Fundamentals Of Nursing: Trivia Quiz!

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Fundamentals Of Nursing: Trivia Quiz!

Nursing is a career that is designed for the most patient and caring people there is, the main objective of a nurse is to guide someone through their healing up until they get back to health. In the fundamentals of nursing, you get to understand what is required of a nurse and how to ensure you meet your patient’s expectations. Take this test and review what you learned.


Questions and Answers
  • 1. 
    The nurse sees the nursing assistant personnel (NAP) perform the following for a patient receiving continuous enteral feedings.  What intervention does the nurse need to address immediately with the NAP? The NAP:
    • A. 

      Fastens the tube to the gown with tape.

    • B. 

      Places the patient supine while giving a bath.

    • C. 

      Performs oral care for the patient.

    • D. 

      Elevates the head of the bed 45 degrees.

  • 2. 
    After the 0700 shift report the registered nurse (RN) delegates three tasks to the nursing assistant.  At 1300 the RN tells the nursing assistant that he would like to talk to her about the first task that was delegated, which was walking the patient, Mrs. Taylor, earlier this morning.  The RN says, "You did a good job walking Mrs. Taylor today by 0930.  I saw that you recorded her pulse before and after the walk.  I saw that Mrs. Taylor walked in the hallway barefoot.  For safety, the next time you walk a patient, you need to make sure that the patient wears slippers or shoes.  Please walk Mrs. Taylor again by 1500." Which characteristics of good feedback did the RN use when talking to the nursing assistant?  (Select all that apply.)
    • A. 

      Feedback is given immediately

    • B. 

      Feedback focused on one issue

    • C. 

      Feedback offers concrete details

    • D. 

      Feedback identifies ways to improve

    • E. 

      Feedback focuses on changeable things

    • F. 

      Feedback is specific about what is done incorrectly only.

  • 3. 
    As a nurse you need to complete all of the following. Which task do you complete first?
    • A. 

      Administer oral pain medication to the patient who had surgery 3 days ago

    • B. 

      Make a referral to the homecare nurse for a patient who is being discharged in 2 days.

    • C. 

      Complete wound care for a patient with a wound drain that has an increased amount of drainage since last shift

    • D. 

      Notify the health care provider of the decreased level of consiousness in the patient who had surgery 2 days ago

  • 4. 
    You are the charge nurse on a surgical unit.  You are doing staff assignments for the 3-to-11 shift.  Which patient do you assign to the licensed practical nurse (LPN)?
    • A. 

      The patient who transferred out of intensive care an hour ago

    • B. 

      The patient who requires teaching on new medications before discharge

    • C. 

      The patient who had a vaginal hysterectomy 2 days ago and is being discharged tomorrow

    • D. 

      The patient who is experiencing some bleeding problems following surgery earlier today

  • 5. 
    The type of care management approach that coordinates and links health care services to patients and their families while streamlining costs and maintaining quality is:
    • A. 

      Primary nursing

    • B. 

      Total patient care

    • C. 

      Functional nursing

    • D. 

      Case management

  • 6. 
    While administering meds, the nurse realizes that she has given the wrong dose of med to a patient.  She acts by completing an incident report and notifying the patient's health care provider.  The nurse is exercising:
    • A. 

      Authority

    • B. 

      Responsibility

    • C. 

      Accountability

    • D. 

      Decision making

  • 7. 
    Your nusing manager distributes biweekly newsletters of ongoing unit or health care agency activities and posts minutes of committee meetings on a bulletin board on the staff break room.  This is an example of:
    • A. 

      Staff communication

    • B. 

      Problem-solving committees

    • C. 

      Interdisciplinary collaboration

    • D. 

      Nurse-physician collaborative practice

  • 8. 
    The nurse asks the nursing assistant to hold the legs of a female patient during a foley catheter insertion.  This is an example of:
    • A. 

      Organizational skills

    • B. 

      Use of resources

    • C. 

      Time management

    • D. 

      Evaluation

  • 9. 
    The nurse is assisting a patient with coughing and deep-breathing exercises following abdominal surgery.  This is which priority nursing need for this patient?
    • A. 

      Low priority

    • B. 

      High priority

    • C. 

      Intermediate priority

    • D. 

      Nonemergency priority

  • 10. 
    The registered nurse (RN) checks on a patient who was admitted to the hospital with pneumonia.  The patient is coughing profusely and requires nasotracheal suctioning.  Orders include an intravenous (IV) infusion of antibiotics.  The patient is febrile and asks the RN if he can have a bath because he has been prespiring profusely.  Which task is appropriate to delegate to a nursing assistant?
    • A. 

      Assessing vital signs

    • B. 

      Changing IV dressing

    • C. 

      Nasotracheal suctioning

    • D. 

      Administering a bed bath

  • 11. 
    Which task is appropriate for a RN to delegate to the nursing assistant?
    • A. 

      Explaining to the patient the preoperative preparation before the surgery in the morning

    • B. 

      Administering the ordered antibiotic to the patient before surgery.

    • C. 

      Obtaining the patient's signature on the surgical informed consent

    • D. 

      Assisting the patient to the bathroom before leaving for the operating room

  • 12. 
    Which of the following strategies focus on improving nurse-physician collaborative practice?   (Select all that apply.)
    • A. 

      Inviting the physician to attend the practice council meeting

    • B. 

      Participating in physician morning rounds

    • C. 

      Placing physician photos and names in unit newsletter

    • D. 

      Contacting physician promptly to discuss patient problems

    • E. 

      Providing a list of physician contact numbers to all staff nurses

  • 13. 
    The nurses on unit developed a system for self-scheduling of work shifts.  This is an example of:
    • A. 

      Responsibility

    • B. 

      Autonomy

    • C. 

      Accountability

    • D. 

      Authority

  • 14. 
    Which example demonstrates the nurse performing the skill of evaluation?
    • A. 

      The nurse explains the side effects of the new blood pressure med ordered for the patient

    • B. 

      The nurse asks the patient to rate pain on a scale of 0 to 10 before administering pain meds

    • C. 

      After completing the teaching, the nurse observes the patient draw up and administer and insulin injection

    • D. 

      The nurse changes the patient's leg ulcer dressing using aseptic technique

  • 15. 
    The nurse is explaining the case management model to a group of nursing students.  Which characteristics best describe the model? (Select all that apply.)
    • A. 

      Case managers provide all patient care

    • B. 

      Multidisciplinary care plans are used

    • C. 

      Case managers coordinate discharge planning

    • D. 

      Staffing is expensive and may not decrease care costs

    • E. 

      Communication with health care team members is important

    • F. 

      Model helps to improve patient safety and quality

  • 16. 
    The nurse collects the supplies for the dressing change for the patient in bed 1 and signs out the capillary blood glucose monitoring equipment to test the glucose of the patient in bed 2 before walking down the hall to the room.  The nurse is displaying:
    • A. 

      Organizational skills

    • B. 

      Use of resources

    • C. 

      Priority setting

    • D. 

      Clinical decision making

  • 17. 
    A student nurse practicing primary leadership skills would demonstrate all of the following except:
    • A. 

      Being sensitive to the group's feelings

    • B. 

      Recognizing others for their contributions

    • C. 

      Developing listening skills and being aware of personal motivation

    • D. 

      Assuming primary responsibility for planning, implementation, follow-up, and evaluation.

  • 18. 
    Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching?
    • A. 

      I need to stop eating red meat.

    • B. 

      I will increase the servings of fruit juice to four a day.

    • C. 

      I will make sure that I eat a balanced diet and exercise regularly.

    • D. 

      I will not eat so many dark green vegetables and eat more yellow vegetables.

  • 19. 
    The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair?
    • A. 

      Fat

    • B. 

      Protein

    • C. 

      Vitamin

    • D. 

      Carbohydrate

  • 20. 
    The nurse is caring for a patient with dysphagia.  Which interventions help decrease the risk of aspiration during feeding?
    • A. 

      Sit the patient upright in a chair

    • B. 

      Give liquids at the end of the meal

    • C. 

      Place food in the strong side of the mouth

    • D. 

      Provide thin foods to make it easier to swallow

    • E. 

      Feed the patient slowly, allowing time to chew and swallow

    • F. 

      Encourage patient to lie down and rest for 30 minutes after eating.

  • 21. 
    The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus.  What action does the nurse need to take first?
    • A. 

      Raise head of the bed to 90 degrees

    • B. 

      Turn patient to left lateral decubitus position

    • C. 

      Notify health care provider immediately

    • D. 

      Have patient perform valsava maneuver

  • 22. 
    Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube?
    • A. 

      Placing an order for an x-ray film exam to check position

    • B. 

      Confirming the distal mark on the feeding tube after taping

    • C. 

      Testing the pH of the gastric contents and observing the color

    • D. 

      Auscultating over the gastric area as air is injected into the tube

  • 23. 
    Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the presence of which bacteria when reviewing the lab data for a patient suspected of having PUD?
    • A. 

      Micrococcus

    • B. 

      Staphylococcus

    • C. 

      Corynebacterium

    • D. 

      Helicobacter pylori

  • 24. 
    The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube.  Which assessment findings need further intervention?
    • A. 

      Gastric pH of 4.0 during placement check

    • B. 

      Weight gain of 1 pound over the course of a week

    • C. 

      Active bowel sounds in the 4 abdominal quadrants

    • D. 

      Gastric residual aspirate of 350 mL for the second consecutive time

  • 25. 
    The home care nurse os seeing the following patients.  Which patient is at greatest risk for experiencing inadequate nutrition?
    • A. 

      A 55 year old obese man recently diagnosed with diabetes mellitus

    • B. 

      A recently widowed 76 year old woman recovering from a mild stroke

    • C. 

      A 22 year old mother with a 3 year old toddler who had tonsillectomy surgery

    • D. 

      A 46 year old man recovering at home following coronary artery bypass surgery

  • 26. 
    Which statement made by a patient of a 2 month old infant requires further education?
    • A. 

      I'll continue to use formula for the baby until he is at least a year old

    • B. 

      I'll make sure I purchase iron-fortified formula

    • C. 

      I'll start feeding the baby cereal at 4 months

    • D. 

      I'm going to alternate formula with whole milk starting next month

  • 27. 
    The nurse is teaching a program on healthy nutrition at the senior community center.  Which points should be included in the program for older adults? (Select all that apply)
    • A. 

      Avoid grapefruit and grapefruit juice, which would impair drug absorption

    • B. 

      Increase the amount of carbohydrates for energy

    • C. 

      Take a multivitamin that includes vitamin D for bone health

    • D. 

      Cheese and eggs are good sources of protein

    • E. 

      Limit fluids to decrease the risk of edema

  • 28. 
    The patient receiving TPN asks the nurse why his blood glucose is being checked since he does not have diabetes.  WHat is the best response by the nurse?
    • A. 

      TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range

    • B. 

      The high concentration of dextrose in the TPN can give you diabetes; thus you need to be monitored closely

    • C. 

      Monitoring your blood glucose level helps to determine the dose of insulin that you need to absorb the TPN

    • D. 

      Checking your blood glucose regularly helps to determine if the TPN is effective as a nutrition intervention

  • 29. 
    Which nutrient is the body's most preferred energy source?
    • A. 

      Fat

    • B. 

      Protein

    • C. 

      Vitamin

    • D. 

      Carbohydrate

  • 30. 
    Positive nitrogen balance would occur in which condition?
    • A. 

      Infection

    • B. 

      Starvation

    • C. 

      Pregnancy

    • D. 

      Burn injury

  • 31. 
    Mrs. Nelson is talking with the nurse about the dietary needs of her 23 month old daughter, Laura.  Which of the following responses by the nurse would be appropriate?
    • A. 

      Use skim milk to cut down on the fat in Laura's diet

    • B. 

      Laura should be drinking at least 1 quart of milk per day

    • C. 

      Laura needs less protein in her diet now because she isnt growing as fast

    • D. 

      Laura needs fewer calories in relation to her body weight now than she did as an infant

  • 32. 
    All of the following patients are at risk for alteration in nutrition except:
    • A. 

      Patient L, whose weight is 10% above his ideal body weight

    • B. 

      Patient J, who is 86 years old, lives alone, and has poorly fitting dentures

    • C. 

      Patient M, a 17 year old girl who weighs 90 pounds and frequently complains about her body fat

    • D. 

      Patient K, who has been allowed NPO for 7 days after bowel surgery and is receiving 3000 mL of 10% dextrose per day

  • 33. 
    Which of the following is the most accurate method of bedside confirmation of placement of a small-bore nasogastric tube?
    • A. 

      Assess the patient's ability to speak

    • B. 

      Test the pH of withdrawn gastric contents

    • C. 

      Auscultate the epigastrium for gurgling or bubbling

    • D. 

      Assess the length of the tube that is outside the patient's nose.

  • 34. 
    A patient who has been hospitalized after experiencing a heart attack will most likely receive a diet consisting of:
    • A. 

      Low fat, Low sodium, and low carbs

    • B. 

      Low fat, low sodium, and high carbs

    • C. 

      Low fat, high protein, and high carbs

    • D. 

      Liquids for several days, progressing to a soft and the regular diet

  • 35. 
    A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment.  The nurse tells the student that from a caring perspective:
    • A. 

      She does not touch the patients either

    • B. 

      Touch is a type of verbal communication

    • C. 

      There is never a problem with using touch

    • D. 

      Touch forms a connection between nurse and patient

  • 36. 
    Of the 5 caring processes described by Swanson, which describes "Knowing the patient?"
    • A. 

      Anticipating the patient's cultural preferences

    • B. 

      Determining the patient's physician preference

    • C. 

      Establishing an understanding of a specific patient

    • D. 

      Gathering task oriented info during assessment

  • 37. 
    A Muslim woman enters the clinic to have a woman's health exam for the first time.  Which nursing behavior applies Swanson's caring process of "Knowing th patient?"
    • A. 

      Sharing feelings about the importance of having regular woman's health exams.

    • B. 

      Gaining and understanding of what a woman's health exam means to the patient

    • C. 

      Recognizing that the patient is modest; obtaining gender-congruent caregiver

    • D. 

      Explaining the risk factors for cervical cancer

  • 38. 
    Helping a new mother through the birthing experience demonstrates which of Swanson's 5 caring processes?
    • A. 

      Knowing

    • B. 

      Enabling

    • C. 

      Doing for

    • D. 

      Being with

  • 39. 
    A patient is fearful of upcoming surgery and a possible cancer diagnosis.  He discusses his love for the bible with his nurse, who recommends a favorite bible verse.  Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring.  The patient's nurse replies:
    • A. 

      Spiritual care should be left to a professional

    • B. 

      You are correct, religion is a personal decision

    • C. 

      Nurses should not force their religious beliefs on patients

    • D. 

      Spiritual, mind, and body connections can affect health

  • 40. 
    Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors?
    • A. 

      Increasing the working hours of the staff

    • B. 

      Increasing salary benefits of the staff

    • C. 

      Creating a setting that allows flexibility and autonomy for staff

    • D. 

      Encouraging increased input concerning nursing functions from physicians.

  • 41. 
    When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of:
    • A. 

      Instilling hope and faith

    • B. 

      Forming a human-altruistic value system

    • C. 

      Cultural caring

    • D. 

      Being with

  • 42. 
    An example of a nurse caring behavior that families of acutely ill patients percieve as important to patients' well-being is:
    • A. 

      Making health care decisions for patients

    • B. 

      Having family members provide a patient's total personal hygiene

    • C. 

      Injecting the nurse's perceptions about the level of care provided

    • D. 

      Asking permission before performing a procedure on a patient

  • 43. 
    A nurse demonstrates caring by helping family members:
    • A. 

      Become active participants in care

    • B. 

      Provide activities of daily living

    • C. 

      Remove themselves from personal care

    • D. 

      Make health care decisions for the patient

  • 44. 
    Listening is not only "taking in" what the patient says, it also includes:
    • A. 

      Incorporating the views of the physician

    • B. 

      Correcting any errors in the patient's understanding

    • C. 

      Injecting the nurse's personal views and statements

    • D. 

      Interpreting and understanding what the patient means

  • 45. 
    A nurse is caring for an older adult who needs to enter an assisted living facility following discharge from the hospital.  Which of the following is an example of listening that displays caring?
    • A. 

      The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room

    • B. 

      The nurse sits at the patient's bedside, listens as he relays his fear of never seeing his home again, and then asks if he wants anything to eat

    • C. 

      The nurse listens to the patient's story while sitting on the side of the bedand then summarizes the story

    • D. 

      The nurse listens the the patient talk about his fears of not returning home and then tells him to think positively

  • 46. 
    Presence involves a person-to-person encounter that:
    • A. 

      Enables patients to care for self

    • B. 

      Provides personal care to a patient

    • C. 

      Conveys a closeness and a sense of caring

    • D. 

      Describes being in close contact with a patient

  • 47. 
    A nurse enters a pateint's room and arranges the supplies for a foley catheterinsertion, and explains the procedure to the patient.  She tells the patient what to expect; just before inserting the catheter, she tells the patient to relax and that once the catheter is in place, she will not feel the bladder pressure.  The nurse then proceeds to skillfully insert the foley catheter.  This is an example of what type of touch?
    • A. 

      Caring touch

    • B. 

      Protective touch

    • C. 

      Task oriented touch

    • D. 

      Interpersonal touch

  • 48. 
    A hospice nurse sits at the bedside of a male patient in the final stages of cancer.  He and his parents made the decision that he would move home and they would help him in the final stages of his disease.  The pamily participates in his care, but lately the nurse has increased the amount of time she spends with the family.  Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him she is present.  This is an example of what type of touch?
    • A. 

      Caring touch

    • B. 

      Protective touch

    • C. 

      Task-oriented touch

    • D. 

      Interpersonal touch

  • 49. 
    Leinunger's care theory states that the patient's caring values and behaviors are derived largely from:
    • A. 

      Gender

    • B. 

      Culture

    • C. 

      Experience

    • D. 

      Religious beliefs

  • 50. 
    The central common theme of caring theories is:
    • A. 

      Maintenance of patient homeostasis

    • B. 

      Compensation for patient disabilities

    • C. 

      Pathophysiology and self-care abilities

    • D. 

      The nurse-patient relationship and psychosocial aspects of care

  • 51. 
    For the nurse to effectively listen to the patient, he/she needs to:
    • A. 

      Lean back in the chair

    • B. 

      Sit with the legs crossed

    • C. 

      Maintain good eye contact

    • D. 

      Respond quickly with appropriate answers to the patient

  • 52. 
    The nurse demonstrates caring by:
    • A. 

      Maintaining professionalism at all costs

    • B. 

      Doing all necessary tasks for the patient

    • C. 

      Folllowing all of the health care provider's orders accurately

    • D. 

      Helping family members become active participants in the care of the patient

  • 53. 
    Cancer survivors are at risk for treatment related problems.  Which of the patients listed belowhas the greatest risk for developing such a problem?
    • A. 

      An 80 year old woman undergoing surgery for removal of a basal cell carcinoma on the face

    • B. 

      A 70 year old man receiving high-dose chemotherapy and radiation for an advanced stage lymphoma

    • C. 

      A 26 year old man receiving chemotherapy for testicular cancer that is localized to the testicle

    • D. 

      A 48 year old woman recieving radiation for Hodgkin's disease that involves lymph nodes extending above and below the diaphragm

  • 54. 
    Mr. Wallace is a 34 year old who is a 5 year survivor of Hodgkin's disease.  He continues to have symptoms related to his chemotherapy treatment.  Mr Wallace is a computer expert and enjoys internet discussion groups.  What is the best resource a nurse can recommend to help him access a survivorship care plan?
    • A. 

      Association of cancer online resources

    • B. 

      National coalition for cancer survivorship

    • C. 

      American cancer society

    • D. 

      National cancer institute

  • 55. 
    A nurse reviews the medical record of a 40-year old patient newly admitted to the medical nursing unit for evaluation of diabetes.  As the nurse reviews the patient's medical history, she notices that the patient had bladder surgery 3 years ago.  WHich of the following assessment questions is the most appropriate for the nurse to ask to determine if the patient is a cancer survivor?
    • A. 

      Determining if the patient had additional surgeries recently

    • B. 

      Assessing the patient's med history

    • C. 

      Determining if the surgery was cancer related

    • D. 

      Assessing if the patient's parents had cancer

  • 56. 
    A nurse working in a medicine clinic knows that it is important to recognize cancer survivors who at most at risk for post-treatment symptoms.  Which of the following patients will likely be at greatest risk for post-treatment symptoms?
    • A. 

      A 50 year old mother of 3 who was diagnosed with late stage breast cancer and has hypertension

    • B. 

      A 20 year old male college student diagnosed with leukemia whose father had lung cancer

    • C. 

      A 32 year old hispanic woman who has been diagnosed with local cervical cancer and recieves medicaid

    • D. 

      A 72 year old african american male who had colorectal cancer with surgery, radiation, and a 2nd round of chemo because of failure of initial treatment and has diabetes

  • 57. 
    A 41 year old man who underwent a craniotomy for the removal of a brain tumor 6 months ago comes into the clinic for his monthly follow-up visit.  In planning your assessment, you anticipate that the patient may possibly experience which of the following late effects of surgery? (Select all that apply)
    • A. 

      Pain

    • B. 

      Fatigue

    • C. 

      Blurred vision

    • D. 

      Difficulty breathing

    • E. 

      Poor attention span

  • 58. 
    To successfully assess if a patient is experiencing cognitive changes as a result of cancer treatment or complications of treatment, which of the following questions by a nurse is likely most relevant?
    • A. 

      Tell me about when you first noticed symptoms from your chemotherapy

    • B. 

      Tell me what you notice differently in your ability to get work done in your office.

    • C. 

      Describe you medication therapy

    • D. 

      How distressed are you feeling right now on a scale of 0 to 10?

  • 59. 
    A support group of cancer survivors is discussing cancer-related fatigue (CRF).  The survivor most likely to gain relief from CRF is the survivor who does which of the following? (Select all that apply)
    • A. 

      Takes naps during the day and evening

    • B. 

      Drinks energy drinks daily

    • C. 

      Exercises every other day

    • D. 

      Eats a balanced diet

  • 60. 
    Mr. Timmons has been receiving treatment for colon cancer on and off for a year.  He received multiple chemo regimens and a course of radiation.  The 58-year old patient is able to perform his own hygiene but needs assistance from his wife to move about safely in the home because of ongoing fatigue and weakness.  His wife assists him with dressing wehn he becomes excessively tired.  This caregiving skill pattern is best described as which of the following?
    • A. 

      The self-care giving pattern

    • B. 

      The collaborative care pattern

    • C. 

      The family caregiving pattern

    • D. 

      The team caregiving pattern

  • 61. 
    Fill in the blank: The period during which a cancer patient goes into remission following the basic, rigorous course of chemo and enters a phase of watchful waiting, is called
  • 62. 
    A nurse in an oncology outpatient clinic has been seeing a woman and her husband since the woman was diagnosed with breast cancer.  Sometimes the husband appears supportive, asking questions about his wife's care.  At other times the husband seems easily distracted and uninterested.  The nurse decides to reassess the psychological condition of the patient and her husband.  Which of the following questions best elicits needed psychological information?
    • A. 

      In what way does the pain you have affect you on a daily basis?

    • B. 

      Describe to me what you eat in a typical day.

    • C. 

      Tell me how you think you and your husband are dealing with your cancer.

    • D. 

      Are the two of you having any relational difficulties because of your cancer?

  • 63. 
    Katie, a child in remission for leukemia, and her mother come to the pediatrician's office for a routine physical exam.  The nurse asks Katie about whether she is having continued symptoms.  Her mom says "I don't know why your want all of this info about Katie's cancer treatment.  The leukemia is gone."  The best response from the nurse in support of the child and the mother would be:
    • A. 

      The doctor likes to keepthe records complete on all of her patients.

    • B. 

      Just because Kaitie is in remission does not mean that it will stay that way.

    • C. 

      It is common for children to have delayed effects from treatment, so we need to know this to plan Katie's care properly

    • D. 

      I understand you concern. If you don't want to provide the information, sign this release form.

  • 64. 
    Mr. Stewart is a 62 year old patient diagnosed with prostate cancer who underwent surgical removal of the prostate 3 days ago.  He lives with his wife at home.  The nurse is planning to provide discharge instructions for the patient.  What would the most effective initial question to ask of the patient and family in determining the approach to discharge instructions?
    • A. 

      Mr. Stewart, Have you had surgery in the past?

    • B. 

      The doctor has ordered you to go home with a urinary catheter. Tell me how you think you can manage this.

    • C. 

      Mrs. Stewart, do you find it difficult to look at your husbands incision? If so, tell me how you feel.

    • D. 

      Mr. Stewart, describe for me how much your wife normally helps you at homeand what you can do on your own.

  • 65. 
    A 62 year old patient is being admitted to the surgical unit for a total hip replacement.  The nurse reviews his medical record and learns that the patient has a history of impaired liver function and parathesias in his feet.  After assessing the patient's medical history further, the nurse is not sure what caused the liver impairment or parathesia.  To clarify, an appropriate question to ask the patient is which of the following?
    • A. 

      Have you been treated for cancer in the past?

    • B. 

      What was the nature of your liver problem?

    • C. 

      Has the doctor discussed with you whether your liver problems will affect your recovery from surgery?

    • D. 

      How long have you had the numbness and tingling in your feet?

  • 66. 
    Ben, a 31 year old nursing student, is caring for Maria, a 45 year old Latina woman who is receiving chemo following surgery for breast cancer.  Based on the evidence about cultural influences on cancer patients, Ben know which factor will likely influence the patient's ability to cope with her cancer?
    • A. 

      Transportation rescources to the oncology clinic

    • B. 

      Whether the patient's physician is male or female

    • C. 

      The stigma family members place on cancer

    • D. 

      The level of social support available to the patient

  • 67. 
    Caring for a patient is unique because of the effects of the disease and associated treatment.  An understanding of a patient's symptom experience is critical and best revealed by a nurse asking which of the following questions?  (Select all that apply)
    • A. 

      What symptoms do you think you are having as a result of your cancer?

    • B. 

      Describe for me how the symptoms affect you in your daily life.

    • C. 

      Let's focus on your pain. Tell me how it affects you.

    • D. 

      Can you describe for me how your family provides care for your symptoms?

  • 68. 
    Many cancer survivors report attention problems, loss of memory, and difficulty recognizing and solving problems.  This is an example of impaired:
    • A. 

      Social well being

    • B. 

      Physical well being

    • C. 

      Spiritual well being

    • D. 

      Psychological well being

  • 69. 
    All of the following are the numerous social concerns that older adults are faced with as a result of cancer, except:
    • A. 

      Retirement

    • B. 

      Fixed income

    • C. 

      Isolation from social supports

    • D. 

      Ample medical insurance coverage

  • 70. 
    The essential components of survivorship are all of the following, except:
    • A. 

      Surveillance for cancer spread

    • B. 

      Care for the client by oncologists only

    • C. 

      Intervention for consequences of cancer

    • D. 

      Prevention and detection of new cancers and recurrent cancer

  • 71. 
    The Collins family includes a mother, Jean; stepfather, Adam; 2 teenage biological daughters of the mother, Lisa and Laura; and a biological daughter of the father, 25 year old Stacey.  Stacey just moved home following the loss of her job in another city.  The family is converting a study into Stacey's bedroom and is in the process of distributing household chores.  When you talk to the family, they all think that their family can adjust to the lifestyle changes.  This is an example of family:
    • A. 

      Diversity

    • B. 

      Durability

    • C. 

      Resiliency

    • D. 

      Configuration

  • 72. 
    The most common reason grandparents are called on to raise their grandchildren is because of:
    • A. 

      Single parenthood

    • B. 

      Legal intervention

    • C. 

      Dual-income families

    • D. 

      Increased divorce rate

  • 73. 
    A family's access to adequate health care, opportunity for education, sound nutrition, and decreased stress is affected by:
    • A. 

      Development

    • B. 

      Family function

    • C. 

      Family structure

    • D. 

      Econominc stability

  • 74. 
    David Singer is a single parent of a 3 year old boy, Kevin.  Kevin has well-managed asthma and misses day care infrequently.  David is in school studying to be an information technlogy professional.  His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner.  However, he and his son spend a lot of time together.  David receives state supported health care for his son, but he does not have health insurance or a personal physician.  He has his son enrolled in a government assisted daycare program.  Which of the following are risks to this family's health?
    • A. 

      Economic status

    • B. 

      Chronic illness

    • C. 

      Underinsured

    • D. 

      Government assisted daycare

  • 75. 
    The Cleric family, which includes a mother, stepfather, 2 teenage biological daughters of the mother, and a biological daughter of the father is an example of a(n):
    • A. 

      Nuclear family

    • B. 

      Blended family

    • C. 

      Extended family

    • D. 

      Alternative family

  • 76. 
    Which of the following are possible outcomes with clear family communication? (Select all that apply)
    • A. 

      Family goals

    • B. 

      Decision making

    • C. 

      Methods of discipline

    • D. 

      Impaired coping

  • 77. 
    Communication among family members is an example of family:
    • A. 

      Attributes

    • B. 

      Function

    • C. 

      Structure

    • D. 

      Development

  • 78. 
    Which of the following contribute to family hardiness?  (Select all that apply)
    • A. 

      Family meetings

    • B. 

      Established family roles

    • C. 

      Willingness to change in the time of stress

    • D. 

      Passive orientation to life

  • 79. 
    Which of the following demonstrates family resiliency? (Select all that apply)
    • A. 

      Resuming full-time work when spouse loses job

    • B. 

      Arguing ways to deal with problems among siblings

    • C. 

      Developing hobbies when children leave home

    • D. 

      Placing blame on family members

  • 80. 
    When nurses view the family as context, their primary focus is on the:
    • A. 

      Family members within a system

    • B. 

      Family process and relationships

    • C. 

      Family relational and transactional concepts

    • D. 

      Health needs of an individual member

  • 81. 
    Diane is a Hospice nurse who is caring for the Robinson family.  This family is providing end-of-life care for their grandmother, who has terminal breast cancer.  When Diane visits the home 3x a week, she focuses on symptom management for the grandmother and assists the family with coping skills.  Diane's approach is an example of which of the following?
    • A. 

      Family as context

    • B. 

      Family as patient

    • C. 

      Family as system

    • D. 

      Family as structure

  • 82. 
    Which of the following are included in a family function assessment? (Select all that apply)
    • A. 

      Cultural practices

    • B. 

      Decision making

    • C. 

      Rituals and celebrations

    • D. 

      Neighborhood crime data

  • 83. 
    Karen Johnson is a single mother of a school-age daughter.  Linda Brown is also a single mother of 2 teenage daughters.  Karen and Linda are active professionals, have busy social lives, and date occasionally.  Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities.  The children consider one another as their family.  This family can be considered a(n)?
    • A. 

      Diverse family relationship

    • B. 

      Blended family relationship

    • C. 

      Extended family relationship

    • D. 

      Alternative family relationship

  • 84. 
    During a visit to a family clinic the nurse teaches the mother about immunizations, car seat use, and home safety for an infant and toddler.  Which type of nursing interventions are these?
    • A. 

      Health promotion activities

    • B. 

      Acute care services

    • C. 

      Restorative care activities

    • D. 

      Drowth and development care activities

  • 85. 
    Which best describes family caregiving?  (Select all that apply)
    • A. 

      Designing a nurturing family to raise children

    • B. 

      Providing physical and emotional care for a family member

    • C. 

      Establishing a safe physical environment for a family

    • D. 

      Monitoring for side effects of illness and treatments

  • 86. 
    Family structure can be best described as:
    • A. 

      A complex set of relationships

    • B. 

      A basic pattern of predictable stages

    • C. 

      The pattern of relationships and ongoing membership

    • D. 

      Flexible patterns that contribute to adequate functioning

  • 87. 
    When planning care for a patient and using the concept of family as patient, the nurse:
    • A. 

      Include only the patient and his or her significant other

    • B. 

      Considers the development stage of the patient and not the family

    • C. 

      Understands that the patient's family will always be a help to the patient's health goals

    • D. 

      Realizes that cultural background is an important variable when assessing the family

  • 88. 
    Interventions used by the nurse when providing care to a rigidly structured family include:
    • A. 

      Attempting to change the family structure

    • B. 

      Providing solutions for problems as they arise

    • C. 

      Exploring with the family the benefits of moving toward more flexible modes of action

    • D. 

      Administering nursing care in a manner that provides minimal opportunity for change.

  • 89. 
    The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings.  This is an example of:
    • A. 

      Logical reasoning

    • B. 

      Egocentrism

    • C. 

      Concrete thinking

    • D. 

      Animism

  • 90. 
    An 18 month old child is noted by the parents to be "angry" about any change in routine.  This child's temperament is most likely to be described as:
    • A. 

      Slow to warm up

    • B. 

      Difficult

    • C. 

      Hyperactive

    • D. 

      Easy

  • 91. 
    9 year old Brian has a difficult time making friends at school and being chosen to play on the team.  He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher.  According to Erickson's theory, failure at this stage of development results in:
    • A. 

      A sense of guilt

    • B. 

      A poor sense of self

    • C. 

      Feelings of inferiority

    • D. 

      Mistrust

  • 92. 
    The nurse teaches parents how to have their children learn impulse control and cooperative behaviors.  This would be during which of Erickson's stages of development?
    • A. 

      Trust vs mistrust

    • B. 

      Initiative vs guilt

    • C. 

      Industry vs inferiority

    • D. 

      Autonomy vs sense of shame and doubt

  • 93. 
    When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it.  Now that he is 9 months old, he looks for it, reflecting presence of:
    • A. 

      Object permanence

    • B. 

      Sensorimotor play

    • C. 

      Schemata

    • D. 

      Magical thinking

  • 94. 
    When preparing a 4 year old child for a procedure, which method is developmentally most appropriate for the nurse to use?
    • A. 

      Allowing the child to watch another child undergoing the same procedure

    • B. 

      Showing the child pictures of what he or she will experience

    • C. 

      Talking to the child in simple terms about what will happen

    • D. 

      Preparing the child through play with a doll and toy medical equipment

  • 95. 
    A 35 year old woman is speaking with you about her recent diagnosis of a chronic illness.  She is concerned about her treatment options in relation to her ability to continue to care for her family.  As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her.  She is using which form of cognitive development?
    • A. 

      Conventional reasoning

    • B. 

      Formal operations

    • C. 

      Integrity vs despair

    • D. 

      Postformal thought

  • 96. 
    You are caring for a recently retired man who appears withdrawn and says he is "bored with life."  Applying the work of Havinghurst, you would help this individual find meaning in life by:
    • A. 

      Encouraging him to explore new roles

    • B. 

      Encouraging relocation to a new city

    • C. 

      Explaining the need to simplify life

    • D. 

      Encouraging him to adopt a new pet

  • 97. 
    According to Piaget's cognitive theory, a 12 year old child is most likely to engage in which of the following activities?
    • A. 

      Using building blocks to determine how houses are constructed

    • B. 

      Writing a story about a clown who wants to leave the circus

    • C. 

      Drawing pictures of a family using stick figures

    • D. 

      Writing an essay about patriotism

  • 98. 
    Allison, age 15 years, calls her best friend Laura and is crying.  She has a date with John, someone she has been hoping to date for months, but now she has a pimple on her forehead.  Laura firmly believes that John and everyone else will notice the blemish right away.  This is an example of the:
    • A. 

      Imaginary audience

    • B. 

      False-belief syndrome

    • C. 

      Personal fable

    • D. 

      Personal absorption syndrome

  • 99. 
    Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy?  You know, she fools around so much; I heard she was pregnant.  That would never happen to me!"  This is an example of adolescent:
    • A. 

      Imaginary audience

    • B. 

      False-belief syndrome

    • C. 

      Personal fable

    • D. 

      Sense of invulnerability

  • 100. 
    Teaching and older adult how to use e-mail to communicate with a grandchild who lives in another state is an example of ____________, which aids cognitive performance by using new approaches.
    • A. 

      Cognitive development

    • B. 

      Activity theory

    • C. 

      Selective optimization with compensation

    • D. 

      Formal operations

  • 101. 
    Dave reports being happy and satisfied with his life.  What do we know about Dave?
    • A. 

      He is in one of the later developmental periods, concerned with reviewing his life

    • B. 

      He is aptypical, since most people in any of the developmental stages report significant dissatisfaction with their lives

    • C. 

      He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships

    • D. 

      It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages

  • 102. 
    You are working in a clinic that provides services for homeless people.  The current local regulations prohibit providing a service that you believe is needed by your patients.  You adhere to the regulations, but at the same time are involved in influencing authorities to change the regulation.  This action represents which stage of normal development?
    • A. 

      Instrumental relativist orientation

    • B. 

      Social contract orientation

    • C. 

      Society-maintaining orientation

    • D. 

      Universal ethical principle orientation

  • 103. 
    According to Piaget, the school age child is in the 3rd stage of cognitive development, which is characterized by:
    • A. 

      Concrete operations

    • B. 

      Conventional thought

    • C. 

      Postconventional thought

    • D. 

      Identity vs role diffusion

  • 104. 
    According to Erickson, the developmental task of adolescence is:
    • A. 

      Industry vs inferiority

    • B. 

      Identity vs role confusion

    • C. 

      Autonomy vs shame and doubt

    • D. 

      Role acceptance vs role confusion

  • 105. 
    According to Erickson's developmental theory, the primary developmental task of the middle years is to:
    • A. 

      Achieve intimacy

    • B. 

      Achieve generativity

    • C. 

      Establish a set of personal values

    • D. 

      Establish a sense of personal identity

  • 106. 
    According to Kohlberg, children develop moral reasoning as they mature.  Which of the following is more characteristic of a preschooler's stage of moral development?
    • A. 

      The rules or correct behavior are obeyed

    • B. 

      Behavior that pleases others is considered good

    • C. 

      Showing respect for authority is important behavior

    • D. 

      Actions are determined good or bad in terms of their consequences

  • 107. 
    In an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development.  They are:
    • A. 

      Nutrition, stress, and mother's age

    • B. 

      Prematurity, stress, and mother's age

    • C. 

      Nutrition, mother's age, and fetal infections

    • D. 

      Fetal infections, prematurity, and placenta previa

  • 108. 
    A parent has brought her 6 month old infant for a well-child check.  Which of her statements indicates a need for further teaching?
    • A. 

      I can start giving her whole milk at about 12 months.

    • B. 

      I can continue to breastfeed for another 6 months

    • C. 

      I've started giving her plenty of fruit juice as a way to increase her vitamin intake

    • D. 

      I can start giving her solid food now

  • 109. 
    The type of injury a child is most vulnerable to at a specific age is most closely related to which of the following?
    • A. 

      Provision of adult supervision

    • B. 

      Educational level of the parent

    • C. 

      Physical health of the child

    • D. 

      Developmental level of the child

  • 110. 
    Which approach would be best for the nurse to use with a hospitalized toddler?
    • A. 

      Always give several choices

    • B. 

      Set few limits to allow for open expression

    • C. 

      Use noninvasive methods when possible

    • D. 

      Gain cooperation before attempting treatment

  • 111. 
    The nurse is providing info on prevention of sudden infant death syndrome (SIDS) to the mother of a young infant.  Which of the following statements indicates that the mother has a good understanding? (select all that apply)
    • A. 

      I won't use a pacifier to help my baby sleep

    • B. 

      I'll be sure my baby does not spend any time on her abdomen

    • C. 

      I'll place my baby on her back for sleep

    • D. 

      I'll be sure to keep my baby's room cold

  • 112. 
    In evaluating gross-motor development of a 5 month old infant, which of the following would the nurse expect the infant to do?
    • A. 

      Roll from abdomen to back

    • B. 

      Move from prone to sitting unassisted

    • C. 

      Sit upright without support

    • D. 

      Turn completely over

  • 113. 
    Parents are concerned about their toddler's negativism and ask the nurse for guidance.  Which is the most appropriate recommendation?
    • A. 

      Provide more attention

    • B. 

      Reduce opportunities for a "no" answer

    • C. 

      Be consistent with punishment

    • D. 

      Provide opportunities for the toddler to make decisions.

  • 114. 
    When nurses are communicating with adolescents, they should:
    • A. 

      Be alert to clues to their emotional state

    • B. 

      Ask closed-ended questions to get straight answers

    • C. 

      Aviod looking for meaning behind adolescents' words or actions

    • D. 

      Avoid discussing sensitive issues such as sex and drugs

  • 115. 
    Which of the following statements is most descriptive of the psychosocial development of school age children?
    • A. 

      Boys and girls play equally with each other

    • B. 

      Peer influence is not yet an important factor to the child

    • C. 

      They like to play games with rigid rules

    • D. 

      Children frequently have "best friends."

  • 116. 
    You are caring for a 4 year old child who is hospitalized for an infection.  He tells you that he is sick because he was "bad."  Which is the most correct interpretation of this comment?
    • A. 

      Indicitive of extreme stress

    • B. 

      Representative of his cognitive development

    • C. 

      Suggestive of excessive discipline at home

    • D. 

      Indicitive of his developing sense of inferiority

  • 117. 
    At a well child exam, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time.  Which of the following should the nurse recommend?
    • A. 

      Provide nutritious snacks

    • B. 

      Offer rewards for eating at mealtimes

    • C. 

      Avoid snacks so she is hungry at mealtime

    • D. 

      Explain to her firmly why eating at mealtime is important

  • 118. 
    An 8 year old child is being admitted to the hospital from the emergency dept. with an injury from falling off her bike.  Which of the following will most help her adjust to the hospital?
    • A. 

      Explain hospital routines, such as meal times to her

    • B. 

      Use terms such as "honey" or "dear" to show a caring attitude

    • C. 

      Explain when her parents can visit and why her siblings cannot come to see her

    • D. 

      Since she is young, orient her parents to her room and hospital facility

  • 119. 
    The school nurse is counseling an obese 10 year old child.  What factor would be important to consider when planning an intervention to support the child's health?
    • A. 

      Concentrate on the child only rather than the family since it is the child's responsibility

    • B. 

      Consider the use of medications to suppress the appetite

    • C. 

      First plan for weight loss through dieting and then add activity as tolerated

    • D. 

      Plan food intake to allow for growth

  • 120. 
    You are working in an adolescent health care center when a 15 year old patient shares with you that she thinks she is pregnant and is worried that she may have a STI.  Her pregnancy test is negative.  What is your next priority of care?
    • A. 

      Contact her parents to alert them of her need for birth control

    • B. 

      Refer her to a primary health care provider to obtain a prescription for birth control

    • C. 

      Counsel her on safe sex practices

    • D. 

      Ask her to have her partner come into the clinic for STI testing

  • 121. 
    While working in the high-school clinic, one of the students tells you that she is worried about her friend who has started to refuse to participate in group activities, no longer cares about how she looks at school, and is not going to all of her classes.  Your assessment of these symptoms may indicate that:
    • A. 

      She has just broken up with her boyfriend and time will heal all

    • B. 

      You will need to observe her over time to see if symptoms persist

    • C. 

      School may be too difficult for her right now

    • D. 

      She may be at increased risk for suicide

  • 122. 
    A mother of a 2 year old expresses her concern that her son's appetite has diminished and that he seems to prefer milk to other solid foods.  Which response by the nurse reflects knowledge of principles of communication and nutrition?
    • A. 

      Have you considered feeding him when he doesn't seem interested in feeding himself?

    • B. 

      Oh, I wouldn't be too worried; children tend to eat when they're hungry. I just wouldn't give him dessert unless he eats his meal.

    • C. 

      That is not uncommon in toddlers. You might consider increasing his milk to 2 quarts a day to be sure he gets enough nutrients

    • D. 

      A toddlers rate of growth normally slows down. It's common to see a toddler's appetite diminish in response to decreased calorie needs.

  • 123. 
    To stimulate cognitive and psychosocial development of the toddler, it is important for parents to:
    • A. 

      Set firm and consistent limits

    • B. 

      Foster sharing of toys with playmates and siblings

    • C. 

      Provide clarification about what is right and what is wrong

    • D. 

      Limit confusion by restricting exploration of the environment

  • 124. 
    Which of the following is true of the developmental behaviors of school age children?
    • A. 

      Fears center on the loss of self control

    • B. 

      Positive feedback from parents and teachers is crucial to development

    • C. 

      Formal and informal peer group membership is the key in forming self-esteem

    • D. 

      A full range of defense mechanisms is used, including rationalization and intellectualization

  • 125. 
    Adolescents have mastered age-appropriate sexuality when they feel comfortable with their sexual:
    • A. 

      Choices

    • B. 

      Behaviors

    • C. 

      Relationships

    • D. 

      All of the above

  • 126. 
    With the exception of pregnant and lactating women, the young adult has usually completed physical growth by the age of:
    • A. 

      18

    • B. 

      20

    • C. 

      25

    • D. 

      30

  • 127. 
    The nurse is completing an assessment of a male patient, age 24.  Following the assessment, the nurse notes that his physical and lab findings are within normal limits.  Because of these findings, nursing interventions are directed toward activities related to:
    • A. 

      Instructing him to return in 2 years

    • B. 

      Instructing him in secondary prevention

    • C. 

      Instructing him in health promotion activities

    • D. 

      Implementing primary prevention with vaccines

  • 128. 
    When determining the amount of info that a patient needs to make decisions about the prescribed course of therapy, many factors affect the patient's compliance with the regimen, including educational level and socioeconomic factors.  Which additional factors affect compliance?
    • A. 

      Gender

    • B. 

      Lifestyle

    • C. 

      Motivation

    • D. 

      Family history

  • 129. 
    A patient is laboring with her first baby, which is coming 2 weeks early.  Her husband is in the military and might not get back in time, and both families are unable to be with her during labor.  The doctor decides to call in which of the following people employed by the birthing area to be a support person present during labor?
    • A. 

      Nurse

    • B. 

      Midwife

    • C. 

      Assistant

    • D. 

      Lay doula

  • 130. 
    A single young adult female interacts with a group of close friends from college and work.  They celebrate birthdays and holidays together.  In addition, they help one another through many stressors.  She views these individuals as:
    • A. 

      Family

    • B. 

      Siblings

    • C. 

      Substitute parents

    • D. 

      Alternative family structure

  • 131. 
    Sharing eating utensils with a person who has a contagious illness increases the risk of illness.  This type of health risk arises from:
    • A. 

      Lifestyle

    • B. 

      Community

    • C. 

      Family history

    • D. 

      Personal hygiene habits

  • 132. 
    A 50 year old woman has elevated cholesterol profile values that increase her cardiovascular risk factor.  One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk.  This nursing activity is a form of:
    • A. 

      Referral

    • B. 

      Counseling

    • C. 

      Health education

    • D. 

      Stress management techniques

  • 133. 
    A 34 year old female executive has a job with frequent deadlines.  She notes that, when deadlines appear, she has a tendency to eat high-fat, high-carb foods.  She also explains that she gets frequent headaches and stomach pain during these deadlines.  The nurse provides a number of options for the executive, and she chooses yoga.  In this scenario yoga is used as a(n):
    • A. 

      Outpatient referral

    • B. 

      Counseling technique

    • C. 

      Health promotion activity

    • D. 

      Stress management technique

  • 134. 
    A 50 year old male patient is seen in the clinic.  He tells the nurse that he has recently lost his job and his wife of 26 years has asked for a divorce.  He has a flat effect.  Family history that his father committed suicide at the age of 53.  The nurse should assess for the following:
    • A. 

      Cardiovascular disease

    • B. 

      Depression

    • C. 

      STI

    • D. 

      Iron deficiency anemia

  • 135. 
    Middle age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents.  People finding themselves in this situation are frequently referred to as being a part of:
    • A. 

      The sandwich generation

    • B. 

      The millenial generation

    • C. 

      Generation x

    • D. 

      Generation y

  • 136. 
    Intimate partner violence (IPV) is linked to which of the following? (select all that apply)
    • A. 

      Alcohol abuse

    • B. 

      Pregnancy

    • C. 

      Unemployment

    • D. 

      Drug use

  • 137. 
    STI's continue to be a major health problem in young adults.  Men 20-24 years have the highest rate of which STI?
    • A. 

      Chlamydia

    • B. 

      Syphilis

    • C. 

      Gonorrhea

    • D. 

      Herpes Zoster

  • 138. 
    Formation of positive health habits may prevent the development of chronic illness later in life.  Which of the following are examples of positive health habits? (Select all that apply)
    • A. 

      Routine screening and diagnostic tests

    • B. 

      Unprotected sexual activity

    • C. 

      Regular exercise

    • D. 

      Excess alcohol consumption

  • 139. 
    Chronic illness may affect a person's roles and responsibilities during middle adulthood.  When assessing the knowledge base of both the middle aged patient with a chronic illness ands his family, the assessment should include which of the following? (select all that apply)
    • A. 

      The medical course of the illness

    • B. 

      The prognosis for the patient

    • C. 

      Coping mechanisms of the patient and family

    • D. 

      The need for community and social services

  • 140. 
    A 45 year old obese woman tells the nurse that she wants to lose weight.  After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (select all that apply)
    • A. 

      The woman works in an executive position that is very demanding

    • B. 

      The woman works out at the pororate gym at 5am 2 mornings per week

    • C. 

      The woman says that she has little time to prepare meals at home and eats out at least 4 times a week.

    • D. 

      The woman says that she tries to eat "low cholesterol" foods to help lose weight

  • 141. 
    A student nurse is caring for a 78 year old patient with multiple sclerosis.  The patient has had an indwelling foley catheter in for 3 days.  Eight hours ago the patient's temp was 98.8 deg F.  The student reports her recent assessment to the RN: The patient's temp is 99 deg F; the foley catheter is still in place, draining dark urine; and the patient is unsure what time of day it is; the RN knows about presentation of symptoms in older adults, what should he recommend first?
    • A. 

      Tell the student that temporary confusion is normal and simply requires reorientation

    • B. 

      Tell the student to increase the patient's fluid intake since the urine is concentrated

    • C. 

      Tell the student that her assessment findings are normal for an older adult

    • D. 

      Tell the student that he will notify the physician of the findings

  • 142. 
    A patient's family member is considering having her mother placed in a nursing center.  You have talked with the family before and know that this is a difficult decision.  Which of the following criteria would you recommend in choosing a nursing center?  (select all that apply)
    • A. 

      The center should be cleanm and the rooms should look like a hospital room

    • B. 

      There should be adequate staffing on all shifts

    • C. 

      3 meals should be served daily with a set menu and serving schedule

    • D. 

      Family involvement in care planning and assisting with physical care is necessary

    • E. 

      Social activities should be available for all residents

  • 143. 
    A nurse has conducted an assessment of a new patient who has come to the medical clinic.  The patient is 82 years old and has osteoarthritis for 10 years and diabetes mellitus for 20 years.  He is alert but becomes easily distracted during the nursing history.  He recently moved to a new apartment, and his pet beagle died just 2 months ago.  He is most likely experiencing:
    • A. 

      Dementia

    • B. 

      Depression

    • C. 

      Delirium

    • D. 

      Disengagement

  • 144. 
    A major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis could precipitate:
    • A. 

      Dementia

    • B. 

      Delirium

    • C. 

      Depression

    • D. 

      Stroke

  • 145. 
    Sexuality is maintained throughout our lives.  Which answer below best expplains sexuality in an older adult?
    • A. 

      When the sexual partner passes away, the survivor no longer feels sexual

    • B. 

      A decrease in an older adult's libido occurs

    • C. 

      Any outward expression of sexuality suggests that the older adult is having a developmental problem

    • D. 

      All older adults, whether healthy or frail, need to express sexual feelings

  • 146. 
    Older adults experience a change in sexual activity.  Which best explains this change?
    • A. 

      The need to touch and be touched is decreased

    • B. 

      The sexual preferences of older adults are not as diverse

    • C. 

      Physical changes usually do not affect sexual functioning

    • D. 

      Frequency and opportunities for sexual activity may decline

  • 147. 
    You see a 76 year old woman in the outpatient clinic.  Her chief complaint is vision.  She states she has really noticed glare in the lights at home.  Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework.  You suspect that she may have:
    • A. 

      Presbyopia

    • B. 

      Disengagement

    • C. 

      Cataracts

    • D. 

      Depression

  • 148. 
    A nurse is caring for a patient preparing for discharge from the hospital the next day.  The patient does not read and has a hearing loss.  His family caregiver will be visiting before discharge.  What can you do to facilitate the patient's understanding of his discharge instructions? (select all that apply)
    • A. 

      Speak loudly so the patient can hear you

    • B. 

      Sit facing the patient so he is able to watch your lip movements and facial expressions

    • C. 

      Present one idea or concept at a time

    • D. 

      Send a written copy of the instructions home with him and tell him to have the family review them

    • E. 

      Include the family caregiver in the teaching session

  • 149. 
    Tastebuds atrophy and lose sensitivity, and appetite may decrease.  As a result, the older adult is less able to discern:
    • A. 

      Spicy and bland foods

    • B. 

      Salty, sour, and bitter tastes

    • C. 

      Hot and cold food temperatures

    • D. 

      Moist and dry food preparations

  • 150. 
    Kyphosis, a change in the musculoskeletal system, leads to:
    • A. 

      Decreased bone density in the vertebrae and hips

    • B. 

      Increased risk for pathological stress fractures in the hips

    • C. 

      Changes in the configuration of the spine that affect the lungs and thorax

    • D. 

      Calcification of bony tissues of the long bones such as legs and arms

  • 151. 
    A 63 year old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years.  He has been with the same company for 42 years and was a dedicated employee.  His wife is a homemaker.  She raised their 5 children, babysits for her grandchildren as needed, and belongs to numerous church comittees.  What are your major concerns for this patient? (select all that apply)
    • A. 

      The loss of his work role

    • B. 

      The risk of social isolation

    • C. 

      A determination of the wife will need to start working

    • D. 

      How the wife expects household tasks to be divided in the home in retirement

    • E. 

      The age the patient chose to retire

  • 152. 
    During a home health visit a nurse talks with a patient and his family caregiver about the patient's medications.  The patient has hypertension and renal disease.  WHich of the foloowing findings places him at risk for an adverse drug event? (select all that apply)
    • A. 

      Taking 2 medications for hypertension

    • B. 

      Taking a total of 8 differnt medications during the day

    • C. 

      Having one physician who reviews all meds

    • D. 

      Patient's health history

    • E. 

      Involvement of the caregiver in assisting with med administration

  • 153. 
    You are caring for an 80 year old man who recently lost his wife.  He shares with you that he has been drinking more than he ever did in the past and feels hopeless without his wife.  He reports that he rarely sees his children and feels isolated and alone.  This patient is at risk for:
    • A. 

      Dementia

    • B. 

      Liver failure

    • C. 

      Dehydration

    • D. 

      Suicide

  • 154. 
    You are working with an older adult after an acute hospitalization. Your goal is to help this person be more in touch with time, place, and person.  What might you try?
    • A. 

      Reminiscence

    • B. 

      Validation therapy

    • C. 

      Reality orientation

    • D. 

      Body image interventions

  • 155. 
    A 71 year old woman enters the emergency department after falling down stairs in the home.  The nurse is conducting a fall history with the patient and his wife.  They live in a one-level ranch home.  He has had diabetes for over 15 years and experiences some numbness in his feet.  He wears bifocal glasses.  His BP is stable.  The patient does not exercise regularly and complains of weakness in his legs when climbing stairs.  He is alert, oriented, and able to answer questions clearly.  WHat are the fall risk factors for this patient? (select all that apply)
    • A. 

      Presence of a chronic disease

    • B. 

      Impaired vision

    • C. 

      Residence design

    • D. 

      Blood pressure

    • E. 

      Leg weakness

    • F. 

      Exercise history