Nursing Across Lifespans Final Exam

Question 1

When planning care for an 18 month old, what should be included in the nursing plan?

Answer 1

Start eating finger foods

Question 2

what action shows that a preschooler has not yet mastered Erikson’s initiative v. guilt?

Answer 2

If the preschooler is following others

Question 3

Which stage of development is most unstable and challenging regarding development of personal identity?

Answer 3

Adolescence

Question 4

What is considered subjective data during a nursing assessment?

Answer 4

Information the patient tells you

Question 5

What is an example of objective data?

Answer 5

Blood pressure reading

Question 6

What should be included in a nursing teaching plan for toddlers?

Answer 6

Being consistent and setting behavioral limits

Question 7

What does a problem focused nursing assessment focus on?

Answer 7

What the patient is complaining of

Question 8

What is a nurse recommendation for importance of dental hygiene for toddlers?

Answer 8

Parents should schedule time to brush their teeth with their toddlers

Question 9

Anticipatory guidance for parents of a toddler include which information?

Answer 9

Model good eating behaviors

Question 10

Which basis of Gordon’s functional health patterns is asking a patient “how do you see yourself now”?

Answer 10

Self-perception self-concept pattern

Question 11

Advice a nurse can give when a parent asks how they can help their 6 year old feel good about themselves?

Answer 11

Have them help around the house with easy tasks.

Question 12

What are the emotional effects of puberty?

Answer 12

Mood swings, independence, self-conscious, tired

Question 13

What statement by a patient indicates healthy coping by a widow?

Answer 13

Talking about “good time” before illness

Question 14

Which age group of older adults has successfully navigated the stage of ego integrity v. despair?

Answer 14

80 year old who has planned funeral

Question 15

What age group has the majority of new HIV/AIDs cases?

Answer 15

Middle adult

Question 16

What are the defining characteristics manifested by the client?

Answer 16

Signs and symptoms

Question 17

What is the age group for generativity v. stagnation?

Answer 17

40-65 years

Question 18

What is the purpose of therapeutic communication?

Answer 18

to encourage expression of feelings

Question 19

what is clarification?

Answer 19

asking for a definition or example

Question 20

what do nightmares and night terrors have in common?

Answer 20

they both include fear in a scary episode

Question 21

What is feedback?

Answer 21

Return message from receiver to sender

Question 22

What is part of the evaluation step of the nursing process?

Answer 22

Deciding if goals were met

Question 23

Whose framework provides a foundation for nursing assessments?

Answer 23

Gordons

Question 24

Help to determine a child’s overall health and well-being; require precise measurements

Answer 24

growth patterns/growth charts

Question 25

change and expansion of ability and advancement/qualitative change

Answer 25

development

Question 26

Early developmental patterns- Cephalocaudal

Answer 26

head to toe

Question 27

Early developmental patterns- Proximodistal

Answer 27

midline to periphery

Question 28

Early developmental patterns- Differentiation

Answer 28

simple to complex or general to specific

Question 29

monitors development from birth to age 6

Answer 29

Denver Developmental Screening Test

Question 30

Autonomy v. Shame & Doubt

Answer 30

Toddler

Question 31

Trust v. Mistrust

Answer 31

Infant

Question 32

Initiative v. Guilt

Answer 32

Pre-schooler

Question 33

Industry v. Inferiority

Answer 33

Grade-schooler

Question 34

Identity v. Role Confusion

Answer 34

Teenager

Question 35

Intimacy v. Isolation

Answer 35

Young Agult

Question 36

Generativity v. Stagnation

Answer 36

Middle-age Adult

Question 37

Ego Integrity v. Despair

Answer 37

Older Adult

Question 38

focused on how the individual mind works v. what it does Quantitative changes in cognitive function after 15 years Development precedes learning

Answer 38

Piaget

Question 39

Theory of Moral Development Based on Piaget School Age to Young Adult

Answer 39

Kohlberg

Question 40

Prevention that involves health protection and health promotion

Answer 40

Primary

Question 41

Prevention that involves screening and treating diseases

Answer 41

Secondary Prevention

Question 42

Prevention that minimizes effects of disease and disability. Aims to return the affected individual to useful place in society

Answer 42

Tertiary Prevention

Question 43

Review each of the 11 steps of Gordon's Functional Health

Answer 43

It is the promotion of Health and Individual Responsibility

Question 44

Nursing Role that is helping individuals attain what they are entitled to receive through the health care system Spends great deal of time identifying and coordinating resources in complex cases

Answer 44

Nursing Role - Advocate

Question 45

Nursing Role that assists in preventing duplication of services Maintains quality and safety Reduce costs

Answer 45

Nursing Role - Care Manager

Question 46

Nursing Role that is made up of nurse specialists and works with company and community

Answer 46

Nursing Roles - Consultant

Question 47

Nursing Role that is within the foundation of public health nursing Combination of many roles: educator, provider, promoter

Answer 47

Nursing Role - Deliverer of Services

Question 48

Nursing Role that is important in primary prevention | Lack of knowledge v. lack or application

Answer 48

Nursing Role - Educator

Question 49

Nursing Role that must be able to read people to identify needs What is important to that individual and how to incorporate insights into care plans Holistic approach

Answer 49

Nursing Role - Healer

Question 50

Nursing Role that integrates individual clinical experience with best available external clinical evidence Scientific, systematic research

Answer 50

Nursing Role - Researcher

Question 51

An organizing framework for professional nursing practice, a critical thinking process for the nurse to use to give the best possible care to the client

Answer 51

Nursing Process - ADPIE

Question 52

Occurs at the end and throughout the nursing process

Answer 52

Evaluation

Question 53

``` Collection of data Identify cues and make inferences Validating (verifying data) Organizing (clustering data) Identifying Patterns Reporting and recording data ```

Answer 53

Nursing Process - Assessment

Question 54

Clinical judgement about an individual, family or community response to actual or potential health problems

Answer 54

Nursing Process - Nursing Diagnosis

Question 55

Requires mutual participation | Formulate nursing activities to monitor, prevent, reduce or eliminate the alteration identified in the diagnosis

Answer 55

Nursing Process - Planning

Question 56

"carrying out" of client specific outcomes During this step, actual care is carried out. Nurse must possess the necessary knowledge and skills to implement the nursing interventions.

Answer 56

Nursing Process - Implementation

Question 57

Focus on the needs of the individual Knowing each other Reciprocity, respect, confidence

Answer 57

Therapeutic Relationships

Question 58

Imbedded in culture-family/social context | Evolve-affected by life events and social processes

Answer 58

Values

Question 59

Application of one's cognitions, perceptions, and behaviors to create interpersonal encounters that promote health

Answer 59

Therapeutic Use of Self

Question 60

Nurse-Patient Relationships : where trust is built, mutual goals identified, roles & boundaries identified

Answer 60

Beginning or Orientation Phase

Question 61

Nurse-Patient Relationships : where most of the work is done in nurse-patient interaction; trust continues to build

Answer 61

Working or Intervention Phase

Question 62

Nurse-Patient Relationships : ending of the relationship so boundaries are recognized, sharing what each received out of the relationship

Answer 62

Termination Phase