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