year old voluntaries at a local school

7. Which statement made by a child indicates they are functioning at the concrete operations level of Piaget's theory? A) "It rained the last time we went to the zoo so it will rain this time too." B) "Two minutes is a long, long time to wait." C) "There is a difference in the words here and hear." D) "I'll be careful with her book because she'd be sad if it got torn."

D) I'll be careful with her book because she'd be sad if it got torn

20.) The nurse collecting data about the impact of their mother's diagnosis of dementia documents that the family is in the adaptation phase of dealing with the mother's diagnosis of dementia. What data supports this conclusion? A) The children describe their mother as always having a "bad" memory. B) The children are planning to meet to discuss how to address their concerns. C) The son denies that his mother has a cognitive problem. D) A daughter has moved in to care for the mother.

D) A daughter has moved in to care for the mother

3. What explanation by the nurse about Piaget's formal operations level of cognitive development is accurate? A) Up to age 2, children learn by touching, tasting, and feeling. They learn to control body movement B) Children from ages 2 to 7 years investigate and explore the environment and look at things from their own point of view. C) From ages 7 to 11 years, children internalize actions and can perform them in the mind. D) After age 12, children can think in the abstract including complex problem solving.

D) After age 12, children can think in the abstract including complex problem solving

6. What would be the best explanation by the nurse about the FORMAL OPERATIONS level of cognitive development in Piaget's theory? A) Up to age 2, children learn by touching, tasting and feeling. They learn to control body movement. B) From ages 2 to 7 years, children investigate and explore the environment and look at things from their own point of view. C) From ages 7 to 11 years, children internalize actions and can perform them in the mind. D) After age 12, children can think in the abstract including complex problem-solving.

D) After age 12, children can think in the abstract including complex problem solving.

20. A client living in an extended care facility wants to know how to live a healthier and a happier life in older adulthood. What healthcare goal should the nurse present? A) Retain control over all major aspects of life. B) Review past resolutions and decisions but without regret. C) Take part in social activities as often as they are available. D) Be as engaged and active with life as you possibly can.

D) Be as engaged and active with life as you possibly can

7. Based on integrating concepts on the theories of early adulthood, which stage of development should the nurse review initially? A) Reappraising commitments B) Establishing adult relationships C) Starting a family D) Choosing a career

D) Choosing a career

9. What is initial stage of Kübler-Ross's stages of grief and loss? A) Anger B) Bargaining C) Detachment D) Denial

D) Denial

5. When a terminally ill client dwells on past losses, the nurse recognizes that the client is in which state of dying? A) Denial B) Anger C) Bargaining D) Depression

D) Depression

4) When discussing the growth and development of an infant with a client, the nurse refers to various theories and phases of development. The nurse is reviewing the major points of Erikson's theory of development with a client. What explanation of this theory should the nurse provide? A) Cognitive development is cumulative; that is, what is learned is based on what has been known before. B) A child develops an understanding of object permanence, which is the knowledge that an object seen in a particular spot continues to exist and will return to view when it is uncovered. C) Children will investigate and explore the environment and look at things from their own point of view. D) Each stage of development contains a psychosocial challenge or critical period during which the person must deal with a major life change.

D) Each stage of development contains a psychosocial challenge or critical period during which the person must deal with a major life change.

8. The nurse is satisfied that a teenaged client is focused on the challenges that are most important to development when the client makes which statement? A) "My fiancé and I are looking at engagement rings." B) "My family is currently experiencing financial problems since dad was laid off." C) "I'm really looking forward to getting my own apartment." D) "I'm trying to decide which university to attend."

D) Im trying to decide which university to attend

14. During the annual physical examination, a teenage client tells the nurse about feeling anxious as well as frustrated because of facial acne. Which is the nurse's best response? A) "This is one of the most common physical changes during adolescence." B) "It could be serious; seek consultation when your primary care physician examines you." C) "Most adolescents get acne during adolescence, don't worry." D) "Let's talk about how to care for your skin."

D) Lets talk about how to care for your skin

4. A client diagnosed with terminal illness sleeps a great deal as a means of escaping from reality of the inevitable but accepted death. Which intervention should the nurse include in the plan of care to support the client at this stage of the death process? A) Encouraging the client to make the most of each remaining day B) Reassuring the client that everything is being done to extend life C) Encouraging the client to engage in casual talk about fears D) Providing gentle touch to assure the client that someone is here and cares

D) Providing gentle touch to assure the client that someone is here and cares

15.An adolescent initiates a conversation with the school nurse that results in the sharing of feelings of confusion regarding sexual orientation. The client states, "I don't want to be gay." What initial response should the nurse provide to best address the client's concern? A) Notify the school's administration of the student's conflict B) Assess the student for depression and suicidal thoughts C) Share with the client that confused sexual feelings are not uncommon among this age group. D) Reassure the teen that the confusion presently being experienced is often temporary and doesn't necessarily determine sexual orientation.

D) Reassure the teen that the confusion presently being experienced is often temporary and doesn't necessarily determine sexual orientation

Ch.13: Older Adulthood and Aging 1. Considering Erikson's theory of psychosocial development, what is an activity associated with the psychosocial challenge facing an older adult? A) Reentering a serious relationship or remaining single after the death of a spouse. B) Coping with the physical changes associated with aging. C) Making decisions related to career achievements and finances. D) Reflecting on events and decisions made over one's lifetime.

D) Reflecting on events and decisions made over one's lifetime

13. What should the nurse consider as having the psychosocial priority for maintaining the independence of the older client? A) Encourage volunteerism activities with the younger people who visit B) Move out of the assisted living facility to live alone C) Maintain mental stability and satisfactory relationships with family members D) Sustain optimal health, social responsibilities, and financial stability

D) Sustain optimal health, social responsibilities, and financial stability

What is the best explanation of Erikson's theory of psychosocial development during the adolescence period? A) Cognitive development is cumulative; that is, what is learned is based on what has been known before. B) The adolescent thinks in the abstract and develops skills to participate in complex problem solving. C) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices. D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.

D) The adolescent faces many different decisions during the teen years concerning the future and the adult world

13. A client diagnosed with cancer states a desired outcome of "quality of life." Which statement indicates that the desired outcome has been met for the client? A) The client possesses adequate financial resources to pay for own healthcare needs. B) The client spends the majority of time in spiritual reflection. C) The client has no signs or symptoms of preventive complication of the cancer at this time. D) The client verbalizes satisfaction regarding relationships with family members.

D) The client verbalizes satisfaction regarding relationships with family members

13) What is the most damaging long-term effect of child abuse? A) The child may develop chronic depression as an adult. B) The abuse can cause permanent physical injuries. C) The children may have difficulties developing healthy adult relationships. D) The cycle of violence is continued for generations.

D) The cycle of violence is continued for generations

18.) The nurse documents that the family is in the adjustment phase of dealing with the mother's diagnosis of Alzheimer disease. What would be the most likely coping strategy that would be employed by the family at this time? A) The family realizes that regaining stability will involve changes in the family structure. B) Friends and religious community provide assistance with the problem-solving process during the stressful period. C) Roles, rules, boundaries, and patterns of behavior within the family are altered, as needed, to regain stability. D) The family tries to maintain the status quo with minimal disruption to the family unit.

D) The family tries to maintain the status quo with minimal disruption to the family unit

4. When discussing the growth and development of an adult, the nurse refers to various theories and phases of development. Considering Erikson's theory of psychological development, which is the best example of stagnation? A) When a young adult has difficulty establishing relationships B) When a young adult fails to make new friends C) When a middle-aged adult seeks a divorce after years of marriage D) When a middle-aged adult focuses exclusively on personal interests

D) When a middle aged adult focuses exclusively on personal interests

20. What behavior is most characteristic of a teen in the late adolescence stage? A) Cries when they don't get their way B) Prefers to be alone practicing their piano than being with peers C) Questions the need to good to college D) Working a part-time job to help support the family financially

D) Working a part time job to help support the family financially