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Nursing care across a Lifespan Flashcards | StudBud
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Nursing care across a Lifespan
Nursing care across a Lifespan
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1
6 month old was 21” at birth, what would be the babies current expected height
27”
30”
34”
22”
2
Which of the following is true regarding grandfamilies?
Fiancés are never a concern for grandfamilies
Children hav more stable childhoods when placed with foster families
G-parents being the primary care giver means bio-parents are not involved
Children n foster care being raised by families due to abuse is increasing
3
What activity should be implemented to promote reminiscence among older adults
Encouraging participation in a pottery class
Displaying calendars and clocks
Setting up pet therapy sessions
Having storytelling hours
4
appropriate nursing response 2 parents concern of 4yr old child’s start of thumb sucking 2 days after admis. 2 hospital
“ a 4 yr old is too old for this type of behavior”
“ the doctor will need to be notified”
“This is common during hospitalization”
“Your child is acting like a baby”
5
Which healthcare worker is demonstrating ageism?
PBT examines an older persons veins stating good Bld draw unlikely
Provider tells older woman it’d be best if her spouse was in hospice care
UAP helps a resident who lives in a LTCF to go outside for a walk
Nurse continuously nods and smiles as an older person makes complaints
6
What behavior demonstrates achievement of the development task of generativity?
Ruminates over fears and lifetime failures
Gives advice to nephew about succeeding in life
Reorganizes personal belongings and assets
Reviews will for distribution of worldly goods
7
When the child makes “this statement” it can be assed they are in the preoperational stg of piaget’s Cog. Devlp. Theory
“The moon follows me, and goes to bed when i go to bed”
“ I’ll use a map to help me find my way in a new town”
“The ball is gone” when a ball disappears out of sight
“I know all of my multiplication tables by memory”
8
An older client at risk of aspiration of food. How should the nurse position the patient during a meal
On right side in bed
Legs elevated in low Fowler’s position
On left side in bed
Upright in a chair
9
Which therapy represents that infants are in the sensorimotor stage of cognitive development
Reaches for objects and puts them into mouth
Frequently says “me” and “no”
Demonstrates shoulder control prior to hand control
Clings to the parent and protests any separation
10
Child,“I share my snacks & toys with my friends so they will like me more.” Indicates which state of moral development?
Law-and-order orientation
Social contract and legalistic orientation
Good boy-Nice girl orientation
Egocentric judgment
11
Which intervention should be implemented when speaking to a client who is hearing impaired
Pantomime and write the client notes
Exaggerate lip movements
Obtain a sign language interpreter
Stand in front of the client
12
Giving an 8 yr old praise and encouragement for work efforts demonstrates development of which Erikson’s tasks?
Industry
Identity
Autonomy
Initiative
13
Based on Erikson’s psychosocial development therapy, what instruction should be reinforced?
Avoid the infant for the first 10 mins of crying
Attend to a crying infant immediately
Allow the infant to signal a need
Anticipate all the infants needs
14
Which statement indicates the need for more teaching on Kohlbergs theory of moral development?
Individuals move through the 6 states in sequence
Provides a framework for understanding development of a moral code
A persons ability to make moral judgment develops over a period of time
Moral development progresses in relation to cognitive development
15
Which toy should be provided while caring for a 3yr old child?
Puzzle
Miniature farm set
Wagon
Golf set
16
The first socializing agent for a child is:
Family
Daycare
Play groups
School
17
Indication an older adult is successfully aging?
Tries may complementary/alternative therapies to improve appearance
Works through “bucket list” with and uncharacteristic enthusiasm
Spends a lot of time with adult children, making up for lost time
Studies Latin and combines subject matter with interests in literature
18
For an overnight observation of a toddler, what question should be asked about a child’s bedtime?
What would you like me to tell him about sleeping away from home?
Milk or juice in a night bottle?
What do you usually do when you put him to bed?
How many hours does the child sleep?
19
discussing Stressors common for children when parents remarry after a divorce. What statement is cause for more teaching
Children may have loyalties to other parent
Jealousies may arise from the unity of stepchildren
There are no stressors because its about the parents not the children.
All are cause for more teaching
20
Which is the most appropriate activity for a 5 yr. old child placed in traction after a fracture of the femur?
A music video
10 piece puzzle
Block
Large picture book
21
Which client is most at risk to become a victim of elder abuse
75 yr old man w/ moderate hypertension
68 yr old man with newly diagnosed cataracts
90 yr ol man with advanced Alzheimer’s disease
70 yr old woman with early diagnosed Lyme disease
22
When collecting data from an older adult, which findings should be considered normal physiological changes?
Increased susceptibility to UTI’s
Decline in visual acuity
Increased incidences of awaking after after sleep onset
All answers are correct
23
Which date indicates to the nurse that the client is experiencing effective coping following a loss of a spouse?
Prefers to spend time alone and avoids contact with others
Visits the spouses grave once a month
Visits the sr. Citizens home once a month
Looks at old snapshots of family
24
Physical strength & endurance occurs during what period of life?
Adolescence
Late Adulthood
Middle Adulthood
Early Adulthood
25
What type of play is most common within preschool children?
Cognitive play
Organized, team play
Imaginary play
Parallel play
26
Which intervention should be implemented for the older client with prebycusis who has hearing loss
Use high pitched tones
Speak louder
Speak more slowly
Use low pitched tones
27
What is the most important question to ask to determine if a teenage child has a high risk of suicide?
Has there been a change in appetite?
Talked about ways to commit suicide?
Is there an inability to concentrate?
Preoccupied with thoughts of death?
28
What Intervention is most appropriate to facilitate normal growth and development in a 16 yr old after an appendectomy.
Encourage the child to rest and read
Allow to join n activities w/other individ. of same age when condit permits
Encourage the parents to room in which the child
Allow the family to bring in favorite computer games
29
What term describes the sequence of good head control and sitting unsupported?
Differential
Proximodistal
Cephalocaudal
Integrated
30
Principles of introducing new foods to an infant
Foods can be mixed together to increase nutrients intake
Cereal should be started before vegetables and meats
Several days should pass between introducing new foods.
All answers are correct
31
A 4 year old child is working on which Erikson’s developmental task?
Autonomy VS. shame & doubt
Initiative VS. Guilt
Trust VS. Mistrust
Industry VS. Inferiority
32
What relates to Freuds anal stage of psychosexual development?
Gratification of self
Association of pleasurable & conflicting feelings about the genital organs
Beginning of toilet training
Tapering off biological and sexual urges
33
Which statement shows correct understanding of the the riots of aging?
Free radicals improve cellular efficiency/delay the aging process
With aging the body becomes less able to recognize itself
Immune Syst. Function increases/reduces risk for infection as people age.
All statements apply
34
According to Erikson, When infants are cuddled, fed, and loved they develop which characteristic
Trust
Industry
Identity
Autonomy
35
Under what circumstance would advisement to contact a HCP for 1 year old be instructed?
Child frequently kicks and stretches when in the supine position
Child seems restless and makes little noises during short nap periods
12 hrs of sleep at night and takes one nap during the day
Cries persistently during usual sleep periods and is inconsolable
36
Which interventions are appropriate for the care of an infant
Hang mobiles with Black and white contrast designs
Caress the infant while bathing or during a diaper change
All answers are correct
Provide swaddling
37
A nurse should plan which to encourage autonomy in a client who is a resident of a LTC facility
Decorating room
Choosing meals
Scheduling haircut appointments
Allowing the client to choose social activities
38
What is not associated with the aging process?
Slowed accommodation
Presbyopia
Visualization of half a field
Decreased depth perception
39
Which observation supports the analysis of an autocratic family?
Uncle controls finances
Children participate in negotiations
Parents implement strict rules and expectations
Mother assumes dominance in decision making
40
Parents are concerned that their 16yr old sleeps till noon on wkends. Appropriate response by the nurse would be?
“ the child shouldn’t be staying up so late at night”
“If the child is eating properly that shouldn’t be happening”
“Adolescences love to sleep late in the mornings”
“The child should have a blood test to check for anemia”