Question 1
pts
Finding a partner or committing one’s life to a cause indicates successful resolution of
which of Erikson’s stages?
Autonomy versus shame and doubt
Generativity versus stagnation
Identity versus role confusion
Correct!
Intimacy versus isolation
Once self-identity is established after adolescence, it can be merged with
another’s in an intimate relationship. During the early 20s the adult seeks the
love, commitment, and intimacy of a lasting relationship.
Question 2
pts
An 18-month-old who makes the statement, “All done,” is using what form of speech?
Complex-interactive speech
Correct!
Telegraphic speech
Holophrastic speech
Preoperational speech
At 1 year, sentences begin with the one-word holophrase, in which one word
represents a complete thought (e.g., “out” for “I want to go out.”). A 2-year-old
uses simple two-word phrases— “all gone,” “me up,”“baby crying.” This is called
telegraphic speech, which is usually a combination of a noun and a verb and
includes only words that have concrete meaning.
Question 3
, pts
A woman brings her 15-month-old son in for a well-child visit. When asked questions
about his pattern of behaviors and appetite, she seems at a loss for answers. What is
the nurse’s best response?
Contact social services because she may be neglecting her son.
Correct!
Determine whether she is the primary provider of care for her son.
Discuss with her how important it is to observe growth and development patterns to see
a delay early.
Assume that she knows her son’s habits and may be hiding something unusual.
When assessing infants and children, it is important to identify the primary
provider of care because this individual may or may not be the biologic parent.
Question 4
pts
A physician in the clinic is frequently bothered when patients arrive late for
appointments. He is so irritated by this behavior that he often finds it hard to provide
appropriate care to these individuals. What should he do first in trying to overcome his
difficulty?
Allow the patients to arrive late and build this into his schedule.
Understand that these cultural practices are helpful to the patient.
Identify the meaning of health to the patient.
Correct!
Examine his own culturally based values, beliefs, attitudes, and practices.
The first step in understanding the health care needs of others is to understand
one’s own culturally based values, beliefs, attitudes, and practices.
Question 5
, pts
When providing culturally competent care, nurses must incorporate cultural assessment
into their health assessment. Which statement is most appropriate to use when initiating
an assessment of cultural beliefs with an elderly American Indian patient?
“Do you want to see a medicine man?”
Correct!
“What cultural or spiritual beliefs are important to you?”
“How often do you seek help from medical providers?”
“Are you of the Christian faith?”
American Indians may seek assistance from a medicine man or “shaman,” but
the nurse should not assume this. An open-ended question regarding cultural
and spiritual beliefs is best utilized initially when performing a cultural
assessment.
Question 6
pts
During a prenatal check, a patient begins to cry as the nurse asks her about previous
pregnancies. She states that she is remembering her last pregnancy, which ended in
miscarriage. The nurse’s best response to her crying would be:
“I’m so sorry for making you cry!”
“Why don’t I step out for a few minutes until you’re feeling better?”
“I can see that you feel sad about this; why don’t we talk about something else?”
Correct!
“I can see that you are sad remembering this. It is all right to cry.”
A beginning examiner usually feels horrified when the patient starts crying. When
you say something that “makes the person cry,” do not think you have hurt the
person. You have just hit on a topic that is important. Do not go on to a new topic.
Just let the person cry and express his or her feelings fully. You can offer a tissue
and wait until the crying subsides to talk.
pts
Finding a partner or committing one’s life to a cause indicates successful resolution of
which of Erikson’s stages?
Autonomy versus shame and doubt
Generativity versus stagnation
Identity versus role confusion
Correct!
Intimacy versus isolation
Once self-identity is established after adolescence, it can be merged with
another’s in an intimate relationship. During the early 20s the adult seeks the
love, commitment, and intimacy of a lasting relationship.
Question 2
pts
An 18-month-old who makes the statement, “All done,” is using what form of speech?
Complex-interactive speech
Correct!
Telegraphic speech
Holophrastic speech
Preoperational speech
At 1 year, sentences begin with the one-word holophrase, in which one word
represents a complete thought (e.g., “out” for “I want to go out.”). A 2-year-old
uses simple two-word phrases— “all gone,” “me up,”“baby crying.” This is called
telegraphic speech, which is usually a combination of a noun and a verb and
includes only words that have concrete meaning.
Question 3
, pts
A woman brings her 15-month-old son in for a well-child visit. When asked questions
about his pattern of behaviors and appetite, she seems at a loss for answers. What is
the nurse’s best response?
Contact social services because she may be neglecting her son.
Correct!
Determine whether she is the primary provider of care for her son.
Discuss with her how important it is to observe growth and development patterns to see
a delay early.
Assume that she knows her son’s habits and may be hiding something unusual.
When assessing infants and children, it is important to identify the primary
provider of care because this individual may or may not be the biologic parent.
Question 4
pts
A physician in the clinic is frequently bothered when patients arrive late for
appointments. He is so irritated by this behavior that he often finds it hard to provide
appropriate care to these individuals. What should he do first in trying to overcome his
difficulty?
Allow the patients to arrive late and build this into his schedule.
Understand that these cultural practices are helpful to the patient.
Identify the meaning of health to the patient.
Correct!
Examine his own culturally based values, beliefs, attitudes, and practices.
The first step in understanding the health care needs of others is to understand
one’s own culturally based values, beliefs, attitudes, and practices.
Question 5
, pts
When providing culturally competent care, nurses must incorporate cultural assessment
into their health assessment. Which statement is most appropriate to use when initiating
an assessment of cultural beliefs with an elderly American Indian patient?
“Do you want to see a medicine man?”
Correct!
“What cultural or spiritual beliefs are important to you?”
“How often do you seek help from medical providers?”
“Are you of the Christian faith?”
American Indians may seek assistance from a medicine man or “shaman,” but
the nurse should not assume this. An open-ended question regarding cultural
and spiritual beliefs is best utilized initially when performing a cultural
assessment.
Question 6
pts
During a prenatal check, a patient begins to cry as the nurse asks her about previous
pregnancies. She states that she is remembering her last pregnancy, which ended in
miscarriage. The nurse’s best response to her crying would be:
“I’m so sorry for making you cry!”
“Why don’t I step out for a few minutes until you’re feeling better?”
“I can see that you feel sad about this; why don’t we talk about something else?”
Correct!
“I can see that you are sad remembering this. It is all right to cry.”
A beginning examiner usually feels horrified when the patient starts crying. When
you say something that “makes the person cry,” do not think you have hurt the
person. You have just hit on a topic that is important. Do not go on to a new topic.
Just let the person cry and express his or her feelings fully. You can offer a tissue
and wait until the crying subsides to talk.
