Deck 9: Life Span: Infancy Through Middle Adulthood

Question 1

A couple comes in to the obstetrician's office for a prenatal check.The woman states,"I know breastfeeding is important but I am not comfortable with this feeding method.I don't think it will work for us." The most appropriate action by the nurse is to:

A) Support the couple's decision
B) Encourage the couple to rethink their decision
C) Request that the couple talk to the obstetrician
D) Reteach the couple about the benefits of breastfeeding

Answer 1

Support the couple's decision

Question 2

The nurse is providing prenatal counseling for a couple who is trying to become pregnant.The priority for the nurse is to include which of the following information?

A) Stages of growth and development of the fetus
B) Recommended schedule of visits to her healthcare provider
C) Recommended average weight gain during pregnancy
D) Healthy eating habits before and during pregnancy

Answer 2

Healthy eating habits before and during pregnancy

Question 3

The nurse has instructed a group of parents about common adolescent behavior.Which comment by the parent would indicate the most urgent need for further discussion?

A) "I guess my daughter won't be asking my opinion very much."
B) "I'm really going to watch my daughter's eating habits."
C) "We are really going to have to think about rules we want to enforce after he gets his driver's license."
D) "We don't keep alcohol in the house, so that's at least one thing we don't need to worry about."

Answer 3

"We don't keep alcohol in the house, so that's at least one thing we don't need to worry about."

Question 4

A mother comes to the healthcare clinic for a regular health examination for her 5-year-old son prior to kindergarten admission.Which comment by the mother would indicate the need for follow-up questions to the mother?

A) "He's not a good boy like my other son."
B) "I've had to treat him for lice a couple of times."
C) "He has an imaginary friend he calls Buddy."
D) "He's so funny when he imitates his dad doing things."

Question 5

A mother comes to the clinic with her 1-week-old infant for a newborn checkup.The mother tells the nurse,"My baby looks yellow to me." The nurse's best response is which of the following?

A) "What type of detergent are you using to wash the baby's clothes?"
B) "Is there a possibility you had hepatitis during your pregnancy?"
C) "The color is from the breakdown of maternal red blood cells."
D) "There is a cream you can use to reduce the yellowing."

Question 6

Which of the following is an example of a school-age child's meeting psychosocial development tasks? The child:

A) Wants to show off the latest trick he can do on his bike
B) Becomes interested in friendships with the opposite sex
C) Starts to see the value of making good decisions
D) Wants to buy the same jacket his friend has

Question 7

A 38-year-old client comes into the clinic for a health examination.Knowing the psychosocial development tasks and common health problems for this age group,it would be most important for the nurse to ask:

A) Whether the client has episodes of feeling depressed
B) Whether the client practices safe sex
C) About the client's exercise habits
D) About the health history of the client's parents

Question 8

According to Erikson,a behavior demonstrating an important psychosocial task for a toddler would be for the child to:

A) Act defiantly by refusing to hold the mother's hand while crossing the street
B) Recognize it is wrong to take a toy away from someone else
C) Be able to understand the concept of time in hours
D) Express to his parents and playmates that he does not like something

Question 9

Which behavior by the mother is most likely to help the infant to develop trust?

A) Talking to the infant
B) Breastfeeding instead of bottle feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent

Question 10

The nurse teaches a mother of a preschool-age child about expected development.Which comment by the parent indicates she understands the information?

A) "She understands that the monsters in books are not real."
B) "When I mention her birthday is in a week, she understands."
C) "I am saving to buy her the roller skates she's been asking for."
D) "I can't expect her to understand when a friend doesn't agree with her."

Question 11

The nurse is talking to a class of children,aged 9 to 11 years.For this age group,it would be most important for the nurse to discuss:

A) Safe sex practices
B) Healthy food choices
C) Use of seat belts and safety equipment
D) The importance of getting enough sleep

Question 12

Which comment made by a woman in her early 50s would be a cue indicating the need for further assessment for a problem?

A) "My skin is so dry I need to use lotion every day after I bathe."
B) "I have episodes when I feel really hot even when others are not."
C) "It's getting harder to lift those big bags of dog food."
D) "I have to write myself notes because I'm getting so forgetful."

Question 13

A mother watches the nurse perform an assessment on her newborn and asks the nurse why she is doing things like "stroking the bottom of his feet." The nurse should respond,"I'm:

A) Checking the blood flow to your baby's feet to make sure it's normal"
B) Testing to see if your baby's neuromuscular system is fully developed"
C) Checking to see if your baby has the reflex responses we anticipate"
D) Testing to see if your baby has normal sensation in his feet"

Question 14

An 18-year-old woman comes to the obstetrician's office and is informed that she is 6 weeks pregnant.Which statement by the woman is the nurse most concerned about?

A) "I eat a pretty healthy diet with lots of fruits and vegetables, so I think I'm okay with my diet."
B) "With my current job, I won't be able to keep up with prenatal visits so I will read some books on prenatal care."
C) "Is it too early to think about babysitting arrangements or should I start looking now?"
D) "Some people may think I am too young to be a mother. What do you think?"

Question 15

Which of the following would be a typical priority for an adolescent? Being:

A) A good student
B) Sexually active
C) Picked to be on the soccer team
D) Able to function independently

Question 16

According to Erikson,which of the following must a middle-aged adult do to be prepared for the final stages of life? The adult must:

A) Accept the fact that she is getting older
B) Reconcile that death is a part of life
C) Feel she has made a contribution to society
D) Have had a meaningful and intimate relationship

Question 17

The nurse conducts a class on health promotion for a group of young adults.Which of the following comments would indicate the teaching was effective? "I will:

A) Need to get screened for colon cancer"
B) Start doing testicular self-exams"
C) Have my prostate checked"
D) Not need to do breast self-exams until I am 40"

Question 18

A father brings his toddler to the clinic for well-child care.Which of the following would be most important for the nurse to assess?

A) How successful the child is with potty training
B) How the child acts when you enter the room
C) Whether the child is using eating utensils
D) Whether the home is childproof

Question 19

The second-year nursing student is in a pediatric clinical rotation in the emergency department.While working one day,a 6-year-old child and mother arrive.The student notices bruises on the child and the mother seems to avoid answering any questions related to the bruises.The most appropriate action by the student is to:

A) Contact a child abuse hotline
B) Notify the physician
C) Notify her instructor
D) Continue to ask the mother more questions

Question 20

A mother has brought her 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations.To assess the child's physical development with age-appropriate norms,which of the following questions should the nurse ask? Is your child able to:

A) Walk while holding onto furniture?
B) Crawl on her hands and knees?
C) Pick up food with her fingers?
D) Sit up without support?

Question 21

A 16-year-old male tells the nurse that he is not in the mood to do anything with his friends.He states,"For weeks now I am just not interested in doing anything and I've stopped all my sports activities.I just feel sad all the time and I just don't want to go on." The nurse completes her assessment and begins her plan of care.What is the most appropriate nursing intervention at this time?

A) Inform the patient you will be contacting his parents
B) Inform the patient you are completing a mental health referral
C) Teach the male coping strategies
D) Contact the patient's teachers for further information

Question 22

A 12-year-old child diagnosed with cancer is hospitalized for the first time.Considering many children in this age group possess a fear of hospitals,what strategies will the nurse use to help the child during hospitalization? Select all that apply.

A) Encourage visits from outside friends
B) Ask the parents to bring in personal items from home
C) Maintain a strict daily routine to keep the child focused
D) Decrease parent involvement with the child's care

Question 23

A sexually active high school student is asking about contraceptive devices.The nurse knows that the student understands the information when she states which of the following? Select all that apply.

A) "Condoms are a foolproof method of preventing STIs and HIV/AIDS."
B) "Oral sex does not put me at risk for STIs, so condoms are not needed."
C) "STIs are major health consequences associated with sexual activity, and especially with unprotected sexual activity."
D) "Consistent and effective use of condoms can help prevent pregnancy."

Question 24

The 17-year-old single mother of a 2-month-old infant comes to the clinic and tells the nurse,"Sometimes no matter what I do my baby won't stop crying.I hold him up in the air and shake him until he stops." Based on these statements by the mother,what is the first action by the nurse?

A) Teach the mother about the dangers of shaking a baby
B) Report child abuse to the appropriate authorities
C) Teach the mother other methods to stop the baby from crying
D) Encourage the mother to obtain more support from a significant other

Question 25

The pediatric nurse is going to a preschooler class to do a presentation on teeth brushing.Prior to the start of class,she spends some time meeting and talking with the students.Which of the following statement(s)by the preschoolers indicates normal development for this group? Select all that apply.

A) "After our class, I am going to read my book. I love my book."
B) "You should never steal anything from anyone."
C) "Water is really the same as ice."
D) "I can count to 20."

Question 26

The parents of an adolescent client ask about strategies that can be used to aid in obesity prevention.Which strategies should the nurse present to them? Select all that apply.

A) Maintain a well balanced diet but eat smaller portions.
B) Teach the adolescent how to healthier snacks.
C) Do not eat fast foods or drink sodas.
D) Try to have 30 minutes of outdoor activity every day.
E) Follow a popular diet trend (e.g., low-carbohydrate diet).

Question 27

The nurse is teaching a parent group of adolescent children about body piercings and tattoos.What is most important for the nurse to include in her teaching? Select all that apply.

A) Body piercing and tattooing often indicate low self-esteem.
B) Tattoos and piercings can cause hepatitis.
C) Tattoos and piercings can cause skin infections.
D) People who have body piercings and tattoos probably abuse drugs.

Question 28

The nurse is giving a health promotion class for middle-aged males.As part of her teaching plan,the nurse will provide information on which common health problems associated with this age group? Select all that apply.

A) Cardiovascular disease
B) Cancer
C) Alcoholism
D) Obesity

Question 29

The nurse is beginning her routine assessment on a 3-year-old child.To gain trust and support from the child,the most appropriate action by the nurse is to:

A) Explain to the child what is going to be done at the visit
B) Allow the child to control the pace of the assessment
C) Encourage the parents to leave the room during the assessment
D) Play a game of ball with the child

Question 30

A 30-year-old female comes to the emergency department with visible bruises to her face and arms.She tells the nurse: "My husband has been hitting me." The most appropriate response by the nurse is which of the following?

A) "Would you like me to contact our domestic violence advocate for you?"
B) "Many of these issues are between you and your husband. Would you like to speak to a social worker?"
C) "Is this the first time this has happened or is this an ongoing issue?"
D) "The doctor will need to check you before we go any further."

Question 31

A 52-year-old female comes to the office for her routine yearly physical examination.As part of the nurse's assessment,which of the following principal physical changes in women of this age group is most expected?

A) Graying hair
B) Breast cancer
C) Menopause
D) Mood swings

Question 32

The nurse from the local high school is giving a presentation to 16-year-olds on safety risks associated with driving.Which of the following will the nurse include in the presentation as being high-risk activities for motor vehicle crashes while driving? Select all that apply.

A) Listening to the radio
B) Talking with passengers
C) Texting
D) Drinking alcohol