Growth & Amp; development Q and s practice .docx 2021

Growth & Amp; development Q and s practice .docx 2021 1)While teaching a 10 year-old child about their impending heart surgery, the nurse should: A. Provide a verbal explanation just prior to the surgery B. Provide t ...

Growth & Amp; development Q and s practice .docx 2021 1)While teaching a 10 year-old child about their impending heart surgery, the nurse should: A. Provide a verbal explanation just prior to the surgery B. Provide the child with a booklet to read about the surgery C. Introduce the child to another child who had heart surgery three days ago D. Explain the surgery using a model of the heart 2.Which is a major concern when providing drug therapy for older adults? A) Alcohol is used by older adults to cope with the multiple problems of aging B) Hepatic clearance is reduced in older adults C) Older adults have difficulty in swallowing large tablets D) Older adults may chew on tablets instead of swallowing them. 3.One of the participants attending a parenting class asks the teacher “what is the leading cause of death during the first month of life? A) Congenital Abnormalities B) Low birth weight C) Sudden infant death syndrome (SIDS) D) Infection 4.Which stage of development is most unstable and challenging regarding development of personal identity? A) Adolescence B) Toddler hood C) Childhood D) Infancy 5. Which age group would have a tendency towards eating disorders? A) Adolescence B) Toddler hood C) Childhood D) Infancy 6.When assessing an older adult. The nurse may expect an increase in: A) Nail growth B) Skin turgor C) Urine residual D) Nerve conduction 7.A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson’s psychosocial development theory, the nurse would instruct the mother to: A) Allow the newborn infant to signal a need B) Anticipate all of the needs of the newborn infant C) Avoid the newborn infant during the first 10 minutes of crying D) Attend to the newborn infant immediately when crying 8. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums.The nurse most appropriately tells the mother to: A) Punish the child every time the child says “no”, to change the behavior B) Allow the behavior because this is normal at this age period C) Set limits on the child’s behavior D) Ignore the child when this behavior occurs 9.The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that: A) The child is withdrawn B) The child is self-centered C) The child has adjusted to the hospitalized setting D) This is a normal pattern 10. The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which of the following is the most appropriate suggestion to the mother? A) Do not allow the child to have the bottle B) Allow the bottle during naps but not at bedtime C) Allow the bottle if it contains juice D) Allow the bottle if it contains water 11. A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child? A) Uses a fork to eat B) Uses a cup to drink C) Uses a knife for cutting food D) Pours own milk into a cup 12.The nurse is providing an educational session to new employees, and the topic is abuse to the older client. The nurse tells the employees that which client is most characteristic of a victim of abuse A) A 90-year-old woman with advanced Parkinson’s disease B) A 68-year-old man with newly diagnosed cataracts C) A 70-year-old woman with early diagnosed Lyme’s disease D) A 74-year-old man with moderate hypertension 13.The home care nurse is visiting an older female client whose husband died 6 months ago. Which behavior, by the client, indicates ineffective coping? A) Visiting her husband’s grave once a month B) Participating in a senior citizens program C) Looking at old snapshots of her family D) Neglecting her personal grooming 14.A 47-year-old woman expresses dismay to the nurse that her young adult children are unemployed. Her husband is working and near retirement. She is not working and feels bored with her life and unneeded. She is experiencing which of Erikson's stages of development? A.Integrity versus despair B. Intimacy versus isolation C. Identity versus confusion D. Genertivity versus self-absorption and stagnation 15.A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child? A) Large picture books B) A radio C) Crayons and coloring book D) A sports video 16.A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? A) Allow the family to bring in the child’s favorite computer games B)Encourage the parents to room-in with the child C) Encourage the child to rest and read D) Allow the child to participate in activities with other individuals in the same age group when the condition permits 17) The nurse caring for a hospitalized adolescent can best meet the adolescent's developmental needs by: A. Providing diversion activities such as word puzzles B. Providing privacy while the adolescent's significant other visits C. Encouraging the parent to stay with the adolescent at all times D. Explaining procedures and including the adolescent in decision making 18) the despair associated with old age, as described by Erikson, is related to: A. Mistakes made earlier in life B. Physical changes that alter older adults' perception of self-worth C. Involvement with community activities for senior citizens D. Participation in the activities of children and grandchildren 19.The nurse who volunteers at a senior citizens center is planning activities for the members who attend the center. Which activity would best promote health and maintenance for these senior citizens? A) Gardening every day for an hour B) Cycling 3 times a week for 20 minutes C) Sculpting once a week for 40 minutes D) Walking 3 to 5 times a week for 30 minutes 20)According to Piaget's theory of cognitive development, the child aged 7 to 11 years demonstrates concrete operations when he or she: A. Begins to think abstractly B. Participates in parallel play C. Is able to communicate with others on a simple level D. Recognizes that friends may perceive things differently 21) While giving nursing care to a hospitalized adolescent, the nurse should be aware that the MAJOR threat felt by the hospitalized adolescent is: A. Pain management B. Restricted physical activity C. Altered body image D. Separation from family 22) The nurse is planning care for an 18 month-old child. Which of the following should be included the in the child’s care? A. Hold and cuddle the child often B. Encourage the child to feed himself finger food C. Allow the child to walk independently on the nursing unit D. Engage the child in games with other children 23) The nurse is observing children playing in the hospital playroom. She would expect to see 4 year-old children playing: A. Competitive board games with older children B. With their own toys along side with other children C. Alone with hand held computer games D. Cooperatively with other preschoolers 24) Which statement by the mother demonstrates her child is ready for toilet training? A. "She is waking up dry from a nap for about a couple of weeks now." B. "I'm still changing a wet diaper every 2 hours." C. "She fusses when I sit her on the potty. What can I do?" D. None of the options are correct. 25) A first-time mother asks you what type of toy would be best for her 2 1/2 year old. Your response is? A. Push-pull toys, large balls, and wooden puzzles B. Marbles, dress-up clothes, and card games C. Movies, computer games, and board games D. Video games, CDs, remote control truck 26) Which statement by a mother regarding her 15 month old requires further evaluation? A. "I add honey to his oatmeal in the morning." B. "He loves drinking juice from a bottle at night...it helps him sleep." C. "I only buy whole milk, not skim or low fat." D. "I avoid giving him seeds, popcorn, and raisins." 27) A 5 year-old patient is admitted with a broken left arm. His arm is immobilized. What nursing intervention is age appropriate for this child regarding his hospitalization? A. Discourage school friends from visiting the patient due to embarrassing the child because of his immobilized arm. B. Explain procedures in simplistic terms without diagrams. C. All the child to help with bathing, feeding, and changing bandages. D. Assess the 5 year old for questions about his appearance and the effects of how his injury will affect the future. 28) A 2 year-old is scheduled to have a tonsillectomy. How would you educate the patient? A. Use picture books & puppets and repeat explanations. B. Provide a video and explain in clear terms. C. Engage in conversations about the procedure and encourage the child to express his or her thoughts. D. Describe the procedure as it is about to be performed. 29)Which is the best method of distraction for an 8-year-old who is having surgery later today and is on NPO? A. Play a board game. B. Use the telephone to call friends. C. Watch television. D. Read the central line pamphlet he was given. 30)Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? A. 50% of older adults have two chronic health problems. B. Cancer is the most common cause of death among older adults. C. Nutritional needs for both younger and older adults are essentially the same. D. Adults older than 65 years of age are the greatest users of prescription medications. 31)A long-term care facility sponsors a discussion group on the administration of medications. The participants have a number of questions concerning their medications. The nurse responds most appropriately by saying: A. "Don't worry about the medication's name if you can identify it by its color and shape." B. "Unless you have severe side affects, don't worry about the minor changes in the way you feel." C. "Feel free to ask your physician why you are receiving the medications that are prescribed for you." D. "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your medications." 32) Which of the following statements, made by the daughter of an older adult client concerning bringing her mother home to live with her family, presents the greatest concern for the nurse? A. "If this doesn't work out, she can always go to live with my sister." B. "I don't think she will react very well to me making decisions for her." C. "I'm afraid that mom will be depressed and miss her home." D. "My children will just have to adjust to having their grandmother with us” 33) An assisted living facility has provided its clients with an educational program on safe administration of prescribed medications. Which statement made by an older-adult client reflects the best understanding of safe self-administration of medications? A. "I don't seem to have problems with side effects, but I'll let my doctor know if something happens." B. "I'm lucky since my daughter is really good about keeping up with my medications." C. "I'll be sure to read the inserts and ask the pharmacist if I don't understand something." D. "It shouldn't be too hard to keep it straight since I don't have any really serious health issues." 34)The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow as compared to a middle-age adult is: A. A reduced skin elasticity is common in the older adult B. The attachment between the epidermis and dermis is weaker C. The older client has less subcutaneous padding on the elbows D. Older adults have a poor diet that increases risk for pressure ulcers 35)The most common affective or mood disorder of old age is: 1. dementia. 2. depression. 3. delirium. 4. Alzheimer's. 36) One reason for medication problems in the elderly is that 1. Regular use of laxatives increases absorption of medications 2. Decreased renal function slows excretion of drugs 3. Enhanced sense of taste of medications 4. Increased perception of pain from injections 37) There are factors that influence the musculoskeletal system associated with aging. The nurse recognizes that with age: A. Men have the greatest incidence of osteoporosis B. Muscle fibers increase in size and become tighter C. Weight-bearing exercise reduces the loss of bone mass D. Muscle strength does not diminish as much as muscle mass 38) The three common conditions affecting cognition in the older adults are: A. Stroke, MI, Cancer B. Cancer, Alzheimer's disease, Stroke C. Delirium, Depression, Dementia D. Blindness, Hearing loss, Stroke 39) A client has been recently diagnosed with Alzheimer's disease. When teaching the family about the prognosis, the nurse must explain that: A. Diet and exercise can slow the process considerably B. It usually progresses gradually with a deterioration of function C. Many individuals can be cured if the diagnosis is made early D. Few clients live more than 3 years after the diagnosis 40) When administering a mental status examination to a patient with delirium, the nurse should A. give the examination when the patient is well-rested. B. choose a place without distracting environmental stimuli. C. reorient the patient as needed during the examination. D. medicate the patient first to reduce anxiety. 41) When caring for an older adult patient, the nurse uses the following interventions to accommodate visual changes with age: A. Eye glasses in the bedside table. B. Adequate lighting and uncluttered walkways. C. Draw drapes in room to prevent glare. D. Keep bedside rails down. 42) You are caring for a 78 year-old female cardiac patient. In per conference, your clinical instructor asks you what is an age-related change in the cardiac system of the older adult? Your best response would be 1. Decreased blood pressure 2. Decreased cardiac output 3. Increase ability to respond to stress 4. Increased heart recovery rate 43) A child with sickle cell anemia has vase-occlusive pain. After noting that the child is of is of preschool age, the nurse plans to use which of the following methods to determine the adequacy of pain control methods? 1.Ask the child to point to pictures of faces (smiling to very sad) that describe the pain 2. Ask the child to use a word descriptive rating scale (no, little, medium, large, worst pain) 3. Institute of a patient-controlled of analgesia (PCA) pump 4. Ask the child to use a numeric rating scale 0 to 10 44) A mother tells the pediatrician office nurse that she is concerned because her children must let themselves into the house after school each day while she is at work. the nurse would explore with the mother Which suggestion to decrease the children sense of isolation and fear? A. Instruct the children never to cook B. Let the children play in the neighborhood home. C. Have the children call the mother at work Every hour. D. ‏find community after-school programs or activities. 45) An 84-year-old client in an acute state of disorientation was brought to the emergencydepartment by the client’s daughter.The daughter states that the client was “clear as a bell this morning.” The nurse determines from this piece of information that which of the following is unlikely to be the cause of the client’s disorientation? A. medication dosage error B. Hypoglycemia C. ‏Alzheimer’s disease. D. Impaired circulation to the brain. 46) A female, older long-term care resident with the history of Alzheimer refuses to eat and tells the nurse that she believes that someone is poisoning the food. The nurse would make which appropriate response to the client. A. “Here to taste the food for you“ B. “ it must be frightening to you, has something made you feel that your food is poisoned?” C. “ why do you think this way” D. “ your food is not poisoned. our kitchen staff are nice people, and they are not allowed to poison people” 47) The leading cause of death in middle adulthood: A. Heart disease B. Kidney disease C. Respiratory disease D. Gastrointestinal disease 48) Common visual conditions which my occur in middle-aged adults include which of the following? A. Presbyopia B. Glaucoma C. Cataracts D. Macular Degeneration 49) nurse discussing child growth on 24 month, which statement made by mother indicate delay in growth? A. “Can’t jump with both feet” B. “Can’t drink without assistance” C. “Can’t build a tower with 8 blocks” D. “Can’t go up and down stairs alone” 50) Parents of an 18-month-old boy tells the nurse that he says "no" to everything and If he is scolded, he shows anger and then immediately wants to be held. What is the nurse's best interpretation of this behavior? A. “This is a normal behavior for this age” B. “This is an unusual behavior for this age” C. “He is not effective coping with stress” D. “He is showing need more attention” 51) which describe a toddler social development? A. Less fear of strangers. B. Give first and last name. C. Develop sense of autonomy. 52) which statement correct about toilet training? A. Bladder training is usually completed before bowel training. B. Wanting to please the parents helps motivate the child to use the toilet. C. Watching older siblings use the toilet confuses the child. D. Children must be forced to set on the toilet when first learn to walk. 53) children who has unmet hunger, will likely display which of the following characteristics: A. Irritability. B. Ineffective parent bonding. C. Effective parent bonding. D. Ineffective elimination pattern. 54) what represent the majority stressor of hospitalization for children from middle infancy through preschool age: A. Fear of pain. B. Less loss of control. C. Separation anxiety. D. Fear of bodily injury. 55) Which statement best describes fear in school-age children? a. They are increasingly fearful for body safety. b. Most of the new fears that trouble them are related to school and family. c. They should be encouraged to hide their fears to prevent ridicule by peers. d. Those who have numerous fears need continuous protective behavior by parents to eliminate these fears. 56) parents of 11 years old are concerned that their child has been recently showing signs of enjoy reading mysterious, romance and adventure stories in addition to read for practical purpose, which should the nurse consider when discussing this issues with the parents: A. “Reading stories at this age is not acceptable” B. “Parents should ask their child to not read this kind of stories” C. “This is considered normal for 11 years old child cognitive development” D. “This is considered normal for 11 years old child language development”