Growth & Development: Exam #1
The nurse assesses the woman for positive signs of pregnancy, which include: a. enlargement of the uterus. b. bluish color of the cervix and upper vagina. c. detection of fetal heart tones by Doppler auscultation. d. positive test results for human chorionic gonadotropin (hCG).
C.
Parents have brought their 6 months old daughter in for a 1 week follow up for treatment of diaper dermatitis. The parents state that they have followed all directions but that it just doesn't seem to be getting any better. The nurse examines the infant and finds no resolve of the condition. Based on this finding, the nurse suspects that a. the infant may also have a Candida infection. b. additional teaching may be needed for the parents in order to validate that they followed through with instructions. c. suggest to the parents that a heat lamp maybe needed to resolve the problem. d. have the parents continue their treatment as it may take more than 1 week to resolve.
a
The nurse's role with the family with older adults includes serving as a counselor of: a. bereavement. b. menopause. c. family planning. d. sexually transmittable diseases.
a
What are some of the benefits of assessing a family through the use of an ecomap and genogram? Select all that apply. a. A genogram allows a visual display of family health conditions. b. Family histories provide the nurse with a unique perspective of family risk for inherited diseases. c. Slashed lines on an ecomap are used to signify death. d. The ecomap uses a structural approach to the assessment of family roles and function. e. The ecomap is useful in determining environmental hazards related to geography.
a, b
What are the four types of nursing interventions used in health-promotion and disease-prevention planning for the family? Select all that apply. a. Increasing knowledge and skills b. Increasing strengths c. Decreasing exposure to risks d. Decreasing susceptibility e. Decreasing interdependence
a, b, c, d
Improvement of which five of the following habits would substantially reduce mortality rates? Select all. a. Smoking b.Stress c. Poor diet d. Alcohol abuse e. Medication use f. Lack of exercise g. Emergency room visits
a, b, c, d, f,
A nurse is conducting a health history on an adolescent. Components of the health history include: select all. a. sexual history. b. review of systems. c. physical assessment. d. growth measurements. e. family medical history.
a, b, e
What biological risk factors may be an issue when working with families? Select all that apply. a. Genetic inheritance b. Stress and anxiety c. Congenital malformation d. Mental retardation e. Water pollution
a, c, d
During a well-baby visit, the parents of a 12-month-old ask the nurse for advice on age-appropriate toys for their child. Based on the nurse's knowledge of developmental levels, the most appropriate toys to suggest are a. push-pull toys. b. toys with black-white patterns. c. pop-up toy such as Jack-in-the-box. d. soft toys that can be put in the mouth. e. toys that pop apart and go back together.
a, c, e
Which observable behaviors would indicate to the nurse that the patient is experiencing information overload? Select all. a. Fidgeting constantly while seated in the chair b. A period of silence noted between a question c. The patient wanting to continue talking about one subject of interest d. The patient is yawning repeatedly e. The patient is scanning the environment avoiding eye contact while the nurse is attempting to ask questions
a, d, e
What are some of the most reliable sources of community information that nurses can utilize in their community assessment? Select all that apply. a. Data obtained through the use of a windshield survey b. Interviews conducted with community residents and key community officials c. Population statistics obtained from the city planning office d. Census information located on-line toward the end of the last decade e. Random survey mailed to community members
a,b,c
Measurement, as a community data collection method, would include: Select all that apply. a. epidemiological data. b. verbal statements from key community officials. c. the type and state of residential dwellings. d. the use of senses to determine community appearances. e. The past medical history of persons with influenza.
a,b,c,d
Which herbal therapies are associated with increased milk production? Select all that apply. a. Blessed thistle b. Fennel c. St. John's Wort d. Fenugreek e. Echinacea
a,b,d
In order for an infant/child to formulate an attachment with another human being, they must Select all that apply. a. discriminate self between individuals. b. understand moral principles of right versus wrong. c. achieve object permanence. d. understand principles of time. e. recognize themselves in the mirror.
a,c
Infants in the first few days of life are expected to have a weight loss between 5 and 10% based on the following principles Select all that apply. a. increased renal tubular function. b. enlargement of ECF compartment. c. increased glomerular filtration rate. d. shivering thermogenesis. e. decrease in percentage of body water.
a,c,e
What are some of the differences that may be encountered by the nurse working with the rural population? Select all that apply. a. Increased COPD mortality b. More acute illnesses c. Increases in suicide rates d. Increased access to health services e. Increased obesity
a,c,e
The nurse employs the windshield survey approach to community assessment. Which of the following data is she likely to glean from utilizing this method? Select all that apply. a. What shopping facilities in the community are visible? b. What is the water quality in the community? c. What nutritional services are available to community residents? d. Type and economic status of residential dwellings e. What playground facilities are available for the children?
a,d,e
A preschool child watches a nurse pour medication from a tall, thin glass to a short, wide glass. Which statement is appropriate developmentally for this age group? a. The amount of medicine is less. b. The amount of medicine did not change, only its appearance. c. Pouring medicine makes the medicine hot. d. The glass changed shape to accommodate the medicine.
a.
According to Piaget, at what stage of development do children typically solve problems through trial and error? a. Sensorimotor stage b. Preoperational stage c. Formal operational stage d. Concrete operational stage
a.
Based on Piaget's theory of cognitive development, what is one basic concept a child is expected to attain during the first year of life? a. If an object is hidden, that does not mean that it is gone. b. He or she cannot be fooled by changing shapes. c. Parents are not perfect. d. Most procedures can be reversed.
a.
Guidelines for a nurse using an interpreter in developing a care plan for an 8-year-old admitted to rule out epilepsy include a. explaining to the interpreter what information is necessary to obtain from the patient and family. b.encouraging the interpreter to ask several questions at a time to make the best use of time. c.not giving the interpreter too much information so that the interview evolves. d. discouraging the interpreter and client from discussing topics that are deemed irrelevant to the original intent of the interview.
a.
The appropriate direction to pull the pinna of an infant during an otoscopic examination is a. down and back. b. down and forward. c. up and forward. d. up and back.
a.
The most appropriate method for a nurse to use to view the tonsils and oropharynx of a 6-year-old child is to a. ask child to open mouth wide and say "Ahh." b.ask child to open mouth wide, and then place tongue blade in the center back area of the tongue. c. examine mouth when child is crying to avoid use of tongue blade. d. pinch nostrils closed until child opens mouth, then insert tongue blade.
a.
The nurse is assessing a 3-year-old African-American child who is being seen in the clinic for the first time. The child's height and weight are in the 20th percentile on the commonly used growth chart from the National Center for Health Statistics. When interpreting the data, the nurse recognizes a. child's growth is within normal limits. b. child's growth is not within normal limits. c. growth chart is not accurate for African-American children. d. growth chart is not useful until several measurements are plotted over time.
a.
The nurse is interviewing the parents of a toddler and wants to determine the child's feeding preferences during meal time. Which statement made by the nurse is an example of directed focus? a. "I know we have discussed your son's eating habits but can we now discuss what Sam like to eat for lunch?" b. "How much time does it take for Sam to finish his meals?" c. "Would Sam prefer hot dogs or chicken nuggets, if given a choice?" d. "Would Sam prefer pudding as opposed to cake?"
a.
A 6-month-old infant attempts to pick up a toy using his entire hand. This action would be documented as using a a. pincer grasp. b. palmer grasp. c. prehension. d. gross motor development.
b
A newborn who is suspected of having atopy would most likely have which diagnostic finding? a. Small for gestational age (SGA) b. Increased levels of IgE in umbilical cord blood c. No family history of allergies d. Precipitous delivery
b
A parent is concerned that her toddler may become obese if high fat or sugary foods are included in the diet. Which food selection should still be included in a child's dietary plan during this stage of life? a. Sweetened fruit juices b. Whole milk c. Low fat milk d. Processed cakes and muffins
b
A parent of a 10-month-old infant tells the nurse that the baby cries and screams whenever the infant is left with the grandparents. Based on the nurse's knowledge of growth and development, the nurse's response is a. the infant is most likely spoiled. b. stranger anxiety is common for an infant of this age. c. separation anxiety should have disappeared between 4 and 8 months of age. d. the grandparents are not responsive to infant.
b
A parent states that she takes her child to a person's home for care while she is at work. There are no other children being care for in the person's home. Based on this finding, the nurse would document child care as being a. in-home care. b. family daycare. c. center-based care. d. licensed daycare.
b
Collaboration with community members and other professionals in a teamwork model describes the nursing function as: a. independent. b. interdependent. c. dependent. d.multidisciplinary.
b
If an infant understands that an object, even if out of sight still exists then it would be correct to note that the infant has achieved a. moral comprehension. b. object permanence. c. mental representation. d. demonstrates reflex activity.
b
In terms of play behavior, which observation would be considered to be an abnormal finding based on normal growth and development patterns? a. Playing peek a boo at age at 1 year of age. b. At 1 month of age, they extend arms to be picked up by their parent or caregiver. c. Show preference for a toy by 4 months of age. d. At 8 months of age, child refuses to play with a stranger.
b
The health agencies, schools, fire departments, and governmental bodies are examples of the __of a community. a. demography. b. structure. c. function. d. population.
b
The nurse assesses a particular community and finds that there is a pervasive concern about the problem of drug abuse and violence in that community. Which of Gordon's functional pattern best addresses this aspect of community functioning. a. Cognitive-perceptual pattern b. Health perception-health management pattern c. Self-perception-self concept d. Community analysis pattern
b
The nurse teaches parents that the most important factor in the child's physical, emotional, and cognitive development is: a. parental maturity. b. parental influence. c. experiences with children. d. how they were nurtured as children.
b
The parents of a 5-month-old child complain to the nurse that they are exhausted because the infant still wakes up as often as every 1 to 2 hours during the night. When the child awakens, they change the diaper and the mother nurses the child back to sleep. Which should the nurse suggest to help the parents deal with this problem? a. Put the child in the parents' bed to cuddle. b. Start putting the infant to bed while still awake. c. Allow the infant to cry for 30 minutes, and then rock the infant back to sleep before putting the infant back in the crib. d. Give the infant a bottle of formula instead of breastfeeding so often at night.
b
Which statements provides the best description of parallel play? Select all that apply. a. Two children playing checkers together. b. One child playing with his truck while another child plays with a car while seated on the floor. c. Three children playing each playing with a deck of cards but performing different actions with the respective deck of cards. d. Two children playing with dolls together while a third child walks by with a doll stroller and asks if she could play with them.
b, c
Infants most at risk for sudden infant death syndrome (SIDS) are those Select all that apply. a. Who sleep supine b. Who sleep prone c. Who were preterm d. With prenatal drug exposure e. With a cousin that died of SIDS
b, c, d
Which of the following statements are correct concerning race and culture as applied to pregnancy and fetal health. select all. a. The United States has the best world ranking for infant mortality rate. b. Blacks have more twins, thus more premature deliveries. c. Asians women less fewer babies with cleft palates than do black women. d. The total number of malformations tends to be the same in all races. e. Socioeconomic status but not ethnic background influence fetal health.
b, d
Nurses in the community setting utilize steps when determining the actions needed to resolve existing or potential health concerns. What are the major purposes of the planning phase of attempting a change? Select all that apply. a. Analysis of the data b. Prioritization of problems identified through the assessment c. Identification of immediate, intermediate, and long-term goals d. Formalization of a community nursing care plan e. Determine if the objectives were met
b,c,d
What are some of the social trends creating interest in health promotion in the United States? Select all that apply. a. Focus of health care shifting to a reactive state b. Healthy People 2020 emphasis on disease prevention and health promotion c. The US Census Bureau report that the older population increased faster than the total population d. Older people tend to have more chronic diseases e. Increases in medical malpractice claims
b,c,d
Which finding would be considered to be abnormal with regard to growth and development principles? Select all that apply. a. Chest circumference is equal to head circumference at the end of the first year. b. Increased height is most likely to do to size of limbs rather than torso by the end of the first year. c. Increase in weight of the brain about 1.5 times by the end of the first year. d. Growth of heart is doubled by the end of the first year. e. Primitive reflexes remain consistently within the first year of life.
b,c,e
Which physical assessment findings would be associated with the presence of alopecia? Select all. a. Excess vitamin C b. Decreased protein intake c. Decreased caloric intake d. Decreased copper e. Decreased zinc
b,c,e
A nurse is examining a toddler and is discussing with the mother psychosocial development according to Erikson's theories. Based on the nurse's knowledge of Erikson, the most age-appropriate activity to suggest to the mother at this stage is to a. feed lunch. b. allow the toddler to start making choices about what to wear. c. allow the toddler to pull a talking-duck toy. d. turn on a TV show with bright colors and loud songs.
b.
A nurse is knowledgeable about both growth and development. Which assessment finding indicates the child's development is on target? a. The child has not gained weight for 3 months. b. The child can throw a large ball but not a small ball. c. The child's arms are the most rapidly growing part of the child's body. d. The child can pull herself or himself to her or his feet before the child is able to sit steadily.
b.
At what age would a child demonstrate the ability to understand the concept of compromise as related to social play interactions? a. 2 years of age b. 5 to 6 of age c. It depends on the child's ability to reason and therefore may vary considerably d. It is a learned concept and is typically present by 10 years of age.
b.
During their school-age years, children best understand concepts that can be seen or illustrated. The nurse knows this type of thinking is termed as a. preoperational b. concrete operations c. school-age rhetoric d. formal operations
b.
For which scenario would the expectation of confidentiality by the nurse not be withheld during an interview format? select all a. 15-year-old emancipated minor who wants to discuss birth control methods b. 14-year-old patient who denies abuse but who presents with multiple bruises over arms and legs which appear to be "defensive type" in nature c. 16-year-old patient who appears sad and voices despair over having broken up with his boyfriend states he has no options d. 18-year-old patient who confides in the nurse that she wants to move out and get her own apartment
b.
In terms of genetic presentations, if a disease pattern exists without known correlation of symptoms, this would be characterized as a a. syndrome b. association c. sequence d. mutation
b.
Parents are often confused by the terms growth and development and use the terms interchangeably. Based on the nurse's knowledge of growth and development, the most appropriate explanation of development is a. a child grows taller all through early childhood. b. a child learns to throw a ball overhand. c. a child's weight triples during the first year. d. a child's brain increases in size until school age.
b.
The nurse is ready to begin a physical examination on an 8-month-old infant. The child is sitting contentedly on the mother's lap, chewing on a toy. What should the nurse do first? a. Elicit reflexes. b. Auscultate the heart and lungs. c. Examine the eyes, ears, and mouth. d. Examine the head, systematically moving toward the feet.
b.
Which explains the importance of detecting strabismus in young children? a. Color vision deficit may result. b. Amblyopia, a type of blindness, may result. c. Epicanthal folds may develop in the affected eye. d. Ptosis may develop secondarily.
b.
Which statement helps explain the growth and development of children? a. Development proceeds at a predictable rate. b. The sequence of developmental milestones is predictable. c. Rates of growth are consistent among children. d. At times of rapid growth, there is also acceleration of development.
b.
A nurse is providing education to a community group in preparation for a mission trip to a third world country with limited access to protein-based food sources. The nurse is aware that children in this country are at increased risk for a. rickets. b. marasmus. c. kwashiorkor. d. pellagra.
c
In working with a group of parents related to providing information relative to car seat restraints. Which statement by a member of the parent group would indicate that additional teaching was necessary? a. "I will place the car seat facing backwards in the car." b. "The car seat should be anchored to the vehicle's seat belt." c. "The LATCH system should be used for a child who is below 35 pounds." d. "The child should be in a rear facing position up to 24 months of age."
c
Parents of an infant report that the child is extremely fuzzy at times. Which parental response might lead to potential poor outcomes in later life for the child? a. Attempts to provide comfort by playing music. b. Holding the infant while applying a gentle rocking motion. c. Offering the infant more food to decrease fuzziness. d. Playing with the infant to attempt distraction.
c
Planned change within a community is dependent upon which of the following factors? a. Community assessment b. Community nursing education c. Efforts by individuals or groups motivated to make lifestyle changes d. Changes in legislation
c
The nurse assesses a family's coping-stress tolerance pattern by exploring their: a. cultural beliefs. b. traditions and practices. c. dysfunctional adaptive strategies. d. expectations of marriage and parenthood.
c
The nurse performs assessments of the mother and her fetus throughout the labor process. Which finding indicates a complication? a. Clear amniotic fluid b. Active fetal movement c. Fetal heart rate below 100 beats/min d. Contractions every 3 minutes, lasting 60 seconds
c
Which assessment finding would the nurse expect to see with regard to weight status in an infant who is 1 year of age? a. Weight is doubled that of birth weight. b. Average weight of a 1 year old is stable if found to be 15 pounds. c. Weight is tripled that of birth weight. d. Breastfeeding infants typically will have smaller head circumference than bottle fed infants. e. Weight is quadrupled compared with initial birth weight at age one.
c
Which is the most appropriate recommendation for relief of teething pain? a. Rub the gums with aspirin to relieve inflammation. b. Apply hydrogen peroxide to the gums to relieve irritation. c. Give the child a frozen teething ring to relieve inflammation. d. Have the child chew on a warm teething ring to encourage tooth eruption.
c
A nurse is discussing various developmental theories at a parenting class. Which individual is associated with the moral development theory? a. erikson b. fowler c. kohlberg d. Freud
c.
Which recommendation would a nurse make to new parents who are planning to introduce solid foods to their 6-month-old son? a. Cream of wheat cereal b. Cream of farina cereal c. Cereals fortified with iron d. Rice cereal
d
An expectation of the patient in a health care setting in terms of charting and documentation is that? a. Information will be shared only with physicians in the hospital or clinic setting regardless of whether they are taking care of the patient. b. The use of nursing informatics requires that passwords be changed upon access to maintain patient confidentiality. c. The patient is assured that anyone in the hospital facility can access their chart. d. Safeguard systems are in place within the hospital or clinic setting to help maintain confidentiality of patient records.
d.
Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation? a. Palpate another area simultaneously. b. Ask the child not to laugh or move if it tickles. c. Begin with deeper palpation and gradually progress to superficial palpation. d. Have the child "help" with palpation by placing his or her hand over the palpating hand.
d.
The nurse is assessing skin turgor in a child. The nurse grasps the skin on the abdomen between the thumb and index finger, pulls it taut, and quickly releases it. The tissue remains suspended, or tented, for a few seconds, and then slowly falls back on the abdomen. Based on the nurse's knowledge of assessing skin turgor, the assessment finding is that the a. tissue shows normal elasticity. b. child is properly hydrated. c. assessment is done incorrectly. d. child has poor skin turgor.
d.
The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is to a. use the small cuff. b. use the large cuff. c. use either cuff, using palpation method. d. locate the proper-sized cuff before taking the blood pressure.
d.
The parent of a 12-month-old says to the nurse, "He pushes the teaspoon right out of my hand when I feed him. I can't let him feed himself; he makes too much mess." The most appropriate response by the nurse is a. "It's important not to give in to this kind of temper tantrum at this age." b. "Maybe you need to try a different type of spoon, one designed for children." c. "It's important to let him make a mess. Just don't worry about it so much." d. "He is at the age when he should begin to feed himself. Let's think of ways to make the mess more tolerable."
d.
What is the most accurate method of determining the length of a child younger than 12 months of age? a. Standing height b. Estimation of length to the nearest centimeter or 1/2 inch c. Recumbent length measured in the prone position d. Recumbent length measured in the supine position
d.
When assessing a preschooler's chest, the nurse would expect a. respiratory movements to be chiefly thoracic. b. anteroposterior diameter to be equal to the transverse diameter. c.intercostal retractions on respiratory movement. d. movement of the chest wall to be symmetric bilaterally and coordinated with breathing.
d.
Which characteristic best describes the fine motor skills of a 5-month-old infant? a. Transfers objects from one hand to another b. Crude pincer grasp c. Able to build a tower of two cubes d. Able to grasp an object voluntarily
d.
Which mother is a candidate for the administration of Rho(D) immune globulin (RhoGAM)? a. An Rh-negative mother with an Rh-negative newborn b. An Rh-positive mother with an Rh-negative newborn c. A mother demonstrating the presence of Rh-positive antibodies d. A pregnant Rh-negative mother who experiences a spontaneous abortion
d.
Which statement explains why it can be difficult to assess a child's dietary intake? a. No systematic assessment tool has been developed for this purpose. b. Biochemical analysis for assessing nutrition is expensive. c. Families usually do not understand much about nutrition. d. Recall of children's food consumption is frequently unreliable.
d.
According to Erikson, infancy is concerned with acquiring a sense of a. trust b. industry c. initiative d. seperation
trust
Which of the following statements is correct concerning the Apgar scoring system? a. Apgar predicts neurological development b. Apgar score of 6 to 7 is considered to be in the safe zone c. Scoring is done at 1 and 5 minutes d. The highest possible score is 8
C
The nurse is providing education to a parent of a 10-month-old infant with the diagnosis of cow's milk allergy. What will be included in the teaching? Select all that apply. a. Reading of all food labels to avoid products with milk. b. Use of milk to desensitize the child. c. Introduction of soy-based products to replace milk. d. Signs and symptoms associated with potential accidental ingestion of milk.
A
The nurse teaches the expectant client about interventions that decrease sibling rivalry after birth. These instructions would include: a. encourage the sibling to participate in decisions such as selecting toys for the newborn. b. do not permit sibling to make negative comments about the baby. c. encourage positive feelings but discourage questions about newborns d. for prenatal visits, set up time visits with grandparents who will take sibling on a fun outing.
A
The primary goals in the nutritional management of children with failure to thrive (FTT) are Select all that apply. a. allow for catch-up growth. b. correct nutritional deficiencies. c. achieve ideal weight for height. d. restore optimum body composition. e. educate the parents or primary caregivers on child's nutritional requirements.
A, B, C, D, E
Which of the following statements are correct concerning the nurse's role in the context of pregnancy and delivery process? Select all that apply. a. The nurse helps the patient and partner choose between natural childbirth or analgesia/anesthesia. b. Nurses must have a master's degree to conduct prenatal classes. c. Sibling classes are controversial and may cause more harm than good. d. Midwives have a reputation for being culturally sensitive. e. The movement toward home birth began with a nurse midwife in attendance began in the 1950s.
A, D
A child relates that every time he eats a certain food, he gets a stomachache. No other discernable physical symptoms have been correlated with the food intake. Based on this information, the nurse would suspect that the child may be exhibiting? a. Food refusal behavior b. Food intolerance c. Food allergy d. Food preference
B
According to Rubin, which of the following describes one of the four major developmental tasks which a woman seeks to accomplish as she learns to become a mother? a. Moves beyond concern over whether family will accept her child. b. Ensuring safe passage through pregnancy and childbirth. c. Integrates the fetus as an integral part of her. d. Examines what she will gain and lose by becoming a mother.
B
Which of the following elements of nutrition education are included when teaching the lactating mother about her nutritional needs? Select all that apply. a. Lactating women should consume the same amount of calories as those consumed with pregnancy. b. Lactating women need 7 to 11 servings of carbohydrates per day. c. Calcium supplements are required for most women. d. Seventy grams of protein per day should come from eating lean meat, fish, eggs, poultry, milk, and dairy products. e. Lactating women should consume 500 μg of folic acid.
B, D, E
The goal for the couple who attends childbirth education classes is to: a. promote a medication-free birth. b. prepare for an early discharge. c. increase knowledge of labor and delivery. d. provide information about hospital policies.
C
A nursing student is discussing the technique of interviewing with his instructor and conveys that he is somewhat reluctant to talk with potential patients as he fears he may have nothing to say and there would be periods of silence. Which statement represents the best response by the nursing instructor in response to the students' expressed concerns? a. Telling the student that everyone feels like this at first but that the feeling and anxiety will reside during the next interview experience. b. Encourage the student to practice interviewing technique skills with peers and family members to increase his confidence level. c. Acknowledge that his reluctance is normal but that the utilization of silence may well eventually represent the ability of a confident interviewer in knowing that sometimes it is equally important to listen rather than to keep talking. d. Provide the student with practice questions for interviewing and have him look at himself in the mirror while voicing the questions to increase his confidence level.
c.
At what age would the nurse expect an infant to be able to say "mama" and "dada" with meaning? a. 4 months b. 6 months c. 10 months d. 14 months
c.
Parents of a 4-month-old infant bring the infant to the clinic for a well-baby checkup. Which instruction should the nurse include at this time about injury prevention? a. "Never shake baby powder directly on the infant because it can be aspirated into the lungs." b. "Do not permit the child to chew paint from window ledges, because the child might absorb too much lead." c. "When the child learns to roll over, you must offer supervision whenever the child is on a surface from which the child might fall." d. "Keep doors of appliances closed at all times."
c.
The nurse is interviewing the mother of Adam, age 9 years. Which question would be the most appropriate as the nurse begins to assess Adam's school performance? a. "Did Adam go to preschool?" b. "Does Adam have problems at school?" c."How is Adam doing in school?" d. "How well does Adam seem to be doing in school?"
c.
The nurse is observing a child who appears to be daydreaming while seated in a chair in the clinic waiting for her scheduled appointment with her mother. This behavior is noted as being an example of a. pretend play b. dramatic play c. unoccupied behavior d. skill play
c.
When interviewing a patient, which statement/action indicates that the nurse is displaying empathy? a. The nurse offers the patient a tissue when the patient is crying after hearing some sad news before giving the patient medication. b. The nurse and patient discuss their families and discover they each have two brothers. c. The patient appreciates that the nurse has sat by her bedside and held her hand while they spoke about health concerns. d. The nurse provided the patient's family with Advanced Directive Form to fill out acknowledging that it has to be done in order to fulfill the patient's wishes.
c.
Which behavioral pattern would be a cause for concern to a nurse for in a pediatric male patient, 8 years of age, who is presenting to the clinic with his parents for a well-child visit? a. Child is quiet playing with his iPad while his parents answer questions posed by the nurse. b. Parents are laughing and joking with their son regarding an earlier event that occurred that day. c. Parents are telling their son that he is going to get fat if he continues to keep eating pretzels before dinner. d. Child asks to borrow the nurse's stethoscope to see how it works.
c.
Which statement is true concerning the increased use of telephone triage by nurses? a. Telephone triage has led to an increase in health care costs. b. Emergency department visits are not recommended by nurses, and therefore they are not a component of telephone triage. c.Access to high-quality health care services has increased through telephone triage. d. Home care is often recommended when it is not appropriate.
c.
A 3-month-old bottle-fed infant is allergic to cow's milk. Which is the best substitute to teach the parents to use? a. Goat's milk b. Soy-based formula c. Skim milk diluted with water d. Casein hydrolysate milk formula
d
A nurse is caring for a 2-month-old exclusively breastfed infant with an admitting diagnosis of colic. Based on the nurse's knowledge of breastfed infants, what type of stool is expected? a. Dark brown and small hard pebbles b. Loose with green mucus streaks c. Formed and with white mucus d. Semiformed, seedy, yellow
d
An infant is more likely to be at increased risk for infections based on the immunological premise that a. decreased amount of immunoglobulin M at birth. b. limited maternal transfer resulted in decreased protection during the first 3 months of life. c. inability to synthesize immunoglobulin G. d. limited ability to reach adult levels until 1 year of age.
d
In providing nutritional counseling for a family with children, which statement would indicate that the parents need additional teaching with regard to mineral balance? a. "I will give my child fortified milk products and avoid cow's milk." b. "I will avoid giving my children any mineral supplements so as to avoid the possibility of megadoses." c. "Spinach is not a very source of iron when considering mineral balance." d. "I don't have to worry about mineral balance since my child will be following a vegetarian diet."
d
The cognitive-perceptual pattern assessment includes: a. who decides when children go to sleep. b. what types of daily activities include physical exercise. c. what kinds of feelings family members have for each other. d. how the family makes decisions about health promotion and disease prevention.
d
The infant's mother reports that her 6-month-old daughter seems to be afraid of strangers now. Based on this reported finding the nurse would advise the mother that a. psychological counseling may be needed if the behavior continues or worsens. b. this is probably due to "nightmares" and should be self-limiting, so there is no need to worry. c. ask the mother what type of specific behaviors was the child exhibiting as there may be potential abuse occurring. d. tell the mother that fear of strangers is normal during this time period and typically will be self-limiting.
d
The nurse uses developmental theory by evaluating the family's: a. analysis of baseline data. b. rigid and permeable boundaries. c. structural and functional components. d. prospective tasks and progression through cycles.
d
The nurse's educational role reflecting health promotion and disease prevention during the couple stage of family development is the: a. teacher of risk factors to health. b. coordinator with pediatric services. c. teacher of first aid and emergency measures. d. coordinator for genetic counseling.
d
