CHAPTER 9 Flashcards
(101 cards)
The nurse works on the pediatric unit. An infant patient is hospitalized for an acute disorder. The single parent is not able to stay at the hospital due to other underage children. Which action should the nurse perform immediately when the patient cries?
Call to inquire when the parent is available.
Notify social services of a family need.
Hold, cuddle, and comfort the patient.
Move the patient’s bed to the nursing station.
Hold, cuddle, and comfort the patient.
The nurse is counseling the parent of a 2-1/2-year-old toddler. Which skill should the nurse recommend the parent teach the toddler?
Proper tooth brushing
Night time bladder control
Self-feeding with finger foods
How to tie their shoelaces
Proper tooth brushing
The nurse is preparing to assess the cognitive status of a group of older adult patients. Which information about this age group will the nurse apply?
IQ declines steadily for this age group.
Learning ability is greatly diminished.
Long-term memory is notably impaired.
Physical and mental reaction time slows.
Physical and mental reaction time slows.
The nurse is aware that safety is important when caring for infants and toddlers. Which topic will the nurse review during a parenting class for this age group? Select all that apply.
Keep one hand on an infant who is on an elevated surface.
Toddlers are prone to climbing and are at risk for falls.
Small items should be kept out of the reach of toddlers.
Infants are at high risk for drowning in an in-ground pool.
Toddlers and infants can drown in water 2 inches deep.
Keep one hand on an infant who is on an elevated surface.
Toddlers are prone to climbing and are at risk for falls.
Small items should be kept out of the reach of toddlers.
Toddlers and infants can drown in water 2 inches deep.
The nurse is working in an extended-care facility. Which factors about the older adult population does the nurse recognize?
Older adults in a care facility do not need influenza vaccines.
Liver and kidney function stabilizes in the healthy older adult.
Confusion and dementia are part of normal aging.
Pneumonia vaccines are usually only provided once.
Older adults are more likely to be diagnosed with chronic illnesses.
Pneumonia vaccines are usually only provided once.
Older adults are more likely to be diagnosed with chronic illnesses.
The nurse is providing care for a toddler who is hospitalized. The toddler cries and refuses oral medications. Which intervention is likely to let the nurse medicate the toddler more easily?
The nurse should let the toddler give the nurse pretend medication.
The nurse should tell the toddler that the medicine is candy.
The nurse can sing a song about how easy it is to take medicine.
The nurse can hide the medicine in the toddler’s favorite food.
The nurse can sing a song about how easy it is to take medicine.
Who developed the theory of moral development, which uses the ability to think at a higher level and develop a value system to differentiate right from wrong?
Piaget
Kohlberg
Erikson
Gilligan
Kohlberg
A 10-year-old patient is hospitalized for a minor surgical procedure requiring anesthesia. The patient expresses extreme fear about pain. Which comment by the nurse will be most helpful for this patient?
“We will use medicine to make your pain go away.”
“I’ll bet your friends don’t think you’re afraid.”
“Let’s talk about why you are so afraid of pain.”
“This is an easy procedure and the pain is minor.”
“We will use medicine to make your pain go away.”
The nurse is working in a community clinic with adult patients of all ages. Which patient need identified by the nurse is correct?
Young adults have great concerns about personal safety due to the responsibility of caring for their children.
Middle-age adults are at risk for injury related to strenuous projects without proper physical preparation.
Older adults experience declining health related to the inability to prepare and consume healthy diets.
Centurions have the fewest care concerns because of the probability of living in extended-care facilities.
Middle-age adults are at risk for injury related to strenuous projects without proper physical preparation.
The nurse at a middle school expects the students to exhibit signs of puberty. Which sign of puberty does the nurse expect to see in the male students?
A cough from the thickening of vocal cords
Continued absence of axillary hair growth
Rapid increase in height and body weight
Periods of incoordination during sports
Rapid increase in height and body weight
The nurse is caring for an older adult patient in an acute-care setting. Which measures will the nurse take to promote patient safety? Select all that apply.
Make sure the area around the patient’s bed is clear of clutter.
Use bed or chair alarms for patients with a tendency to wander.
Apply chest or wrist restraints to keep confused patients from falling.
Place a commode at the bedside of all older adult patients.
Reorient the older adult patient when entering the room and as needed.
Make sure the area around the patient’s bed is clear of clutter.
Use bed or chair alarms for patients with a tendency to wander.
Reorient the older adult patient when entering the room and as needed.
The nurse is reviewing a health history for a young adult visiting the health-care provider for a yearly checkup. Which information will prompt the nurse to assess further? Select all that apply.
The patient has been working 12-hour days for the past 6 months.
The patient’s weight is within normal range following the loss of 10 pounds.
The patient shares that alcohol consumption occurs only on the weekend.
The patient stopped smoking after 10 years of smoking a pack of cigarettes daily.
The patient goes to the dentist every 6 months for a checkup and as needed.
The patient has been working 12-hour days for the past 6 months.
The patient shares that alcohol consumption occurs only on the weekend.
Which of the following describe the patterns of growth? Select all that apply.
Cephalocaudal
Hereditary
Proximodistal
Social
Regression
Cephalocaudal
Proximodistal
The nurse is caring for a pediatric patient who is being evaluated for delayed physical growth. The nurse is aware of a number of possible causes. Which cause will the nurse eliminate?
Anoxia that occurred during labor and delivery
Respiratory infections related to exposure to secondhand smoke in the home
Dietary deficiency because of low socioeconomic factors
Genetic influence on stature and size validated by the appearance of the parents
Anoxia that occurred during labor and delivery
The nurse is discussing safety issues with an adolescent patient. Which statement by the patient does the nurse interpret as the patient having a good understanding about safety? Select all that apply.
“I can’t wait until my best friend gets a car so we can go places together.”
“I am concerned about the number of my classmates who are using drugs.”
“My girlfriend and I have safe sex; she is on birth control and I always use a condom.”
“I was raised around guns, I understand how to handle them correctly.”
“I am not into meeting people in person who I first meet on the Internet.”
“I am concerned about the number of my classmates who are using drugs.”
“My girlfriend and I have safe sex; she is on birth control and I always use a condom.”
“I am not into meeting people in person who I first meet on the Internet.”
A preschool-age patient is hospitalized overnight after a lower extremity is casted for a fracture. Which intervention by the nurse will make the patient less fearful?
Encourage the parents to go home and rest.
Bring the patient a teddy bear with a casted leg.
Promise the patient ice cream whenever they want.
Turn on a favorite television show for distraction.
Bring the patient a teddy bear with a casted leg.
The nurse is assigned multiple adult patients in an acute-care setting. Which patient does the nurse identify as being at greatest risk for anxiety?
The older adult patient who becomes confused and disoriented at night
The middle-age adult who cares for minor children and aging parents
The young adult who is a single parent of one child with a full-time job
The young adult who is a full-time college student who has a part-time job on campus
The middle-age adult who cares for minor children and aging parents
The nurse needs to have a solid understanding about the process of growth. Which definition will the nurse recognize as incorrect?
Growth is a steady, predictable process for humans.
Growth is the physical change in the size of human beings.
Growth includes an increase in the density of bones.
Growth is a length increase of the trunk and extremities.
Growth is a steady, predictable process for humans.
The nurse in a pediatric clinic measures the development of each patient. Which of the following would be included in a pediatric developmental assessment? Select all that apply.
Behavioral skills of walking and talking
Theories included in the evaluation process
Complexity of skills performed
Evaluation of psychosocial benchmarks
Evaluation of physical changes
Behavioral skills of walking and talking
Complexity of skills performed
Evaluation of psychosocial benchmarks
Evaluation of physical changes
The nurse is aware that Erikson’s theory states the toddler struggles with establishing a sense of self. Which behavior does the nurse recognize as expected in the psychosocial development of a toddler?
Frequent and adamant use of the word “no”
Becoming overwhelmed when faced with a decision
Refusal to accept gentle guidance with simple tasks
Insistence about being right regarding task outcomes
Frequent and adamant use of the word “no”
The nurse is reviewing a health history with an adolescent patient. The patient states, “My boyfriend and I have decided we are ready to become sexually active.” Which response by the nurse indicates professional behavior?
“I have some information for you about safe sex and birth control.”
“This is a topic the health-care provider will need to discuss with you.”
“Let’s make an appointment for both you and your boyfriend.”
“I think this is a topic we should share with your mother.”
“I have some information for you about safe sex and birth control.”
The nurse educates the parents of an infant on moral development. Which suggestion by the nurse will help the parent understand moral development in this stage?
Understand that infants have a sense of “right” and “wrong.”
Infants can learn through gentle reprimands about unacceptable behavior.
Infants will focus on methods helpful in pleasing others.
Understand that infants will respond most to negative reactions to behaviors.
Infants can learn through gentle reprimands about unacceptable behavior.
The nurse is planning a display table at a health fair targeting middle-age adults. Which information is it appropriate for the nurse to include? Select all that apply.
Yearly blood work for prostate cancer screening is not recommended
Women should have regular mammograms to screen for breast cancer.
Middle-age patients need regular eye exams to detect eye problems early.
Once reaching middle age, patients need regular testing for diabetes mellitus.
Screening for cardiovascular disease is important for middle-age patients.
Women should have regular mammograms to screen for breast cancer.
Middle-age patients need regular eye exams to detect eye problems early.
Once reaching middle age, patients need regular testing for diabetes mellitus.
Screening for cardiovascular disease is important for middle-age patients.
