Ramont2e Rev TIF Ch15

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Ramont, Niedringhous, Comprehensive Nursing Care 2nd Edition Update Test

Bank

Chapter 15Question 1

Type: MCSA

A parent of a 2 year-old asks the nurse about the difference between growth and development. The nurse eplainsthat

1. !ndicators of growth include height" weight and development of teeth

2. #rowth refers to a person$s ability to adapt to the environment

. %evelopment is rapid during the prenatal and neonatal stages

!. #rowth is an increase in the compleity of function

Corre"t #ns$er: &

Rationa%e 1' #rowth refers to physical change and increase in si(e.

Rationa%e 2' %evelopment refers to the increase in the compleity of function and skill progression.

Rationa%e ' #rowth is rapid during the prenatal" neonatal" infancy" and adolescent stages" but slows during

childhood and is minimal during adulthood.

Rationa%e !' %evelopment is an increase in the compleity of function and skill progression) it refers to a personcapacity and skill to adapt to the environment.

&%o'a% Rationa%e:

Cogniti(e )e(e%: *nderstanding

C%ient Need: +sychosocial !ntegrity

C%ient Need *u':

Nursing+ntegrated Con"epts: ,ursing +rocess' !mplementation

)earning -ut"ome:

Question 2

Type: MCMA

The father of a & year-old boy asks the nurse about his son$s growth spurt and puberty. The nurse eplains some

facets of growth and development" including'

*tandard Tet: Select all that apply.

amont" ,iedringhous" Comprehensive Nursing Care 2nd /dition *pdate Test 0ank

Copyright 21&2 by +earson /ducation" !nc.



1. !t a continuous" orderly process

2. /ach developmental stage has its own characteristics

. Time of onset of each stage varies with each person

!. The length of each stage is the same for each person

5. Asynchronous development occurs only in infancy

Corre"t #ns$er: &"2"

Rationa%e 1' #rowth and development are continuous" orderly" seuential processes influenced by maturational"

environmental and genetic factors.

Rationa%e 2' /ach developmental stage has its own characteristics.

Rationa%e ' The time of onset of each stage varies with each person.

Rationa%e !' The length of each stage varies with each person.

Rationa%e 5' The pace of growth and development is uneven" and asynchronous development is demonstrated by

rapid growth of the head during infancy and of the etremities at puberty.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Applying


C%ient Need *u':

Nursing+ntegrated Con"epts: ,ursing +rocess' Assessment

)earning -ut"ome:

Question

Type: MCSA

The parents of a set of fraternal twins are concerned about the differences in the growth and development betwee

the children. The principle of growth and development that will best eplain this to the parents is

1. The seuence of each stage is predictable" although the time of onset" length of the stage" and the effects of eac

stage vary with the person

2. /ach developmental stage has its own characteristics

. %evelopment becomes increasingly differentiated

!. Certain stages of growth and development are more critical than others

Corre"t #ns$er: &





Rationa%e 1' /plaining the difference between the twin$s growth as a normal phenomenon of growth anddevelopment will put the parents$ mind at ease.

Rationa%e 2' /ach developmental stage has it$s own characteristics" but this does not eplain why the children are

growing at different rates.

Rationa%e ' %evelopment becomes increasing differentiated" from generali(ed to specific" but this does noteplain why each child grows at an individual rate.

Rationa%e !' The first &1-&2 weeks after conception are critical" however this does not answer the parents$

concerns.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !

Type: MCMA

0ased on the principle that growth and development occur from the center of the body outward" the nurse predict

the following'


1. The infant will grasp an ob3ect with the thumb and second finger before rolling over

2. The infant will be able to roll over before grasping an ob3ect with the thumb and second finger

. The infant will be able to crawl prior to walking

!. The infant will be able to creep prior to crawling

5. The infant will be able to sit prior to rolling over

Corre"t #ns$er: 2""4

Rationa%e 1' 0ased on the principle that growth and development occur from the center of the body outward" theinfant will be able to roll over prior to grasping with the thumb and second finger.

Rationa%e 2' 0ased on the principle that growth and development occur from the center of the body outward" the

infant will be able to roll over prior to grasping with the thumb and second finger.

Rationa%e ' 0ased on this principle" the infant will be able to crawl before walking.





Rationa%e !' 0ased on this principle" the infant will be able to creep before crawling.

Rationa%e 5' 0ased on this principle" the infant will roll over before sitting up.

&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: ,ursing +rocess' !mplementation

)earning -ut"ome:

Question 5

Type: MCSA

The nurse identifies developmental needs as priorities in which age range'

1. ,eonate to preschool

2. ,eonate to adulthood

. ,eonate to older adult

!. ,eonate to adolescent

Corre"t #ns$er:

Rationa%e 1' %evelopmental needs do not end at the preschool age.

Rationa%e 2' %evelopmental needs do not end at adulthood.

Rationa%e ' %evelopmental needs encompass the life span.

Rationa%e !' %evelopmental needs do not end at the adolescent stage.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: ,ursing +rocess' Assessment)earning -ut"ome:

Question /

Type: MCMA





The nurse is discussing growth and development with the birth parents of a newborn" eplaining that there are

genetic and environmental influences. /nvironmental factors include'


1. Climate

2. eligion

. Conception

!. +hysical stature

5. 5amily

Corre"t #ns$er: &"2

Rationa%e 1' /nvironmental factors such as the climate in which one lives" are changeable.

Rationa%e 2' eligion is an environmental" changeable influence on growth and development.

Rationa%e ' Conception" and the genetic material that merges" is an unchangeable influence on growth and

development.

Rationa%e !' +hysical stature is a product of genetics" and is unchangeable.

Rationa%e 5' The infant is connected by genes with his or her parents and siblings.

&%o'a% Rationa%e:

Cogniti(e )e(e%: *nderstandingC%ient Need: 6ealth +romotion and Maintenance

C%ient Need *u':


)earning -ut"ome:

Question 0

Type: MCSA

The nurse eplains to the parents of a young adult that one of their child$s developmental milestones is'

1. +articipating in group activities

2. %eveloping a personal lifestyle

. Adapting to physical and sensory changes

!. Career is important





Corre"t #ns$er: 2

Rationa%e 1' The school age child is beginning to participate in group activities.

Rationa%e 2' The young adult" aged 21-41 years old" is developing a personal lifestyle.

Rationa%e ' The middle-old adult" aged 78-94 years old" is adapting to physical and sensory changes.

Rationa%e !' The middle adult" aged 41-:8" finds career important and a ma3or focus.

&%o'a% Rationa%e:


C%ient Need: Safe /ffective Care /nvironment

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA

As the client describes her family and living situation" the nurse recogni(es the family structure as that of a

nuclear family. This family includes'


1. Cousins

2. +arents

. 0iological offspring

!. Step-children

5. An adult friend

Corre"t #ns$er: 2"

Rationa%e 1' Cousins would be part of the etended family structure.

Rationa%e 2' +arents are part of the nuclear family.

Rationa%e ' 0iological offspring of the parents are part of the nuclear family.

Rationa%e !' Step children are part of the blended family structure

Rationa%e 5' An adult friend living in the house" sharing decisions and responsibilities" would be part of a

communal family structure.





&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question Type: MCMA

As the nurse interviews the parents of a five year old" the parenting style is observed. +arents with a permissive

style of parenting would ehibit which of the following characteristics or behaviors'


1. 6igh control" high warmth

2. 6igh warmth" low control

. ;<e can talk about it=

!. ;>ou make the decision=

5. 6igh control" low warmth

Corre"t #ns$er: 2"4

Rationa%e 1' The authoritative parents ehibit high controlling characteristics" and high warmth and loving

characteristics.

Rationa%e 2' The permissive parents ehibit high warmth and loving characteristics" and low controlling behaviors.

Rationa%e ' The authoritative parents will discuss issues with children" and then make the decision.

Rationa%e !' The permissive parents will let the child make most decisions.

Rationa%e 5' The authoritarian parents will ehibit high controlling behaviors" with low levels of warmth and

loving connection with the child.

&%o'a% Rationa%e:

Cogniti(e )e(e%: Analy(ing


C%ient Need *u':


)earning -ut"ome:





Question 13

Type: MCMA

<hen reviewing growth and development of the adolescent with a group of parents" the nurse identifies which of

the following as components and needs of this stage'


1. !ndependence becomes central

2. 0egin to establish long-term relationships

. ?alues are tested

!. Assist to develop strategies for resolving conflicts

5. Support change as necessary for health

Corre"t #ns$er: &""4

Rationa%e 1' +eers and independence become central at this stage.

Rationa%e 2' @ong-term relationships are characteristic of the young adult.

Rationa%e ' ?alues are tested as adolescents develop coping behaviors.

Rationa%e !' Adolescents begin to develop healthy strategies for resolving conflicts.

Rationa%e 5' Supporting change for health is a need during young adulthood.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 11

Type: MCSA

The nurse recogni(es the following as behaviors indicating negative resolution of the generativity versus

stagnation stage of development

1. Creativity





2. +roductivity

. Concern for net generation

!. Concern for self

Corre"t #ns$er: 4

Rationa%e 1' +ositive resolution of this stage is characteri(ed by creativity" developing career and family.

Rationa%e 2' +ositive resolution of this stage is characteri(ed by productivity" developing career and community.

Rationa%e ' +ositive resolution of this stage is characteri(ed by concern for the world being left for the net

generation.

Rationa%e !' ,egative resolution of this stage is characteri(ed by self-indulgence" self-concern" lack of interestsand commitments.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 12

Type: MCMA

The nurse recogni(es the following characteristics as normal development for the &9 month old child'


1. @umbar @ordosis" protruding abdomen

2. apid language development

. <ords epress thoughts

!. Can ride a tricycle

5. Can crawl down stairs

Corre"t #ns$er: &"2"8

Rationa%e 1' Toddlers have a pronounced lumbar @ordosis and protruding abdomen.

Rationa%e 2' @anguage development is rapid from 2-4 years of age.





Rationa%e ' /pression of thoughts in words is a characteristic of the development of the 4-7 years.

Rationa%e !' iding a tricycle is a skill that is characteristic of a 2-year old.

Rationa%e 5' The &9-month-old is able to crawl down stairs.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: +sychosocial !ntegrity

C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

As the nurse reviews the admission uestionnaire of a 24 year-old mother of two children" the client$s roles noted

include'


1. <ife

2. Sibling

. +arent

!. #randparent

5. Child

Corre"t #ns$er: "8

Rationa%e 1' The information provided does not reveal the marital status of the client" and the nurse needs toverify marital status.

Rationa%e 2' The information provided does not reveal the client$s position in her family of origin) the nurse

needs to verify this information.

Rationa%e ' The client is a mother of two.

Rationa%e !' The client is not old enough to be a grandparent.

Rationa%e 5' The client is someone$s daughter.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 1!

Type: S/

<hen eplaining the stages of growth and development to new parents" the nurse lists them in order. @ist the

following stages in order of occurrence.

*tandard Tet: Click and drag the options below to move them up or down.

Choi"e 1. Toddler

Choi"e 2. Adolescent

Choi"e . ,eonate

Choi"e !. +reschooler

Choi"e 5. !nfant

Choi"e /. School-age child

Corre"t #ns$er: "8"&"4":"2

Rationa%e 1' Toddler' &- years

Rationa%e 2' Adolescent' &2-21

Rationa%e ' The stages of development start at neonate Bbirth to 29 days

Rationa%e !' +reschooler'-: years

Rationa%e 5' !nfant'& month-& year

Rationa%e /' School-age child' :-&2 years

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question 15

Type: MCSA

<hen discussing family tasks with a client" the nurse identifies integrating new family members as a task of

which family stage

1. /arly childbearing

2. 5amilies with preschool children

. 5amilies with teenagers

!. 5amilies of middle years

Corre"t #ns$er: 2

Rationa%e 1' Tasks of the early childbearing family includes developing a stable family unit with the new parentrole" reconciling conflicting developmental tasks of family members" facilitating development needs of family

members" and accepting new child$s personality.

Rationa%e 2' The task of the family with preschool children includes integrating new family members

DnewbornsEsiblingsF" helping preschooler assume responsibilities of self-care" encouraging husband-father to bemore involved in household responsibilities" establishing privacy" housing" and adeuate space" helping child

eplore environment" and enabling sociali(ation of children.

Rationa%e ' The tasks of families with teenagers include maintaining satisfying marital relationships while

handling parental responsibilities" maintaining open communication between generations" maintaining familyethical and moral standards" and allowing children to eperiment with independence.

Rationa%e !' The tasks of the families of middle years include maintaining a sense of well being" attaining and

en3oying a career" or other creative accomplishments" sustaining relationships with aging parents and children" anstrengthening the marital relationship.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 1/

Type: MCSA

The nursing student who recently married reali(es that one of the tasks of the new family is

1. !ntegrating new family members





2. Maintaining a satisfying marital relationship

. Strengthening the marital relationship

!. @earning to live together

Corre"t #ns$er: 4

Rationa%e 1' !ntegrating new family members is a task of families with preschool children.

Rationa%e 2' Maintaining a satisfying marital relationship is a task of families with school-age children" and

teenagers" as well as empty nesters.

Rationa%e ' The newly married family is developing a marital relationship" to eventually strengthen therelationship in the middle years.

Rationa%e !' The developmental tasks of the newly created family include learning to live together.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 10

Type: MCMA

Areas of nursing that most obviously need to consider the needs of the family as well include'


1. Maternal-infant care

2. +ediatrics

. Mental health

!. Surgical

5. Medical


Rationa%e 1' The nurse considers the needs of the family when caring for the maternal-infant unit.

Rationa%e 2' The nurse considers the needs of the family when caring for the pediatric client.





Rationa%e ' The family support system of the mental health client is important to consider.

Rationa%e !' The surgical nurse primarily considers the needs of the client.

Rationa%e 5' The nurse considers the medical client$s physiologic needs first.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: +sychosocial !ntegrity

C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCMA

Characteristics of family roles include'


1. Clear roles enhance family$s ability to deal with day-to-day life

2. 5amily epectations are not connected to roles

. oles are important only to the individual

!. Satisfying emotional needs for love and security

5. oles are always epanding

Corre"t #ns$er: &"8

Rationa%e 1' Clear family roles assist the family is dealing with day-to-day life.

Rationa%e 2' 5amily epectations are connected to roles" for eample parents are epected to teach" discipline"

and provide for their children.

Rationa%e ' oles are important to the entire family" not only the individual.

Rationa%e !' Satisfying emotional needs is a function of families" not a characteristic of family roles.

Rationa%e 5' A person$s role is always epanding" depending on age and family stage.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 1

Type: MCSA

The blended family may find many challenges during the first several years of eistence" with the parents finding

themselves torn as they attempt to

1. Ad3ust to reduced income

2. Satisfy emotional needs of the family members

. espect their children

!. Achieve career accomplishments

Corre"t #ns$er: 2

Rationa%e 1' Ad3usting to reduced income is a task of families in retirement.

Rationa%e 2' Satisfying the emotional needs for love and security is a function of the family.

Rationa%e ' An epectation of the family is for children to respect parents.

Rationa%e !' Achieving career accomplishments is a task of families in the middle years.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 23

Type: MCMA

The nurse considers characteristics of responsiveness in parenting styles" including'


1. 6ow much parents foster individuality

2. 6ow much parents foster self-assertion





. /pectation for mature behavior

!. <illingness to confront behavioral problems

5. 6ow much parents foster self-regulation


Rationa%e 1' The responsiveness of parents relates to how much parents foster individuality.

Rationa%e 2' The responsiveness of parents relates to how much parents foster self assertion.

Rationa%e ' /pectations of mature behavior is a characteristic of demandingness.

Rationa%e !' A parents willingness to confront behavioral problems relates to demandingness.

Rationa%e 5' 6ow much parents foster self regulation relates to responsiveness.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 21

Type: MCSA

The nurse listens to the following parent-child interaction'

+arent' =Gohn" ! want you to clean up your room when we get home=

Child' ;! don$t want to do it thenHcan ! do it tomorrow=

+arent' ;<ell" as long as you get it done by tomorrow night=

This is an eample of what type of parenting style

1. Authoritative

2. Authoritarian

. +ermissive

!. Mied





Corre"t #ns$er: &

Rationa%e 1' This is an eample of give and take communication between parent and child" with clearepectations for behavior.

Rationa%e 2' Authoritarian parents are highly directive and value obedience" and might have said ;do it because !

said so= instead of acknowledging the child$s opinion.

Rationa%e ' The permissive parent might have responded ;That$s fine" whenever you wantI.

Rationa%e !' This is not a parenting style

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 22

Type: MCMA

The nurse is admitting a 7J year-old client to a long-term care facility" whose daughter is on her way to visit. The

nursing care plan might include which of the following'


1. isk for !neffective !ndividual Coping

2. 5amily epresses understanding of problems

. Situational transition

!. Secretions are mobili(ed

5. isk for !mpaired +arenting


Rationa%e 1' The client may have difficulty ad3usting to the new residence.

Rationa%e 2' An epected outcome appropriate for this client could be the daughter epressing understanding of

the client$s problems.

Rationa%e ' The client may have difficulty ad3usting to the new situation.

Rationa%e !' This data does not indicate a need to mobili(e secretions.





Rationa%e 5' The age of the client does not indicate a risk for impaired parenting.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCSA

The nurse admitting the adolescent client would be certain to collect data regarding'

1. isk taking behaviors

2. 5emur length

. 6ead circumference

!. Ad3ustment to climacteric

Corre"t #ns$er: &

Rationa%e 1' The adolescent may engage in behaviors that put them at risk for in3ury" such as smoking" drinking"

and recreational drug use.

Rationa%e 2' 5emur length is a measurement done on the fetus.

Rationa%e ' 6ead circumference is a measurement done on the infant.

Rationa%e !' The climacteric occurs in the middle age adult.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2!

Type: MCSA

The nurse in the internal medicine clinic is preparing for the net client" a 4&-year-old man. Additional tests and

screening that will be recommended include





1. ?ision screening

2. !mmuni(ations

. Tonometry screening for eye disease

!. Screening for tuberculosis

Corre"t #ns$er:

Rationa%e 1' +eriodic vision screening in recommended throughout the lifespan.

Rationa%e 2' !mmuni(ations are reuired throughout the lifespan.

Rationa%e ' Screening for glaucoma and other eye diseases should be done at least every 2- years.

Rationa%e !' Tuberculosis screening is recommended throughout the lifespan.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 25

Type: MCSA

An appropriate uestion the nurse might ask the middle-aged adult would be'

1. ;Adeuate iron intake is important in your diet=

2. ;<hat are your short term work goalsI

. ;%o you have any issues with constipation=

!. ;6ave you thought about adding yoga to your eercise program=

Corre"t #ns$er: 4

Rationa%e 1' !ron intake is important for young adults.

Rationa%e 2' Short and long term career goals are relevant to young adults.

Rationa%e ' Concerns with constipation are more freuent with older adults.

Rationa%e !' An eercise program that emphasi(es skill and coordination is important for middle aged adults.





&%o'a% Rationa%e:


C%ient Need: +hysiological !ntegrity

C%ient Need *u':


)earning -ut"ome:

Question 2/Type: MCMA

A nurse is admitting a woman to an assisted living facility. The nurse epects the client to be eperiencing which

of the following


1. Ad3usting to the loss of her spouse

2. ole of mother" grandmother

. %ecreased vaginal secretions

!. %ecreased sperm production

5. Accepting limitations


Rationa%e 1' The woman is being admitted to the assisted living facility" not a couple.

Rationa%e 2' The role of mother" grandmother is a reasonable assumption that needs to be validated with the

client.

Rationa%e ' The elderly female can epect to eperience decreased vaginal secretions as estrogen productiondecreases.

Rationa%e !' The elderly man eperiences decreased sperm production.

Rationa%e 5' +ositive resolution of the stage of maturity includes accepting limitations of current physical status.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:





Question 20

Type: MCSA

A parent of a 2-year-old asks the nurse about the difference between growth and development. The nurse eplains

that'

1. !ndicators of growth include height" weight" and development of teeth.

2. #rowth refers to a person$s ability to adapt to the environment.

. %evelopment is rapid during the prenatal and neonatal stages.

!. #rowth is an increase in the compleity of function.

Corre"t #ns$er: &

Rationa%e 1' #rowth refers to physical change and increase in si(e.

Rationa%e 2' %evelopment refers to the increase in the compleity of function and skill progression.

Rationa%e ' #rowth is rapid during the prenatal" neonatal" infancy" and adolescent stages" but slows duringchildhood" and is minimal during adulthood.

Rationa%e !' %evelopment is an increase in the compleity of function and skill progression) it refers to a personcapacity and skill to adapt to the environment.

&%o'a% Rationa%e:



C%ient Need *u':

Nursing+ntegrated Con"epts: ,ursing +rocess' !mplementation)earning -ut"ome:

Question 2

Type: MCMA

The father of a &-year-old boy asks the nurse about his son$s growth spurt and puberty. The nurse eplains some

facets of growth and development" including'


1. !t a continuous" orderly process.

2. /ach developmental stage has its own characteristics.

. Time of onset of each stage varies with each person.

!. The length of each stage is the same for each person.





5. Asynchronous development occurs only in infancy.


Rationa%e 1' #rowth and development are continuous" orderly" seuential processes influenced by maturational"environmental" and genetic factors.

Rationa%e 2' /ach developmental stage has its own characteristics.

Rationa%e ' The time of onset of each stage varies with each person.

Rationa%e !' The length of each stage varies with each person.

Rationa%e 5' The pace of growth and development is uneven" and asynchronous development is demonstrated byrapid growth of the head during infancy and of the etremities at puberty.

&%o'a% Rationa%e:


C%ient Need: +sychosocial !ntegrityC%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCSA

The parents of a set of fraternal twins are concerned about the differences in the growth and development betweethe children. The principle of growth and development that will best eplain this to the parents is'

1. The seuence of each stage is predictable" although the time of onset" length of the stage" and the effects of eac

stage vary with the person.

2. /ach developmental stage has its own characteristics.

. %evelopment becomes increasingly differentiated.

!. Certain stages of growth and development are more critical than others.

Corre"t #ns$er: &

Rationa%e 1' /plaining the difference between the twins$ growth as a normal phenomenon of growth and

development will put the parents$ mind at ease.

Rationa%e 2' /ach developmental stage has its own characteristics" but this does not eplain why the children are

growing at different rates.

Rationa%e ' %evelopment becomes increasingly differentiated" from generali(ed to specific" but this does not

eplain why each child grows at an individual rate.





Rationa%e !' The first &1B&2 weeks after conception are critical) however" this does not answer the parents$concerns.

&%o'a% Rationa%e:



C%ient Need *u':


Question 3

Type: MCMA

0ased on the principle that growth and development occur from the center of the body outward" the nurse predict

the following'


1. The infant will grasp an ob3ect with the thumb and second finger before rolling over.

2. The infant will be able to roll over before grasping an ob3ect with the thumb and second finger.

. The infant will be able to crawl prior to walking.

!. The infant will be able to creep prior to crawling.

5. The infant will be able to sit prior to rolling over.

Corre"t #ns$er: 2""4

Rationa%e 1' 0ased on the principle that growth and development occur from the center of the body outward" theinfant will be able to roll over prior to grasping with the thumb and second finger.

Rationa%e 2' 0ased on the principle that growth and development occur from the center of the body outward" the

infant will be able to roll over prior to grasping with the thumb and second finger.

Rationa%e ' 0ased on this principle" the infant will be able to crawl before walking.

Rationa%e !' 0ased on this principle" the infant will be able to creep before crawling.

Rationa%e 5' 0ased on this principle" the infant will roll over before sitting up.

&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome:

Question 1

Type: MCSA

The nurse identifies developmental needs as priorities in which age range

1. ,eonate to preschool

2. ,eonate to adulthood

. ,eonate to older adult

!. ,eonate to adolescent

Corre"t #ns$er:

Rationa%e 1' %evelopmental needs do not end at the preschool age.

Rationa%e 2' %evelopmental needs do not end at adulthood.

Rationa%e ' %evelopmental needs encompass the life span.

Rationa%e !' %evelopmental needs do not end at the adolescent stage.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 2

Type: MCMA

The nurse is discussing growth and development with the birth parents of a newborn" eplaining that there are

genetic and environmental influences. /nvironmental factors include'


1. Climate.

2. eligion.

. Conception.

!. +hysical stature.

5. 5amily.





Corre"t #ns$er: &"2

Rationa%e 1' /nvironmental factors such as the climate in which one lives are changeable.

Rationa%e 2' eligion is an environmental" changeable influence on growth and development.

Rationa%e ' Conception" and the genetic material that merges" is an unchangeable influence on growth and

development.

Rationa%e !' +hysical stature is a product of genetics" and is unchangeable.

Rationa%e 5' The infant is connected by genes with his parents and siblings.

&%o'a% Rationa%e:


C%ient Need: 6ealth +romotion and Maintenance

C%ient Need *u':


)earning -ut"ome:

Question

Type: MCSA

The nurse eplains to the parents of a young adult that one of their child$s developmental milestones is'

1. +articipating in group activities.

2. %eveloping a personal lifestyle.

. Adapting to physical and sensory changes.

!. Career is important.

Corre"t #ns$er: 2

Rationa%e 1' The school age child is beginning to participate in group activities.

Rationa%e 2' The young adult" aged 21B41 years old" is developing a personal lifestyle.

Rationa%e ' The middle-old adult" aged 78B94 years old" is adapting to physical and sensory changes.

Rationa%e !' The middle adult" aged 41B:8" finds career important and a ma3or focus.

&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome:

Question !

Type: MCMA

As the client describes her family and living situation" the nurse recogni(es the family structure as that of a

nuclear family. This family includes'


1. Cousins.

2. +arents.

. 0iological offspring.

!. Stepchildren.

5. An adult friend.

Corre"t #ns$er: 2"

Rationa%e 1' Cousins would be part of the etended family structure.

Rationa%e 2' +arents are part of the nuclear family.

Rationa%e ' 0iological offspring of the parents are part of the nuclear family.

Rationa%e !' Stepchildren are part of the blended family structure

Rationa%e 5' An adult friend living in the house" sharing decisions and responsibilities" would be part of acommunal family structure.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 5

Type: MCMA

As the nurse interviews the parents of a 8-year-old" the parenting style is observed. +arents with a permissive styl

of parenting would ehibit which of the following characteristics or behaviors






1. 6igh control" high warmth

2. 6igh warmth" low control

. ;<e can talk about it=

!. ;>ou make the decision=

5. 6igh control" low warmth

Corre"t #ns$er: 2"4

Rationa%e 1' The authoritative parents ehibit high controlling characteristics" and high warmth and loving

characteristics.

Rationa%e 2' The permissive parents ehibit high warmth and loving characteristics" and low controlling behaviors.

Rationa%e ' The authoritative parents will discuss issues with children" and then make the decision.

Rationa%e !' The permissive parents will let the child make most decisions.

Rationa%e 5' The authoritarian parents will ehibit high controlling behaviors" with low levels of warmth and

loving connection with the child.

&%o'a% Rationa%e:



C%ient Need *u':


Question /

Type: MCMA

<hen reviewing growth and development of the adolescent with a group of parents" the nurse identifies which ofthe following as components and needs of this stage


1. !ndependence becomes central.

2. 0egin to establish long-term relationships.

. ?alues are tested.

!. Assist to develop strategies for resolving conflicts.





5. Support change as necessary for health.

Corre"t #ns$er: &""4

Rationa%e 1' +eers and independence become central at this stage.

Rationa%e 2' @ong-term relationships are characteristic of the young adult.

Rationa%e ' ?alues are tested as adolescents develop coping behaviors.

Rationa%e !' Adolescents begin to develop healthy strategies for resolving conflicts.

Rationa%e 5' Supporting change for health is a need during young adulthood.

&%o'a% Rationa%e:



C%ient Need *u':


Question 0

Type: MCSA

The nurse recogni(es which of the following as behaviors indicating negative resolution of the generativity-

versus-stagnation stage of development

1. Creativity

2. +roductivity

. Concern for net generation

!. Concern for self

Corre"t #ns$er: 4

Rationa%e 1' +ositive resolution of this stage is characteri(ed by creativity" developing career" and family.

Rationa%e 2' +ositive resolution of this stage is characteri(ed by productivity" developing career" and community

Rationa%e ' +ositive resolution of this stage is characteri(ed by concern for the world being left for the net

generation.

Rationa%e !' ,egative resolution of this stage is characteri(ed by self-indulgence" self-concern" and lack ofinterests and commitments.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMAThe nurse recogni(es which of the following characteristics as normal development for the &9-month-old child


1. @umbar lordosis" protruding abdomen

2. apid language development

. <ords epress thoughts.

!. Can ride a tricycle.

5. Can crawl down stairs.


Rationa%e 1' Toddlers have a pronounced lumbar lordosis and protruding abdomen.

Rationa%e 2' @anguage development is rapid from 2 to 4 years of age.

Rationa%e ' /pression of thoughts in words is a characteristic of the development of years 4B7.

Rationa%e !' iding a tricycle is a skill that is characteristic of a 2-year-old.

Rationa%e 5' The &9-month-old is able to crawl down stairs.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question

Type: MCMA

As the nurse reviews the admission uestionnaire of a 24-year-old mother of two children" the client$s roles notedinclude'






1. <ife.

2. Sibling.

. +arent.

!. #randparent.

5. Child.

Corre"t #ns$er: "8

Rationa%e 1' The information provided does not reveal the marital status of the client" and the nurse needs to

verify marital status.

Rationa%e 2' The information provided does not reveal the client$s position in her family of origin) the nurse

needs to verify this information.

Rationa%e ' The client is a mother of two.

Rationa%e !' The client is not old enough to be a grandparent.

Rationa%e 5' The client is someone$s daughter.

&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: ,ursing +rocess' Assessment

)earning -ut"ome:

Question !3

Type: S/

<hen eplaining the stages of growth and development to new parents" the nurse lists them in order. @ist the

following stages in order of occurrence'

*tandard Tet: Click and drag the options below to move them up or down.

Choi"e 1. Toddler

Choi"e 2. Adolescent

Choi"e . ,eonate

Choi"e !. +reschooler





Choi"e 5. !nfant

Choi"e /. School-age child

Corre"t #ns$er: ":"&"4"2"8

Rationa%e 1' Toddler' &B years

Rationa%e 2' Adolescent' &2B21

Rationa%e ' The stages of development start at neonate' birth to 29 days

Rationa%e !' +reschooler' B: years

Rationa%e 5' !nfant' & monthB& year

Rationa%e /' School-age child' :B&2 yearsCognitive @evel' *nderstanding

&%o'a% Rationa%e:

Cogniti(e )e(e%: School-age child' :B&2 yearsCognitive @evel' *nderstanding


C%ient Need *u':


)earning -ut"ome:

Question !1

Type: MCSA

<hen discussing family tasks with a client" the nurse identifies integrating new family members as a task of

which family stage

1. /arly childbearing

2. 5amilies with preschool children

. 5amilies with teenagers

!. 5amilies of middle years

Corre"t #ns$er: 2

Rationa%e 1' Tasks of the early childbearing family include developing a stable family unit with the new parent

role" reconciling conflicting developmental tasks of family members" facilitating development needs of familymembers" and accepting the new child$s personality.

Rationa%e 2' The tasks of the family with preschool-age children include integrating new family members

DnewbornsEsiblingsF) helping preschooler assume responsibilities of self-care) encouraging the husbandBfather to





be more involved in household responsibilities) establishing privacy" housing" and adeuate space) helping thechild eplore environment) and enabling sociali(ation of children.

Rationa%e ' The tasks of the family with teenagers include maintaining satisfying marital relationships while

handling parental responsibilities" maintaining open communication between generations" maintaining family

ethical and moral standards" and allowing children to eperiment with independence.

Rationa%e !' The tasks of the family of middle years include maintaining a sense of well-being) attaining and

en3oying a career" or other creative accomplishments) sustaining relationships with aging parents and children)and strengthening the marital relationship.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !2Type: MCSA

The nursing student who recently married reali(es that one of the tasks of the new family is'

1. !ntegrating new family members.

2. Maintaining a satisfying marital relationship.

. Strengthening the marital relationship.

!. @earning to live together.

Corre"t #ns$er: 4

Rationa%e 1' !ntegrating new family members is a task of families with preschool-age children.

Rationa%e 2' Maintaining a satisfying marital relationship is a task of families with school-age children and

teenagers" as well as of empty nesters.

Rationa%e ' The newly married family is developing a marital relationship" to eventually strengthen the

relationship in the middle years.

Rationa%e !' The developmental tasks of the newly created family include learning to live together.

&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome:

Question !

Type: MCMA

Areas of nursing that most obviously need to consider the needs of the family include'


1. MaternalBinfant care.

2. +ediatrics.

. Mental health.

!. Surgical.

5. Medical.


Rationa%e 1' The nurse considers the needs of the family when caring for the maternalBinfant unit.

Rationa%e 2' The nurse considers the needs of the family when caring for the pediatric client.

Rationa%e ' The family support system of the mental health client is important to consider.

Rationa%e !' The surgical nurse primarily considers the needs of the client.

Rationa%e 5' The nurse considers the medical client$s physiologic needs first.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !!

Type: MCMACharacteristics of family roles include'


1. Clear roles enhance a family$s ability to deal with day-to-day life.

2. 5amily epectations are not connected to roles.





. oles are important only to the individual.

!. Satisfying emotional needs for love and security.

5. oles are always epanding.

Corre"t #ns$er: &"8

Rationa%e 1' Clear family roles assist the family is dealing with day-to-day life.

Rationa%e 2' 5amily epectations are connected to roles) for eample" parents are epected to teach" discipline"

and provide for their children.

Rationa%e ' oles are important to the entire family" not only the individual.

Rationa%e !' Satisfying emotional needs is a function of families" not a characteristic of family roles.

Rationa%e 5' A person$s role is always epanding" depending on age and family stage.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !5

Type: MCSA

The blended family might find many challenges during the first several years of eistence" with the parents

finding themselves torn as they attempt to'

1. Ad3ust to reduced income.

2. Satisfy emotional needs of the family members.

. espect their children.

!. Achieve career accomplishments.

Corre"t #ns$er: 2

Rationa%e 1' Ad3usting to reduced income is a task of families in retirement.

Rationa%e 2' Satisfying the emotional needs for love and security is a function of the family.

Rationa%e ' An epectation of the family is for children to respect parents.





Rationa%e !' Achieving career accomplishments is a task of families in the middle years.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !/

Type: MCMA

The nurse considers characteristics of responsiveness in parenting styles" including'


1. 6ow much parents foster individuality.

2. 6ow much parents foster self-assertion .

. /pectation for mature behavior.

!. <illingness to confront behavioral problems.

5. 6ow much parents foster self-regulation.


Rationa%e 1' The responsiveness of parents relates to how much parents foster individuality.

Rationa%e 2' The responsiveness of parents relates to how much parents foster self-assertion.

Rationa%e ' /pectations of mature behavior is a characteristic of demandingness.

Rationa%e !' A parent$s willingness to confront behavioral problems relates to demandingness.

Rationa%e 5' 6ow much parents foster self-regulation relates to responsiveness.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !0

Type: MCSA





The nurse listens to the following parentBchild interaction'

1. Authoritative

2. Authoritarian

. +ermissive

!. Mied

Corre"t #ns$er: &

Rationa%e 1' This is an eample of give-and-take communication between parent and child" with clear

epectations for behavior.

Rationa%e 2' Authoritarian parents are highly directive" and value obedience" and might have said ;%o it becausesaid so= instead of acknowledging the child$s opinion.

Rationa%e ' The permissive parent might have responded ;That$s fine" whenever you want.I

Rationa%e !' This is not a parenting style.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !Type: MCMA

The nurse is admitting a 7J-year-old client to a long-term care facility whose daughter is on her way to visit. The

nursing care plan might include which of the following


1. isk for !neffective !ndividual Coping

2. 5amily epresses understanding of problems.

. Situational transition

!. Secretions are mobili(ed.

5. isk for !mpaired +arenting






Rationa%e 1' The client might have difficulty ad3usting to the new residence.

Rationa%e 2' An epected outcome appropriate for this client could be the daughter$s epressing understanding othe client$s problems.

Rationa%e ' The client might have difficulty ad3usting to the new situation.

Rationa%e !' This scenario does not indicate a need to mobili(e secretions.

Rationa%e 5' The age of the client does not indicate a risk for impaired parenting.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question !Type: MCSA

The nurse admitting the adolescent client would be certain to collect data regarding'

1. isk-taking behaviors.

2. 5emur length.

. 6ead circumference.

!. Ad3ustment to climacteric.

Corre"t #ns$er: &

Rationa%e 1' The adolescent might engage in behaviors that puts him at risk for in3ury" such as smoking" drinking

and recreational drug use.

Rationa%e 2' 5emur length is a measurement done on the fetus.

Rationa%e ' 6ead circumference is a measurement done on the infant.

Rationa%e !' The climacteric occurs in the middle-age adult.

&%o'a% Rationa%e:



C%ient Need *u':






)earning -ut"ome:

Question 53

Type: MCSA

The nurse in the internal medicine clinic is preparing for the net client" a 4&-year-old man. Additional tests and

screening that will be recommended include'

1. ?ision screening.

2. !mmuni(ations.

. Tonometry screening for eye disease.

!. Screening for tuberculosis.

Corre"t #ns$er:

Rationa%e 1' +eriodic vision screening in recommended throughout the life span.

Rationa%e 2' !mmuni(ations are reuired throughout the life span.

Rationa%e ' Screening for glaucoma and other eye diseases should be done at least every 2B years.

Rationa%e !' Tuberculosis screening is recommended throughout the life span.

&%o'a% Rationa%e:



C%ient Need *u':


Question 51

Type: MCSA

An appropriate uestion the nurse might ask the middle-aged adult would be'

1. ;Adeuate iron intake is important in your diet.=

2. ;<hat are your short-term work goalsI

. ;%o you have any issues with constipation=

!. ;6ave you thought about adding yoga to your eercise program=

Corre"t #ns$er: 4

Rationa%e 1' !ron intake is important for young adults.





Rationa%e 2' Short- and long-term career goals are relevant to young adults.

Rationa%e ' Concerns with constipation are more freuent with older adults.

Rationa%e !' An eercise program that emphasi(es skill and coordination is important for middle-aged adults.

&%o'a% Rationa%e:

Cogniti(e )e(e%: ApplyingC%ient Need: +hysiological !ntegrity

C%ient Need *u':


)earning -ut"ome:

Question 52

Type: MCMA

A nurse is admitting a woman to an assisted living facility. The nurse epects the client to be eperiencing which

of the following


1. Ad3usting to the loss of her spouse

2. oles of mother" grandmother

. %ecreased vaginal secretions

!. %ecreased sperm production

5. Accepting limitations


Rationa%e 1' The woman" not a couple" is being admitted to the assisted living facility.

Rationa%e 2' The roles of mother and grandmother are a reasonable assumption that needs to be validated with th

client.

Rationa%e ' The elderly female can epect to eperience decreased vaginal secretions as estrogen production

decreases.

Rationa%e !' The elderly man eperiences decreased sperm production.

Rationa%e 5' +ositive resolution of the stage of maturity includes accepting limitations of current physical status.

&%o'a% Rationa%e:







C%ient Need *u':


)earning -ut"ome:

Question 5

Type: MCSA

<hile working in a pediatric clinic" a young mother asks the nurse what is meant by the term development . Thenurse eplains the concepts of development by including which of the following

1. <hen the infant learns to hold its head up" it is developing.

2. Tripling of the birth weight

. !ncreased height

!. Teething at : months

Corre"t #ns$er: &

Rationa%e 1' /amples of development include meeting milestones" such as learning to hold its head up. 6eight"

weight" and teething are parts of growth" not development.

Rationa%e 2' /amples of development include meeting milestones" such as learning to hold its head up. 6eight"weight" and teething are parts of growth" not development.

Rationa%e ' /amples of development include meeting milestones" such as learning to hold its head up. 6eight"


Rationa%e !' /amples of development include meeting milestones" such as learning to hold its head up. 6eight"


&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 5!

Type: MCSA

The mother of a :-month-old tells the nurse that the baby has started biting during breastfeeding" and asks what to

do in order to continue nursing. <hich of the following comments reflects accurate understanding by the nurse o

growth and development





1. I0iting can be an attempt by the baby to gain attention. <hen you are nursing" are you attentive to the babyI

2. I6ave you started giving the baby any solid foodI

. I>ou probably will want to prepare to discontinue breastfeeding.I

!. IThis is a refle action of a baby of this age" and usually disappears if you provide a toy that the baby can chew

on.I

Corre"t #ns$er: 2

Rationa%e 1' The nurse is aware that the development of the infants is from the head downward" and that this

child is beginning to gain control over the muscles of the mouth" and is biting when something is placed in hermouth. !f she has started solid foods" it might indicate that the child is learning to bite the spoon used for feeding.

0iting is not a refle action. Some children might begin teething at this age" but the ability to bite is

developmental.

Rationa%e 2' The nurse is aware that the development of the infants is from the head downward" and that thischild is beginning to gain control over the muscles of the mouth" and is biting when something is placed in her

mouth. !f she has started solid foods" it might indicate that the child is learning to bite the spoon used for feeding.0iting is not a refle action. Some children might begin teething at this age" but the ability to bite isdevelopmental.

Rationa%e ' The nurse is aware that the development of the infants is from the head downward" and that this

child is beginning to gain control over the muscles of the mouth" and is biting when something is placed in her

mouth. !f she has started solid foods" it might indicate that the child is learning to bite the spoon used for feeding.0iting is not a refle action. Some children might begin teething at this age" but the ability to bite is

developmental.

Rationa%e !' The nurse is aware that the development of the infants is from the head downward" and that this

child is beginning to gain control over the muscles of the mouth" and is biting when something is placed in hermouth. !f she has started solid foods" it might indicate that the child is learning to bite the spoon used for feeding.

0iting is not a refle action. Some children might begin teething at this age" but the ability to bite is

developmental.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 55

Type: MCSA

The nurse is working in a prenatal clinic with a woman who has 3ust learned that she is pregnant. The mother has

been reading about the growth and development of children" and asks the nurse what is meant by critical stages o





growth and development. <hich of the following eamples given to the mother by the nurse eplains critical

stages of growth and development

1. The first four weeks of life are critical to the brain development of the newborn.

2. !t is critical that the toddler begin to walk by &2 months of age.

. !t is critical that the preschool-age child gain 21 pounds a year.

!. The first &1 weeks after conception are considered critical to the fetus.

Corre"t #ns$er: 4

Rationa%e 1' Certain stages of growth and development are considered critical stages. Kne of these is the first &1-

&2 weeks after conception" as the fetus is beginning to form bodily systems. %rugs" viruses" or other chemicalscan interrupt the process of system formation and cause birth defects. 0rain development in the child is ongoing.

Most toddlers are walking by &2 months" but there are variances in individuals that are no more critical than are

other variances. The preschool-age child will gain around 8 pounds each year" and weighs about 1 pounds.

Rationa%e 2' Certain stages of growth and development are considered critical stages. Kne of these is the first &1-&2 weeks after conception" as the fetus is beginning to form bodily systems. %rugs" viruses" or other chemicals

can interrupt the process of system formation and cause birth defects. 0rain development in the child is ongoing.

Most toddlers are walking by &2 months" but there are variances in individuals that are no more critical than areother variances. The preschool-age child will gain around 8 pounds each year" and weighs about 1 pounds.

Rationa%e ' Certain stages of growth and development are considered critical stages. Kne of these is the first &1-

&2 weeks after conception" as the fetus is beginning to form bodily systems. %rugs" viruses" or other chemicals

can interrupt the process of system formation and cause birth defects. 0rain development in the child is ongoing.Most toddlers are walking by &2 months" but there are variances in individuals that are no more critical than are


Rationa%e !' Certain stages of growth and development are considered critical stages. Kne of these is the first &1-

&2 weeks after conception" as the fetus is beginning to form bodily systems. %rugs" viruses" or other chemicalscan interrupt the process of system formation and cause birth defects. 0rain development in the child is ongoing.

Most toddlers are walking by &2 months" but there are variances in individuals that are no more critical than are


&%o'a% Rationa%e:



C%ient Need *u':Nursing+ntegrated Con"epts: ,ursing +rocess' !mplementation

)earning -ut"ome:

Question 5/

Type: MCSA





The nurse plots growth for a -month-old baby of Chinese descent" and notes that the infant is below

recommended weight and height. The nurse epects that the physician will recommend which of the following to

the mother

1. !ncrease calories in the formula.

2. 5eed the child more freuently.

. <ake the child at night to increase calories.

!. Continue the current feeding regimen.

Corre"t #ns$er: 4

Rationa%e 1' The child is small by American standards" but children of Chinese heritage are generally smaller in

comparison with Americans. <hen the child is gaining weight and growing" no changes will be made" although it

is important to track this child carefully. The nurse would anticipate that the physician will make no changes tothe feeding schedule.

Rationa%e 2' The child is small by American standards" but children of Chinese heritage are generally smaller incomparison with Americans. <hen the child is gaining weight and growing" no changes will be made" although it


Rationa%e ' The child is small by American standards" but children of Chinese heritage are generally smaller in

comparison with Americans. <hen the child is gaining weight and growing" no changes will be made" although it


Rationa%e !' The child is small by American standards" but children of Chinese heritage are generally smaller in

comparison with Americans. <hen the child is gaining weight and growing" no changes will be made" although itis important to track this child carefully. The nurse would anticipate that the physician will make no changes tothe feeding schedule.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 50

Type: MCSA

The nurse working on a pediatric unit bends to pick up an 9-month-old infant. The infant begins to cry" and rolls

away from the nurse. The nurse interprets the infantLs behavior as'





1. An indication of possible abuse reuiring further assessment.

2. A common response of babies reuiring freuent hospitali(ation.

. ,ormal behavior for an infant of this age.

!. 5ailure of the infant to develop a sense of trust.

Corre"t #ns$er:

Rationa%e 1' An 9-month-old infant is beginning to have stranger aniety" and turns away from strangers. This

behavior is not indicative of abuse" freuent hospitali(ation" or lack of trust.

Rationa%e 2' An 9-month-old infant is beginning to have stranger aniety" and turns away from strangers. This behavior is not indicative of abuse" freuent hospitali(ation" or lack of trust.

Rationa%e ' An 9-month-old infant is beginning to have stranger aniety" and turns away from strangers. This

behavior is not indicative of abuse" freuent hospitali(ation" or lack of trust.

Rationa%e !' An 9-month-old infant is beginning to have stranger aniety" and turns away from strangers. This behavior is not indicative of abuse" freuent hospitali(ation" or lack of trust.

&%o'a% Rationa%e:



C%ient Need *u':


)earning -ut"ome:

Question 5Type: MCSA

A 7-year-old child has been diagnosed with glomerulonephritis" and is to be placed on bedrest at home until there

is no longer any hematuria. The nurse recommends what activity to occupy this child

1. #et a selection of picture books from the library each week.

2. 6ave the child select a favorite stuffed animal for comfort when the parents are busy.

. +rovide the child with safety scissors" maga(ines" paste" and paper so the child can make a scrapbook.

!. 6ave school friends visit for short periods of time each day so the children can play video games.

Corre"t #ns$er:

Rationa%e 1' The 7-year-old is industrious" and likes to make things or build things. Suggesting a pro3ect that the

child can work on uietly over time is the best activity. +icture books are a little young for this child" as is a





stuffed animal" and these do not appeal to the developmental task of a 7-year-old. 6aving friends over would bemore appropriate for an adolescent.

Rationa%e 2' The 7-year-old is industrious" and likes to make things or build things. Suggesting a pro3ect that the



Rationa%e ' The 7-year-old is industrious" and likes to make things or build things. Suggesting a pro3ect that thechild can work on uietly over time is the best activity. +icture books are a little young for this child" as is a


Rationa%e !' The 7-year-old is industrious" and likes to make things or build things. Suggesting a pro3ect that the



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Nursing+ntegrated Con"epts: ,ursing +rocess' +lanning

)earning -ut"ome:

Question 5

Type: MCMA

The public health nurse is planning a presentation for older adults who attend a local senior citi(en center. The

nurse has been asked to talk about common physiological changes that occur with aging. <hich of the following

might the nurse include Select all that apply.


1. Some forgetfulness is to be epected with aging.

2. #reater conscious awareness is needed with driving due to delayed refle time.

. %iets need modification because of an increase in taste sensation.

!. espiratory muscles weaken with age.

5. *rinary incontinence is inevitable" and can cause skin breakdown.






Rationa%e 1' /pected changes associated with aging include some forgetfulness" a slowing of reflees" and aweakening of skeletal muscles. Taste and salivary gland production also diminish with age. !ncontinence is not a

normal occurrence with aging.

Rationa%e 2' /pected changes associated with aging include some forgetfulness" a slowing of reflees" and a

weakening of skeletal muscles. Taste and salivary gland production also diminish with age. !ncontinence is not anormal occurrence with aging.

Rationa%e ' /pected changes associated with aging include some forgetfulness" a slowing of reflees" and aweakening of skeletal muscles. Taste and salivary gland production also diminish with age. !ncontinence is not a


Rationa%e !' /pected changes associated with aging include some forgetfulness" a slowing of reflees" and a

weakening of skeletal muscles. Taste and salivary gland production also diminish with age. !ncontinence is not a


Rationa%e 5' /pected changes associated with aging include some forgetfulness" a slowing of reflees" and aweakening of skeletal muscles. Taste and salivary gland production also diminish with age. !ncontinence is not a


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Nursing+ntegrated Con"epts: ,ursing +rocess' +lanning

)earning -ut"ome:

Question /3

Type: MCSA

The nurse is caring for a &:-year-old male. <hile the nurse is providing care" the client epresses sadness becaus

he didnLt make the basketball team like his brother" because he is too short. <hich of the following responses

demonstrates that the nurse understands normal growth

1. I6eight is genetic but growth rates can vary. 5ull height might not be reached until you are 21.I

2. I6eight is genetic but some children are smaller than others" and full height should be reached by age &:.I

. I>ou reuire serum growth hormone levels to assess for inadeuate production.I

!. I>ou should participate in a sport better suited to shorter people.I

Corre"t #ns$er: &

Rationa%e 1' Males typically do not gain their full height until later in adolescence" and sometimes as late as 21.

The adolescent should be told that height is genetic" so it is likely that he has not finished growing yet. There is nneed to assess for inadeuate growth hormone production" and the child should be given hope that he might





eperience a growth spurt over the net few years" with increased chance of full height attainment with propernutrition.

Rationa%e 2' Males typically do not gain their full height until later in adolescence" and sometimes as late as 21.

The adolescent should be told that height is genetic" so it is likely that he has not finished growing yet. There is n

need to assess for inadeuate growth hormone production" and the child should be given hope that he mighteperience a growth spurt over the net few years" with increased chance of full height attainment with proper

nutrition.

Rationa%e ' Males typically do not gain their full height until later in adolescence" and sometimes as late as 21.

The adolescent should be told that height is genetic" so it is likely that he has not finished growing yet. There is nneed to assess for inadeuate growth hormone production" and the child should be given hope that he might

eperience a growth spurt over the net few years" with increased chance of full height attainment with proper

nutrition.

Rationa%e !' Males typically do not gain their full height until later in adolescence" and sometimes as late as 21.The adolescent should be told that height is genetic" so it is likely that he has not finished growing yet. There is n

need to assess for inadeuate growth hormone production" and the child should be given hope that he might

eperience a growth spurt over the net few years" with increased chance of full height attainment with proper

nutrition.

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Question /1

Type: MCSA

The nurse classifies which of the following families as a blended family

1. +arents of different races and their biological offspring

2. Kne or both parents with children from a previous relationship

. Three or more generations of a family living in the same household

!. Adults and children living in the same household who are not biologically related

Corre"t #ns$er: 2

Rationa%e 1' The blended family consists of parents of children from a previous relationship. +arents of differentraces are interracial families. A family with two or more generations living in the household is an eample of an

etended family. 5amilies who are not related and are living together may be described as alternative or

communal families.





Rationa%e 2' The blended family consists of parents of children from a previous relationship. +arents of differentraces are interracial families. A family with two or more generations living in the household is an eample of an


communal families.

Rationa%e ' The blended family consists of parents of children from a previous relationship. +arents of differentraces are interracial families. A family with two or more generations living in the household is an eample of an


communal families.

Rationa%e !' The blended family consists of parents of children from a previous relationship. +arents of differentraces are interracial families. A family with two or more generations living in the household is an eample of an


communal families.

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Question /2

Type: MCSA

The nurse is caring for a young woman in the health clinic. The client is tearful" and relates that she and her new

husband are arguing over where to spend Thanksgiving this year. The nurse plans care for this client based on

which of the following

1. The client needs aniety-reducing medications.

2. The client might need referral to Social Services for support.

. The client is in the second stage of family life.

!. The client is in the first stage of family life.

Corre"t #ns$er: 4

Rationa%e 1' The stage & family has to learn how to get along with three new families Dthe wifeLs family" thehusbandLs family" and the new family created by the husband and wifeF" which sometimes reuires negotiation.

The client does not need anti-aniety medications" as this is a normal developmental task of a new family. There i

no information that the client lacks support or reuires additional support.

Rationa%e 2' The stage & family has to learn how to get along with three new families Dthe wifeLs family" the

husbandLs family" and the new family created by the husband and wifeF" which sometimes reuires negotiation.





The client does not need anti-aniety medications" as this is a normal developmental task of a new family. There ino information that the client lacks support or reuires additional support.

Rationa%e ' The stage & family has to learn how to get along with three new families Dthe wifeLs family" the

husbandLs family" and the new family created by the husband and wifeF" which sometimes reuires negotiation.


Rationa%e !' The stage & family has to learn how to get along with three new families Dthe wifeLs family" thehusbandLs family" and the new family created by the husband and wifeF" which sometimes reuires negotiation.


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Question /

Type: MCSA

The nurse caring for an adolescent asks where he is planning to go to college. The client states that his parents

epect him go to college but they have not told him where he will be going yet. The nurse anticipates the parents

use what type of parenting style

1. esponsive

2. +ermissive

. Authoritarian

!. %emanding

Corre"t #ns$er: &

Rationa%e 1' !f the parents are telling the child where he will go to college" instead of deciding with the teen or

asking the teen where he wants to go" it is a pretty good indication that these parents have a high measure of

control" so the nurse anticipates an authoritarian parenting style. The parents who manage with a low level ofcontrol use a permissive style. esponsiveness and demandingness are factors used to determine parenting style.

Rationa%e 2' !f the parents are telling the child where he will go to college" instead of deciding with the teen or

asking the teen where he wants to go" it is a pretty good indication that these parents have a high measure ofcontrol" so the nurse anticipates an authoritarian parenting style. The parents who manage with a low level of

control use a permissive style. esponsiveness and demandingness are factors used to determine parenting style.





Rationa%e ' !f the parents are telling the child where he will go to college" instead of deciding with the teen orasking the teen where he wants to go" it is a pretty good indication that these parents have a high measure of

control" so the nurse anticipates an authoritarian parenting style. The parents who manage with a low level of


Rationa%e !' !f the parents are telling the child where he will go to college" instead of deciding with the teen orasking the teen where he wants to go" it is a pretty good indication that these parents have a high measure of

control" so the nurse anticipates an authoritarian parenting style. The parents who manage with a low level of


&%o'a% Rationa%e:



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)earning -ut"ome:

Question /!

Type: MCSA

The nurse is caring for an &9-year-old with very authoritarian parents. The teen was admitted to the hospital

because he was at a party and was found to have an ecessively high blood alcohol level. The nurse hears the

father lecturing the adolescent about his poor decision making" and the teen calls him a hypocrite" saying" I>ou

and Mom get drunk all the time.I The nurse concludes which of the following about this family

1. There is little or no control in this family.

2. The child is unhappy at home.

. The child is modeling his parentsL behavior.

!. The parents have good control over the child.

Corre"t #ns$er:

Rationa%e 1' Authoritarian parents epect the children to do what they say because they say so. The child does no

learn appropriate values in this manner. This family does not reali(e that the bigger influence on the child is thelack of appropriate role-modeling. The family is high in control but low in warmth.

Rationa%e 2' Authoritarian parents epect the children to do what they say because they say so. The child does nolearn appropriate values in this manner. This family does not reali(e that the bigger influence on the child is the

lack of appropriate role-modeling. The family is high in control but low in warmth.

Rationa%e ' Authoritarian parents epect the children to do what they say because they say so. The child does no

learn appropriate values in this manner. This family does not reali(e that the bigger influence on the child is the






Rationa%e !' Authoritarian parents epect the children to do what they say because they say so. The child does nolearn appropriate values in this manner. This family does not reali(e that the bigger influence on the child is the


&%o'a% Rationa%e:




)earning -ut"ome:

Question /5

Type: MCSA

A 2-year-old unmarried female is seen in the providerLs office for a pelvic eam and refill prescription for oral

contraceptives. A priority teaching point for this client includes which of the following

1. Condom use

2. !mportance of having pelvic eams regularly

. ,eed for regular ST! screening

!. Avoiding alcohol when taking contraceptives

Corre"t #ns$er: &

Rationa%e 1' The priority for this client would be discussing seually transmitted diseases and their prevention

through the use of barrier techniues such as condoms. The client evidently knows about the need for regular pelvic eams" since she came to the office for one today. The client does not reuire routine ST! screening" and

alcohol use does not impact contraceptive effectiveness.

Rationa%e 2' The priority for this client would be discussing seually transmitted diseases and their preventionthrough the use of barrier techniues such as condoms. The client evidently knows about the need for regular

pelvic eams" since she came to the office for one today. The client does not reuire routine ST! screening" and


Rationa%e ' The priority for this client would be discussing seually transmitted diseases and their preventionthrough the use of barrier techniues such as condoms. The client evidently knows about the need for regular



Rationa%e !' The priority for this client would be discussing seually transmitted diseases and their preventionthrough the use of barrier techniues such as condoms. The client evidently knows about the need for regular







&%o'a% Rationa%e:



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Question //Type: MCSA

A child-friendly waiting area is being created in a neighborhood health center. The nurses at the health center are

selecting appropriate games" books" and toys for the children. <hich of the following" if selected by the nurses"

indicates an awareness of child safety

1. Tinker toys

2. Soft stuffed animals of various si(es

. +lastic or heavy-cardboard picture books

!. 811-piece 3igsaw pu((les

Corre"t #ns$er:

Rationa%e 1' +lastic or heavy-cardboard picture books are safe for any age child. Tinker toys have a great manysticks and small pieces that are not safe for the small child. @arge 3igsaw pu((les also have small pieces that a

child could swallow. Stuffed animals can carry dust" cannot be cleaned" and would be dangerous in an area where

many children of all ages might play with them.

Rationa%e 2' +lastic or heavy-cardboard picture books are safe for any age child. Tinker toys have a great manysticks and small pieces that are not safe for the small child. @arge 3igsaw pu((les also have small pieces that a



Rationa%e ' +lastic or heavy-cardboard picture books are safe for any age child. Tinker toys have a great manysticks and small pieces that are not safe for the small child. @arge 3igsaw pu((les also have small pieces that a



Rationa%e !' +lastic or heavy-cardboard picture books are safe for any age child. Tinker toys have a great manysticks and small pieces that are not safe for the small child. @arge 3igsaw pu((les also have small pieces that a



&%o'a% Rationa%e:







C%ient Need *u':


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Question /0

Type: MCSA

<hen collecting a seual history from an adolescent" the nurse plans to do which of the following

1. Ask the adolescent and mother to come to the interview room.

2. 6ave the adolescent come to the interview alone.

. Ask the doctor if the mother should be included in the interview.

!. Ask the adolescent privately if he wants the parent present during the history.

Corre"t #ns$er: 4

Rationa%e 1' The adolescent has the right to be interviewed alone if he so chooses. The nurse should take the chil

aside and ask the child what the preference is. Assuming that the mother should be present or that the adolescentwants to be alone for the interview is not appropriate. !t would not be appropriate to ask the physician how to

handle the situation" as it is the clientLs choice.

Rationa%e 2' The adolescent has the right to be interviewed alone if he so chooses. The nurse should take the chil



Rationa%e ' The adolescent has the right to be interviewed alone if he so chooses. The nurse should take the chilaside and ask the child what the preference is. Assuming that the mother should be present or that the adolescentwants to be alone for the interview is not appropriate. !t would not be appropriate to ask the physician how to


Rationa%e !' The adolescent has the right to be interviewed alone if he so chooses. The nurse should take the chil



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Documents

Ramont2e Rev TIF Ch15