C7 - NUR1023C Exam 1, NUR1023C Exam 1 Review, NUR 1023C Exam 1 Study Guide, Exam 1 C7 NUR1023C FSCJ possible questions and practice questions, NUR1023C Exam 1 Review (Revised)

C7 - NUR1023C Exam 1, NUR1023C Exam 1 Review, NUR 1023C Exam 1 Study Guide, Exam 1 C7 NUR1023C FSCJ possible questions and practice questions, NUR1023C Exam 1 Review (Revised) /. Trust vs. Mistrust - Answer-Occurs from Birth to 18 months; Erikson's 1st stage of Development; Caregiver must provide basic needs. To resolve this stage needs must be met. /.Birth to 6 months old - Answer-Makes reflex movements like sucking and startling. /.I should remove extra blankets, toys, and pillows from my baby's crib - Answer-A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching? /.Initiative vs. Guilt - Answer-Age: 3-6 years old; Child explores the world and their abilities; Positive reinforcement leads to a sense of purpose. /.A,B,C,E Clapping, offering praise, and giving rewards are all positive reinforcements that are likely to increase desired behavior(s). Time-out is a type of negative punishment used to discourage unwanted behavior. - Answer-Which of the following would be examples of positive reinforcers? (Select all that apply.) A. Clapping for a child who successfully used the toilet B. Offering praise for a child who behaved in a store C. Taking a child to the playground after a positive teacher report D. Placing a child in time-out for misbehavior. E. Stickers for positive play with peers. /.Autonomy vs. Shame and Doubt - Answer-Age: 18 months - 3 years; Erikson's 2nd stage of Development; Child strive to make decisions for themselves; Providing guidance, safety and security; Overly restrictive parents will cause the child to feel shame and doubt in their own abilities /.C. Allowing the child limited choices The toddler's need for autonomy can best be supported by allowing the child choices within limits. Parents consistently meet the child's needs during the infant period. In later developmental stages, imaginative play is encouraged, and experimentation is promoted to determine cause and effect. - Answer-How is the toddler's need for autonomy best met? A. The parents' consistently meeting the child's needs B. Encouraging imaginative play C. Allowing the child limited choices D. Promoting experimentation to determine cause and effect /.3-6 years old - Answer-A child having an imaginary friend or companion is perceived as normal at this age/stage of childhood development; Should be encouraged. /.Identity vs. role confusion - Answer-Age: 12-18 years; Erikson's 5th Stage of Development; Teens develop of sense of who they are (individuality); Decisions about their education/career choices along with physical changes occur at this stage. If needs are not met at this stage self doubt emerges. /.Suicide - Answer-Between ages 12-19 (adolescents); _______________ may be the result of feelings of inadequacy, depression over bullying or breaking up with a boyfriend or girlfriend, or mental illness; _____________ is more common in this age group because their impulse control has not fully developed; thus, they may act on an impulse without considering the consequences. /.Industry vs. Inferiority - Answer-Age: 6-12 years; Erikson's 4th Stage of Development; Refining previously acquired skills and developing a peer social network; Develops a sense of self-worth based on accomplishments while avoiding feelings of failure. /.C. Identity vs. role confusion Rationale: This child's statement indicates a struggle to establish a sense of identity, which is characteristic of the identity vs. role confusion stage. The intimacy vs. isolation stage is characterized by establishing intimate bonds of love and friendship. Looking back over one's life and accepting its meaning are observed in the ego integrity vs. despair stage of psychosocial development. The generativity vs. stagnation stage is seen in middle adulthood, where fulfilling life goals that involve family, career, and society plays an important role. - Answer-A 13-year-old child states, "I don't know if I want to go to college or start working after high school." Which stage of psychosocial development is indicated by this child's uncertainty? A. Intimacy vs. isolation B. Ego integrity vs. despair C. Identity vs. role confusion D. Generativity vs. stagnation /.6-12 years old - Answer-Child is now entering school, bones lengthening and slimming down. Children start participating more frequently in sports and activities. /.Intimacy vs. Isolation - Answer-Age: 18-40; Erikson's 6th Stage of Development; Young adults have achieved a sense of identity and have set a path for where they are going. The main task of this phase is to develop an intimate and trusting relationship with another person (Physical and emotional intimacy); People who fail at developing such a relationship may retreat into isolation. /.18-40 years old - Answer-At which age would assessment of lifestyle including sensitive issues such as sexual orientation, safe-sex practices, sexually transmitted diseases (STDs), pregnancy prevention, domestic and intimate partner violence, and substance use and abuse be appropriate? /.Intimate Partner Violence - Answer-Any violence occurring between intimate partners who are living together or separated. /.B, D Screening for domestic violence with all patients and asking about abuse will help identify patients who may be victims. Calling the police is a step that may be taken when abuse is confirmed but is not a step in identifying victims. Taking this step will be decided on with the involvement of both health care providers and the patient. Asking for proof may cause the victim to mistrust the health care provider. Never disregard a report of abuse. Abusers often are related to or married to the victim. - Answer-Which step(s) can nurses and health care providers take to remove barriers to identifying and treating victims of domestic violence? (Select all that apply.) A. Call the police. B. Ask about abuse. C. Ask for proof of domestic violence. D. Screen for domestic violence with all patients. E. Disregard reported abuse in spouses. /.Generativity vs. Stagnation - Answer-Age: 40-65; Erikson's 7th Stage of Development; More concerned with leaving behind a legacy that'll continue after their death; If the person fails to grow during this phase, the result may be stagnation with self-absorption (egocentric behavior) and self-indulgence. Depression /.How many times do you get up too urinate at night and how much? When was your last prostate exam? - Answer-For men aged 40-65, what are some important questions to ask during a health assessment? /.Respite Care - Answer-Provides parents and other caregivers with short-term child care services that offer temporary relief, improve family stability, and reduce the risk of abuse or neglect. Important for the "Sandwich Generation". /.Integrity vs. Despair - Answer-Age: 65-Death; It is either they are happy with their life, or they are upset about it? Person reviews life events and accepts the finality of death. /.True - Answer-T or F: Many older adults are still sexually active, so as a nurse you should counsel and educate on safe sex practices. /.Polypharmacy (1) - Answer-____________ is defined as the simultaneous use of multiple drugs by a single patient, for one or more conditions. /.Polypharmacy (2) - Answer-_______________ is a primary cause for delirium, it is important for the nurse to thoroughly assess the patient's medication list. As a nurse it may be helpful to educate the member to keep RX's filled with the same pharmacy for fill history and RX log. /.C. Giving grades and gifts for satisfactory performances. Rationale: During the psychosocial development of school-age children, reinforcement in the form of grades, material rewards, additional privileges, and recognition provides encouragement and stimulation. A sense of accomplishment also involves the ability to cooperate, to compete with others, and to cope effectively with people, so separating children will not promote their mental health. When the reward structure is based on evidence of mastery, children who are incapable of developing these skills are also at risk for feelings of inadequacy and inferiority. Comparison with one another can also cause some children to develop negative feelings towards themselves, and result in a sense of inferiority. - Answer-The school health nurse is teaching a group of teachers about promoting the mental health of school-age children. Which action made by the teachers promotes a sense of industry among the children? A. Separating children during tasks B. Basing a reward structure on evidence of mastery C. Giving grades and gifts for satisfactory performances D. Comparing the performances of children with one another /.D. By focusing on simple anatomical diagrams Rationale: According to Piaget, an 8-year-old child's level of development is in the stage of concrete operations; the child will benefit from simple, concrete examples. The preschooler and younger child, not the school-age child, require repetition. Therapeutic needle play is more appropriate if and when the child is to receive an injection. The child who is in the period of concrete operations cannot think in the abstract; the ability to do this develops during adolescence. - Answer-An 8-year-old child is being prepared for surgery the next day. How should the nurse present preoperative instructions to this child? A. By repeating instructions often B. By providing time for needle play C. By using several abstract examples D. By focusing on simple anatomical diagrams /.A. Sits alone without support Rationale: Infants between 6 and 8 months of age can sit alone without support. Infants can creep on their hands and knees at the age of 8 to 10 months. Infants who are 10 to 12 months of age can walk while holding onto furniture and can sit down from a standing position due to their well-developed motor skills. - Answer-Which gross motor skill can be observed in a 7-month-old infant? A. Sits alone without support B. Creeps on hands and knees C. Walks holding onto furniture D. Sits down from a standing position /.A. Deliberately placing the thumb into the mouth The deliberate action of placing the thumb in the mouth elicits a pleasurable effect. Accidentally kicking a ball is not a deliberate action. Searching for objects and shaking a rattle occur at later stages. - Answer-Which action by a 3-month-old infant would the nurse interpret as an example of Piaget's sensorimotor stage of primary circular reaction? A. Deliberately placing the thumb into the mouth B. Accidentally kicking a ball C. Searching for an object under a blanket D. Shaking a rattle /.B. "I will position my baby on the back while sleeping." Rationale: Sleeping on the stomach may cause upper airway obstruction and increase the risk of SIDS. Therefore, infants should be placed on their backs to decrease this risk. Sleeping in the same bed as the baby may increase the risk of SIDS. Covering the baby with warm blankets may cause overheating or suffocation and can increase the risk of SIDS. The use of soft bedding and pillows for an infant may lead to suffocation. Therefore, the nurse will teach the mother to use a firm mattress. - Answer-The