Nursing Exam 3 Tested Questions and Accurate Answers Get an A (Latest Version).

Nursing Exam 3 Tested Questions and Accurate Answers Get an A (Latest Version). The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of animism An 18-month-old child is noted by the parents to be "angry" about any change in routine. This child's temperament is most likely to be described as difficult 9 year old Brian has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, received little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in feelings of inferiority the nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development? initiative versus guilt when ryan was about 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. now he is 9 months old, he looks for it, reflecting the presence of object permanence when preparing a 4 year old child for a procedure, which method is developmentally most appropriate for the nurse to use preparing the child through play with a doll or toy medical equipment a 35 year old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. she is using which form of cognitive development postformal thought you are caring for a recently retired man who appears withdrawn and says he is bored with life. applying the work of Havinghurst, you would help this individual find meaning in life by encouraging him to explore new roles place the following stages of Freud's psychosexual development in the proper order by age progression 1. oral 2. anal 3. latency 4. oedipal 5. anal according to Piaget's cognitive theory, a 12 year old child is most likely to engage in which of the following activities writing a story about a clown who wants to leave the circus allison, age 15, calls her best friend Lauren and is crying. she has a date with john, someone she has been hoping to date for months, but now she has a pimple on her forehead. Laura firmly believes that john and everyone will notice the blemish right away. this is an example of imaginary audience elizabeth, who is having unprotected sex with her bf comments to her friends, did you hear about kathy? you know, she fools around so much, i heard she was pregnant. That would never happen to me. This is an example of adolescent sense of invulnerability teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state is an example of ______ which aids cognitive performance by using new approaches selective optimization with compensation dave reports being happy and satisfied with his life. What do we know about dave it is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages you are working in a clinic that provides services for homeless people. the current local regulations prohibit providing a service that you believe is needed by your patients. you adhere to regulations but at the same time are involved in influencing authorities to change regulation. This action represents which stage of moral development social contract orientation Chapter 12 in an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development. They are nutrition, stress, and mother's age a parent has brought her 6 month infant in for a well child check. Which of her statements indicates a need for further teaching i've started giving her plenty of fruit juice as a way to increase her vitamin intake. the type of injury a child is most vulnerable to at a specific age is most closely related to which of the following developmental level of the child which approach would be best for the nurse to use with a hospitalized toddler gain cooperation before attempting treatment the nurse is providing information on prevention of SIDS to the mother of a young infant. Which of the following statements indicates that the mother has a good understanding i'll place my baby on her back for sleep i'll be sure to keep my baby's room cold in evaluating the gross-motor development of a 5 month infant, which of the following would the nurse expect the infant to do roll from abdomen to back parents are concerned about their toddler's negativism and ask the nurse for guidance. Which is the most appropriate recommendation reduce opportunities for a no answer when nurses are communicating with adolescents, they should be alert to clues to their emotional state which of the following statements is most descriptive of the psychosocial development of school age children children frequently have "best friends" you are caring for a 4 year old child who is hospitalized for infection. He tells you that he is sick because he was bad. Which is the most correct interpretation of his comment representative of his cognitive development at a well child examination, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time. Which of the following should the nurse reccomend provide nutritious snacks an 8 year old child is being admitted to the hospital from emergency department with an injury from falling off her bicycle. Which of the following will most help her adjust to the hospital explain hospital routines such as meal times for her the school nurse is counseling an obese 10 year old child. What factor would be important to consider when planning an intervention to support the child's health plan food intake to allow for growth you are working in an adolescent health center when a 15 year old patient shares with you that she thinks she is pregnant and is worried she may now have a STI. her pregnancy test is negative. what is your next priority of care counsel her on safe sex practices while working in the high school clinic, one of the students tells you that she is worried about her friend who has started to refuse to participate in group activities, no longer cares about how she looks at school, and is not going to all her classes. you assessment of these symptoms may indicate that she may be at increased risk for suicide Chapter 13 with the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of 20 the nurse is completing an assessment on a male patient, age 24. following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to instructing him in health promotion activities when determining the amount of information that a patient needs to make decisions about the prescribed course of therapy, many factors affect the patient's compliance with the regimen, including educational level and socioeconomic factors. which additional factor affects compliance motivation a patient is laboring with her first baby, which is coming 2 weeks early. her husband is in the military and might not get back in time, and both families are unable to be with her during labor. the doctor decides to call in which of the following people employed by the birthing area to be a support person to be present during labor lay doula a single young adult female interacts with a group of close friends from college and work. they celebrate birthdays and holidays together. in addition, they help one another through many stressors. She views these individuals as family sharing eating utensils with a person who has a contagious illness increases the risk of illness. this type of health risk arises from personal hygiene habits a 50 year old woman has elevated cholesterol profile values that increase her cardiovascular risk factor. one method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of health education a 34 year old female executive has a job with frequent deadlines. she notes that, when the deadlines appear, she has a tendency to eat high fat, high carb food. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive and she chooses yoga. in this scenario yoga is used as a stress-management technique a 50 year old male patient is seen in the clinic. He tells the nurse that he recently lost his job and wife of 26 years has asked for a divorce. he has a flat affect. family history reveals that his father committed suicide at the age of 53. the nurse should assess for the following depression middle age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. people finding themselves in this situation are frequently referred to as being a part of the sandwich generation intimate partner violence is linked to which of the following factors 1. alcohol abuse 2. pregnancy 3. unemployment 4. drug use STI continue to be a major health problem in young adults. men ages 20 to 24 years have the highest rate of which STI chlamydia formation of positive health habits may prevent the development of chronic illness later in life. which of the following are examples of positive health habits routine screening and diagnostic tests regular exercise chronic illness may affect a person's roles and responsibilities during middle adulthood. when assessing the knowledge base of both the middle age patient with a chronic illness and his family, the assessment should include which of the following medical course of the illness prognosis for the patient coping mechanisms of the patient and family the need for community and social services a 45 year old obese woman tells the nurse that she wants to lose weight. after conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity 1. the woman works in executive position that is very demanding 2. the woman says that she has little time to prepare meals at home and eats out at least four nights a week Chapter 14 A student nurse is caring for a 78 year old patient with multiple sclerosis. the patient has had an indwelling foley catheter in for 3 days. eight hours ago the patient's temperature was 98.8 degrees F. the student reports her recent assessment to the RN: the patient's temp is 99 degrees f; the foley cath is still in place, draining dark urine; and the patient is uncertain what time of day it is. from what the RN knows about presentation of symptoms in older adults, what should he recommend first tell the student that he will notify the physician of the findings a patient's family member is considering having her mother placed in a nursing center. you have talked with the family before and know that this is a difficult decision. which of the following criteria would you recommend in choosing a nursing center 1. there should be adequate staffing on all shifts 2. social activities should be available for all residents 3. family involvement in care planning and assisting with physical care is necessary a nurse has conducted an assessment of a new patient who has come to the medical clinic. They patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. he is alert but becomes easily distracted during the nursing history. he recently moved to a new apartment, and his pet just died. he is most likely depression a major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis could precipitate depression sexuality is maintained throughout our lives. which answer below best explains sexuality in an older adult all older adults, whether healthy or frail, need to express sexual feelings older adults experience a change in sexual activity. which best explains this change frequency and opportunities for sexual activity may decline you see a 76 year old woman in the outpatient clinic. her chief complaint is vision. she states she has really noticed glare in the lights at home. her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. you suspect she may have cataracts a nurse is caring for a patient preparing for discharge from the hospital next day. the patient does not read and has a hearing loss. his family caregiver will be visiting before discharge. what can you do to facilitate the patient's understanding of his discharge instructions 1. sit facing the patient so he is able to watch you lip movements and facial expressions 2. present one idea or concept at a time 3. include the family caregiver in the teaching session kyphosis, a change in the musculoskeletal system, leads to changes in the configuration of the spine that affect the lungs and thorax a 63 year old patient is retiring from his job of 42 years. His wife is a homemaker. What are your major concerns for this patient the loss of his work role how the wife expects household tasks to be divided in the home of retirement during a home health visit a nurse talks with a patient and his family caregiver about the patient's medications. the patient has hypertension and renal disease. which of the following findings places him at risk for an adverse drug event taking a total of 8 different medications during the day patient's health history you are caring for an 80 year old man who recently lost his wife. he shares with you that he has been drinking more than he ever did in the past and feels hopeless without his wife. he reports that he rarely sees his children and feels isolated and alone. this patient is at risk for suicide you are working with an older adult after an acute hospitalization. your goal is to help this person be more in touch with time, place, and person. what might you try reality orientation a 71 year old patient enters the ER department after falling down stairs in the home. the nurse is conducting a fall history with the patient and his wife. they live in a one level ranch home. he has had diabetes for over 15 years and experiences some numbness to his feet. he wears bifocal glasses and his BP is stable. The patient does not exercise regularly and complains of weakness in his legs when climbing stairs. he is alert, oriented, and able to answer questions clearly. what are the fall risk factors for this patient 1. impaired vision 2. leg weakness 3. exercise history Chapter 22 the patient for whom you are caring needs a liver transplant to survive. this patient has been out of work for several months and doesnt have health insurance or enough cash. What principles would be a priority in a discussion about ethics justice because the first and greatest question in this situation is how to determine the just distribution of resources the point of the ethical principal to "do not harm" is an agreement to reassure the public that in all ways the health care team not only works to heal patients but agree to do this in the least painful and harmful way possible. Which principle describes this agreement? nonmaleficence a child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle in involved in this situation beneficence when a nurse assesses a patient for pain and offers a plan to manage the pain, which principal is used to encourage the nurse to monitor the patient's response to the pain fidelity what is the best example of the nurse practicing patient advocacy assess the patient's point of view and prepare to articulate it successful ethical discussion depends on people who have a clear sense of personal values. When a group of people share many of the same values, it may be possible to refer for guidance to philosophical principals of utilitarianism. this philosophy proposes which of the following the value of something is determined by its usefulness to society the philosophy sometimes called the ethics of care suggests that ethical dilemmas can best be solved by attention to which of the following relationships in most ethical dilemmas in health care, the solution to the dilemma requires negotiation among members of the health care team. why is the nurses point of view valuable nurses develop a relationship to the patient that is unique among all professional health care providers ethical dilemmas often arise over a conflict of opinion. what is the critical first step in negotiating the difference of opinion gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma the ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives to protect the health, safety, and rights of patients." this includes the protection of patient privacy. on the basis of this principal, if you participate in a public online social network, could you post images of a patients x-rays film if you deleted all patient identifiers no bc even though patient identifiers are removed, someone could identify the patient based on other comments that you make online about his or her condition and your place of work when an ethical dilemma occurs on your unit, can you resolve the dilemma by taking a vote no bc an ethical dilemma involves the resolution of conflicting values and principles rather than simply the identification of what people want to do resolution of an ethical dilemma involves discussion with the patient, the patient's family, and participants from all health care disciplines. which of the following describes the role of the nurse in the resolution of ethical dilemmas to articulate his or her unique point of view, including knowledge based on clinical and psychosocial observations a precise definition of the word quality is difficult to articulate when it comes to quality of life. Why? 1. community values are subject to change, communities influence definitions of "quality" 2. individual experiences influence perceptions of quality in potentially different ways, making consensus difficult. 3. placing measurable value on elusive elements such as cognitive skills, ability to perform meaningful work, and relationship to family is challenging which of the following explain how health care reform is an ethical issue 1. reforms promote the principle of beneficence, a hallmark of health care ethics. 2. purchasing health care insurance may become an obligation rather than a choice, a potential conflict between autonomy and beneficence 3. lack of access to affordable health care causes harm, and nonmaleficence is a basic principal of health care ethics which is the best method of negotiating or processing difficult ethical situations institutional ethics committees help to ensure that all participants involved in the ethical dilemma get a fair hearing and an opportunity to express values, feelings, and opinions as a way to find consensus. Chapter 23 a nurse is caring for a patient who recently had coronary bypass surgery. which are legal sources of standards of care the nurse uses to deliver safe health care -policies and procedures of the employing hospital -state Nurse Practice Act -regulations identified in the Joint Commission's manual -the American Nurses Association standards of nursing practice a nurse is sued for failure to monitor a patient appropriately after a procedure. which of the following statements are correct about this lawsuit -the person filing the lawsuit has the burden of proof -the plaintiff must prove that a breach in the prevailing standard of care caused an injury a nurse stops to help in an emergency at the scene of an accident. The injured party files a suit, and the nurse's employing institution insurance does not cover the nurse. what would probably cover the nurse in this situation the Good Samaritan laws, which grant immunity from suit if there is no gross negligence a nurse is planning care for a patient going to surgery. who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits surgeon a woman who is a Jehovah's witness has severe life-threatening injuries and is hemorrhaging following a car accident. The husband refuses blood for his wife. What is the nurse's responsibility abide by the husband's wishes and inform the health care provider the nurse notes that an advance directive is on a patient's medical record. which statement represents the best description of an advance directive guideline the nurse will follow a living will is invoked only when the patient has terminal condition or is in a persistent vegetative state a nurse notes that the health care unit keeps a listing of the patient names at the front desk in easy view for health care providers to more efficiently locate the patient. the nurse talks with the nursing manager bc this action is a violation of which act Heath Insurance Portability and Accountability Act (HIPPA) which of the following actions, if performed by a RN, would result in both criminal and administrative law sanctions against the nurse -taking or selling controlled substances -applying physical restraints w/o written physician's order the nurse received a hand-off report at the change of shift in the conference room from the night shift nurse. The nurse assesses patients and lists the medical diagnoses on the message board....Which of these actions describes a violation of HIPPA posting medical information about the patient on a message board in the patient's room the patient has a fractured femur that is placed in skeletal traction with a plaster cast applied. .. the nurse observes that the patients toes have become pale and cold but forgets to document this. which of the following statements regarding a breach of duty apply to this -failure to document a change in assessment data -failure to notify a health care provider about a change in the patient's condition a homeless man enters the ER seeking health care. the health care provider indicates that the patient needs to be transferred to the City Hospital for care. this action is most likely a violation of which of the following laws Emergency Medical Treatment and Active Labor Act (EMTALA) you are the night shift nurse and are caring for a newly admitted patient who appears to be confused. the family asks to see the patient's medical record. what is the first nursing action to take discuss the issues that concern the family with them a home health nurse notices significant bruising on a 2 year old patient's head, arms, abdomen, and legs. the patient's mother describes the patient's frequent falls. what is the best nursing action for the nurse to take contact a child abuse hotline a new graduate nurse is being mentored by a more experienced nurse. they are discussing the ways nurses need to remain active professionally. which of the following below indicates the new graduate understands ways to remain involved professionally -i am thinking about joining the health committee at my church -i need to read newspapers, watch news broadcasts, and search the internet for information related to health you are floated to work on a nursing unit where you are given an assignment that is beyond your capability. What is the best nursing action to take first call the nursing supervisor to discuss the situation Chapter 25 a patient needs to learn to use a walker. which domain is required for learning this skill psychomotor domain the nurse is planning to teach a patient about the importance of exercise. when is the best time for teaching to occur -when the patient's pain medications are working -just before lunch, when patient is most awake and alert a patient newly diagnosed with cervical cancer is going home. the patient is avoiding discussion of her illness and postoperative orders. what is the nurses best plan in teaching this patient provide only the information that the patient needs to go home the school nurse is about to teach a freshman health class about nutrition. what is the best instructional approach to ensure that the students meet the learning outcomes develop topics for discussion that require problem solving a nurse is going to teach a patient how to perform breast self examination. which behavioral objective does the nurse set to best measure the patients ability to perform the examination the patient will perform BSE correctly on herself before the end of teaching session a patient with chest pain is having an emergency cardiac catheterization. which teaching approach does the nurse use in this situatino telling approach the nurse is teaching a parenting class to a group of pregnant adolescents. the nurse pretends to be the baby's father and the mother is asked to show how she would respond if the father gave her a can of beer. which approach did the nurse use role play an older adult is being started on a new antihypertensive medication. in teaching the patient about the medication, the nurse allows the patient time to express himself or herself and ask questions a patient needs to learn how to administer a subcutaneous injection. which of the following reflects that the patient is ready to learn expressing the importance of learning the skill correctly a patient who is hospitalized has just been diagnosed with diabetes. he is going to need to learn how to give himself injections. which teaching method does the nurse use demonstration when a nurse is teaching a patient about how to administer an epi injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. which of the following instructional methods did the nurse use analogy a nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. which of the following topics does the nurse teach first how to use an inhaler during an asthma attack a nurse is teaching a group of young college age women the importance of using sunscreen when going out in the sun. what type of content is the nurse providing health promotion and illness prevention a nurse is planning a teaching session about health nutrition with a group of children who are in first grade. the nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of a learning objective a nurse is teaching a 27 year old gentleman how to adjust his insulin dosages based on his blood sugar results. what type of learning is this cognitive