1In girls puberty ends with the:
onset of menstruation
2Secondary sex characteristics include (the):
Increased activity of the sweat glands
3Prolonged sadness may be the sign of:
depression
4The average blood loss during menstrual flow is:
30-60 mL
5Bulimia is an eating disorder charcterized by:
eating binges follwed by purging
All of the following are possible warning signs of potential suicide except:
withdrawl or moodiness
giving away prized possessions
eating disorders
6consistant school grades
consistant school grades
7J. Carry is diagnosed with skin cancer. The most common contributing factor is:
excessive exposure to sunlight
8One of the characteristics of a muture friendship:
reciprocity
9The most beneficial learning environment for the adult learner is:
mutual respect
10Breast self-examination is best performed:
1 week after menstruation
11The major role change during middle adult years:
grown children leave home
12Menopause usually begins between:
45 & 55
13The grandparenting role has changed today in that today's grandparents:
may have a more youthful appearance
14The most important predictor of life expectancy is:
one's own biological parent
15A high potential for impaired safety is a concern in older patients because of:
changes in sensory perception
16Depression seen in the older adult is most commonly caused by:
multiple losses
Which of the following is not true about sexuality in late adulthood:
Sexual expression may take on different forms
Menopause may affect sexual desire
Medications may adversely affect one's sexual performance.
17Interst in sex diminishes in late adulthood
Interst in sex diminishes in late adulthood
18Spirituality refers to:
internal beliefs about God
Which of the following is a type of grief:
spontaneous
advanced
anticipatory
20A pt has been placed in hospice care. You explain to the family that hospice focuses on:
comfort
Children are prone to accidents because:
2113
Of an inability to recognize danger
22Toddlers are more prone to ear infections because the:
Eustachian tube is shorter and wider
23Toddlers generally prefer to:
Play alongside other children
24An outcome of thumb sucking is:
Malalignment of the teeth
25The type of play in which children take turns and share their toys is known as:
Associative
26The nurse recognizes which of the following is typical of 9 year old boys
Enjoys secret codes and language with friends
27Respiratory infection increases in school-age children because:
Of increased exposure to other children
28The caloric intake of the school-age child is determined by:
Activity and metabolism
29Growth and devel in the school-age child can be best described as:
Slow and steady
30An example of play that fosters fine motor dev is:
Building blocks
The communication style that serves to empower the individual is:
32Therapeutic communication:
Promotes trust and good rapport
33The nurse notices that one of her patients is in her room crying. The nurse's best response is:
It may help to talk about what's upsetting you
34Cephalocaudal development progresses from
Head to toe
35To make up for an unconsciously perceived inadequacy by excelling at something else is known as
Compensation
36Kohlberg's theory of moral development, a child's moral reasoning begins because of a need to
Avoid punishment
37A newborn infant sucks automatically on its mother's breast. This is an example of:
Reflexes
38The nurse is reviewing prenatal history. Which of the following would be considered a teratogen
Alcohol intake
39The zygote contains the genetic information from parents. It is represented by a total of
46 chromosomes
40Meconium is best described as
Thick green, black fecal matter
41Healthy People 2020 identifies two major goals eliminating health disparities and:
Increasing the quality and years of healthy living
42The my plate guidelines help the individual:
Understand food intake must match energy output
43Which of the following is an example of health restoration
Rehabilitation after surgery to replace the knee joint
44A major objective of health promotion is to
Attain one's level of optimal health
45Immunizations and yearly physical exams, are classified as what type of health-care services
Primary
46Belief that his or her values and ways of life are superior to those of the pt. is practicing
Ethnocentrism
47Deeply embedded feelings that help determine goodad and right/wrong are referred to as
Values
48The theory of trans-cultural nursing was proposed by
Madeline Lenninger
49A functional family is one that
Fosters growth and development
50In a laissez-faire-type family pattern, 9-year-old Jane would:
Have complete freedom in making all decisions
51J, age 4, lives with his married parents, and 6 month old sister. This living arrangement describes the
Nuclear family
52One of the current causes of motor vehicle accidents in adolescence:
Use of cell phone while driving
53Menarche is best defined as
first menstrual flow
54Assessing a person for suicidal risk can best be done by:
Asking if the person has suicidal plans
55Bulimia is characterized by:
Periods of binge eating
56The major psychosocial task of adolescence, according to Erikson, is
Identity
57in early civilization illness was often believed to be caused by
supernatural forces
58Knowlege of disease process occurred with the
advent of bacteriology
59which of the following statements best describes the affordable care act
medicaid will be expanded
60the health care worker is correct if she tells a client that healthy people 2020 provides a
scientific base for disease prevention and health promotion for all people in the united states
61the objective of the managed care system is to
Decrease the number of hospitalizations
62health can be defined as
Balance between internal and external forces
63the objective of health promotion is to
Achieve an optimum level of wellness
64Empowerment is
Client-centered decision making
65which of the following may be a positive benefit of exercise
decrease weight
66mental health is best described as being
Realistic and adaptive
67physiological responses to moderate anxiety include
increased heart rate
68common responses to stressful situations may include which of the following
smooth muscle contractions
glandular secretions
increased breathing
69culture is learned through which of the following
Traditions passed down from one generation to the next
70the ability to learn ones culture within the cultural group is an example of
enculturation
71nurses who respect the patients cultural differences gives
excellent care
72culture includes ones
customs
73which is a tenet of transcultural nursing theory
One world, many cultures
74behaviors that are correct within a culture are called
values
75which is the best way to provide culturally competent health care
involve the patient and family in developing a plan of care
76which of the following statements is true about knowing a persons culture may help you
understand his or her response to illness
77how an infant is treated after birth depends on the cultural background of his or her parents
true
78a patient expresses his cultural belief that prayer and faith heal better than any medicine, the nurse assigned to care for this patient can provide culturally competent care by
respecting his beliefs
79which is the expected patient outcome when the nurse is culturally sensitive
satisfaction
80the nurse is correct when completing a physical assessment on a newly admitted patient if he includes what elements of patient culture
meaning of gender roles
approciate use of touch
appropriate use of eye contact
81what is the modern definition of a family
two or more people who are related by blood who live together and share the same values
82which characteristics do all families have
a specific purpose
83which goals are common to all families
personal fulfillment to the members
84which is a basic family function
protection
85which is one of the advantages of early parenting
more energy and fewer potential health problems
86which is a common family type
extended
87which is a characteristict of a functional family
ability to foster growth and development
88which is the primary socializing agent for children
family
89the nurse advocates for secondary prevention of family violence by providing
rehabilitation and education
90to clarify the roles of members within a family it would be best for the nurse to ask which questions
whom do you go to in the family when you need someone to talk to
91in the formal grandparenting role discipline of the child is left to the parent true or false
true
92the community health nurse is working with a family after one of its members experience a major health crisis. the nurse records which signs of a healthy family
there is frequent communication between the family members
the family states they have plans to share caregiving
93when communicating with a patient from a different culture the health care worker should
keep personal beliefs to themselves
94One of the goals of communicating with a hospitalized patient is to:
help the patient make informed decisions
95communication is the
exchange of information and ideas
96a health care workers professional apperance should communicate
knowledge
97which of the following describes nonverbal behavior
tone of voice
98periods of silence during the communication process allow the health care worker to
observe nonverbal behavior
99assertive personality type are described as
acting confident and being responsible for their actions
100gaining insight into your personal feelings is an example of
self awareness
101You overhear Jane telling her mother that she is "afraid to ride over the bridge." Jane's mother responds, "Don't be silly. Let's go." This statement is an example of:
belittling
102you are a nurse assigned to a well baby clinic, a mother comes with her 6 month old infant for a well baby check up, the mother has been a resident in the united states for only a short time , and she speaks and understands very little english , what is the best action for you to take
arrange for a translator for the next visit
103growth can be defined as
an increase in physical size.
104according to freud, what part of the mind acts as ones conscience
superego
105according to eriksons stages of development what tasks would roger age 9 be completing
industry
106at the completion of piagets sensorimotor stage of cognitive development the child
recognize themselves as seperate
107theories of personality help the nurse to
Provide individual health care
108Maslow's human needs approach to development emphasizes the importance of
a hierarchy of basic needs
109what term is most associated with maslow
self actualization
110according to freud's theory which is the rational portion of the mind the tries to balance id impulses with the demands of the superego
ego
111the purpose of defense mechanisms is to
reduce anxiety
112which of the following defense mechanisms is considered to be a positive mehtod of coping
sublimation
113moral development
Occurs in an orderly sequence
114Which tasks describe Erikson's concept of ego integrity?
resolving earlier conflicts
accepting past choices
115Among people of European Jewish ancestry, you are more likely to see:
tay-sachs disease
116the period of development that begins 2 weeks after ferttilization and lasts 8 weeks is known as the
embryonic stage
117apgar scoring measures
The newborn's general status,
118the average length of a full term nerwborn
50 cm
119Which stool type is considered normal in breastfed babies?
light seeded mustard stools
120at birth most infants
able to hear sounds
121a 26 year old women gave birth to her first child an 8 pound baby boy, 36 hours ago in a vaginal delivery . the health care worker reports that attachment is normal because of what of the following responses by the mother
states the baby looks like her sister
122how can the nurse best help the mother who decides to breastfeed her newborn baby
supporting her actions
providing education on breastfeeding
123which of the following activites demonstrates that jeremy age 6 months has mastered the pincer grasp
picks up small morsel of food
124Most infants with normal motor development can sit alone at age:
7 months
125the typical 12 months old child will
say a few words
126the purpose of play during infancy is to
Aid exploration of the environment
127the parents of a newborn infant should be taught that handling their infant they should support the infant head and avoid shaking to prevent
seizure and death
128Genes that can transmit their trait only if they exist as a pair are known as:
recessive
129Toddlers' motivation to acquire and master most psychomotor skills is related to their need for:
independence
130a child usually has a complete set of deciduous teeth by
30 months
131fine motor skills that should be mastered by 3 years of age includes
using a crayon to draw a circle
132toilet training depends on the childs ability to
Attain sphincter control
133according to erikson the psychosocial tasks for the toddler is
autonomy
134moral development in the toddler is based on
copying parental values
135the type of play seen in a 2 years old child is
parellel play
136the overuse of electronic media in toddlers may lead to
slowed fine motor skills
137Toddlers resist sleep for which reasons?
fear and curiosity
138parents of a 2 year old should look aroud their house for potential safety hazards , they should remember that a 2 year old should be able to
climb up and down stairs
139Rashad, who is 2 1/2 years old, cried when his mother had to leave him with the babysitter. The best way to tell him when she is returning home is to say ____________________________.
shell be back after naptime
140the thinking style associated with the toddler is best described as
imaginative
141Toddlers may handle periods of stress with the following coping mechanism
regression
142which of the following statements about child abuse is correct
health care workers need only to report suspicion of child abuse
143the purpose of preschool education is to foster which of the following
cognitive development
social development
psychological development
144Preschool focuses on which of the following?
interests, learning style, social interaction
145the erect posture and steady gait in preschool children may be a result of
movement of the foot towards the center of the body
146ear infections are more commonly seen in children because of
their short eustachian or auditory tubes
147the type of play seen at the preschool age is
associative play
148Occasional periods of masturbation in a 4-year-old child suggest:
a normal pattern of development
149according to erikson a sense of inititave is best explained by
trying new roles without feelings of guilt
150Preschoolers learn to handle frustration in a positive manner by:
learning self control
151the average daily caloric intake recommended during the preschool years is
1400
152Nightmares and night terrors differ in the following way:
with night terrors the chilld has no recall of the event
153Sibling rivalry is best resolved by:
Separating both children
154according to piaget preschoolers lack the concepts of reversiblilty this can be demonstarted by
not recognizing that a melted ice cube can be refrozen
155the change in posture typical of school age children is due to
shift in the center of gravity
156school age children experience an increase in blood pressure because of
development of ventricles
157stress experienced by school age children may be manifested as
school phobia
158according to erikson the psychosocila task for school age children is known as
industry
159During the school-age period, interest in sexual activity:
is dormant
160the number of hours of sleep that the average 6 year old child needs is
12
161factors that contribute to the increase in school violence are
breakdown in communication and gun availabilty
162excessive weight gain can result in
Decreased physical ability
163which of the following behaviors may contribute to gaining weight
snacking between meals
164Routine medical screening is important at this age for detecting:
scoliosis. school age
165Usually, the first part of the body to show a growth spurt during puberty is:
feet
166the major psychosocial task of adolescence according to erikson
identify
167menarche is best defined as the
first menstrual flow
168which of the following physical changes usually occurs during adolescence
an increase in muscle strength and endurance
169bulimia is characterized by
Periods of binge eating
170moral development in the begining of adolescence is demonstrated by
questioning of existing rules and standards
171one of the objectives fulfilled by dating is
Fulfilling personal and social status
172assessing a person for suicidal risk can best be done by
asking if the person has suicidal plans
173which comment best describes eriksons task for the adolescent
i hope to complete my education and become a lawyer
174the guiding force driving the teen food choices is based on
peer pressure
175one advantages of the technology available to adolescents today is that it
provides education
176One of the current causes of motor vehicle accidents in adolescents is:
use of cell phones whille driving
177Cynthia Beckford is a healthy 30-year old woman. Which of the following are normal age-related physical changes that you would expect her to be experiencing?
an increase in bone cells
178the major cause of tooth loss in individulas older than 35 years is
gingivitis
179andrew previs ang 40 is having his annual eye examination he has noted a decline in his visual acuity the most likely of this symptom at this age is
presbyopia
180the psychosocial task for the young adult is
intimacy
181the psychological outcome of prolonged unemployment is often
social isolation
182a sign of maturity in adulthood is the individual ability to
develop an interest in community activity
183the best time to perform breast self exam is
1 week after menstratal cycle
184foods that contain omega 3 fatty acids include
Salmon, trout, and bluefish
185identified causes of heart disease include which
trans fat
186the majority of older americans live in
Their own homes alone or with their families
187the psychological theories of aging serve to explain
a persons life satisfaction
188older people are at increased risk for falling becasue
a shift in the center of gravity
189Falls in the older adult may contribute to:
- Permanent loss of function
- Sedentary behavior
- Poor quality of life
- Prolonged institutional care
190As the older person loses adipose (fat) tissue:
Temperature control is difficult
191the characteristics hearing loss of old age means that the nurse must communicate in
low moderate tones
192which retirement phase is characterized by a feeling of euphoria
honeymoon
193which of the following statements about aging is correct
older people can learn new things
194Dementia seen in the older adult:
is a symptom of an underlying disorder
195which of the following symptoms is characteristics of delirium
may result from acute illness
196older adluts need a diet consisting of adequate proteins carboyhdrates fats fiber and fluids following surgery the older adult requires greater amounts of _________ to help build and repair tissue
proteins
197marital conflict substance abuse and finacial difficulties may be contributed factors of what
social isolation
family abuse
198the ______ theory of aging suggests that one should remain involved in hobbies and interests as long as possible
activity
199the emotional reactions to a death is known as
grief
200according to kubler ross the last stage of dying
acceptance
201which of the following age groups has a concept of death finality
school age
202which of the following may be seen as a sign of approaching death
irregular breathing with periods of apnea
203the focus of hospice care is on
Promoting comfort