Please hilght the correct answears, please hilight the correct answears thanks

A nurse recognizes which of the following statements as a therapeutic communication
technique for clarifying a message? (Points : 2)
?Tell me what you mean by ?giving up.??
?Anger is an issue when you drink alcohol.?
?You missed you appointment yesterday.?
?I need you to be honest with me.?

A nurse has started admitting a new patient in a home care program and is beginning to establish
a relationship. Which nursing action is of highest priority? (Points : 2)
Complete the paperwork in a timely fashion.
Establish open communication.
Set personal and professional boundaries with the client.
Schedule visits.

Values, clarification, communication, and the helping connection are the core component of what
type of relationship? (Points : 2)
Therapeutic relationship
Personal relationship
Working relationship
Patient relationship

A nurse is counseling someone who has recently been diagnosed with diabetes. While the patient
describes her symptoms, the nurse leans forward and appears attentive to what the patient is
saying. This is an example of which communication style? (Points : 2)
Nonverbal communication
Verbally incongruent communication
Metacommunication
Symbolic communication

Preventative services recommended for specifically for the older adult include all but which
screenings? (Points : 2)
Osteoporosis
Genome
Diabetes
HIV
Hypertension

A nurse is educating new parents about normal growth and development for their child. Which
items would the nurse NOT include in this discussion? (Points : 2)
Importance of snacks for energy
Availability of a well-balanced diet
Exposure threat of lead-based paint
Relevance of height and weight of relatives
Importance of a college education

A child is focused on peer approval. According to Kohlberg, which stage of moral development
defines this? (Points : 2)
Preconventional
Conventional
Postconventional
Preoperational

The nurse is explaining the concept of growth to a parent. Select the most appropriate response
regarding growth. (Points : 2)
Growth means a gradual change and expansion of ability.

Growth refers to a quantifiable change in structure.
Growth is measured by Erikson?s successive stages of development
Growth stops when we are young adults.

The growth and development of a child is influenced by which factors? (Select all that apply)
(Points : 2)
Environment
Genetics
Parental attitudes
Birth order
Theories of moral development

Which statement is correct regarding human growth? (Points : 2)
Growth in muscle mass declines after reaching adulthood.
Older adults experience reversal of growth.
Growth patterns are outlined by Freud?s psychosexual development stages.
Growth occurs throughout the life cycle.

Which statement best describes Vygotsky?s theory of development? (Points : 2)
Based on cognitive development and how the mind works.
Based on a sense of personal worth and developing trust in self and others.
Based on women?s views of morality.
Based on experience which creates development and learning.

Piaget was more concerned with how the mind works than with what it does, and theorized that
by the age 15 cognitive development was complete. Which option identifies Piaget?s four states
of cognitive development? (Points : 2)
Sensorimotor, Pre-operational, Concrete, and Formal operations
Sensorimotor, Post operational, Concrete, and Formal operations
Sensorimotor, Pre-operational, Abstract, and Formal operations
Sensorimotor, Post-operational, Abstract, and Formal operations

nurse is providing education about improving self-awareness to a small group of women who
have been victims of domestic violence. The nurse should recommend that clients improve selfawareness by which of the following? (Points : 2)
Use self-disclosure to share secrets about their family.
Tell others that self-awareness is not important just follow the rules and you will be alright.
Listen to oneself and pay attention to emotions, thoughts, and reactions.
Tell women of domestic violence this happens only to weak women.

The nurse shares with her client the news that she is going to be married soon and tells the client
about her wedding plans. The nurse is using which communication technique? (Points : 2)
Feedback
Self-disclosure.
Validation
Open-ended statements

What statement would the nurse make to a person seeking care using patient-centered
communication? (Points : 2)

The nurse says, ?Why do you continue to drink when you know it is not good for you??
The nurse responds to a request for pain medicine by saying, ?It is not time for your pain
medicine. You had it 1 hour ago.?
When the patient shares that she believes her husband is cheating, the nurse responds by
saying, ?You think your husband is unfaithful??
When the patient shares that she can?t believe she has cancer, the nurse responds by saying,
?One of my closest friends had cancer and had to have chemotherapy.?

?Everyone experiences difficulty sometimes, and a low number on your blood test doesn?t matter
anyway, why are you even worrying about that sense you have much bigger problems?? What is
this type of communication? (Points : 2)
Changing the subject
Rationalizing feelings
Using automatic response
Belittling feeling

The nurse and a patient are involved in a conversation when he leans back against the wall. The
nurse simultaneously relaxes against the wall as she talks with him (Points : 2)
Empathy.
Reciprocity.
Mocking.
Use of space.

The seven-step valuing process is a method for nurses to clarify values, and it transitions from
thoughts to emotions to behaviors. Which is the first step in the valuing process that an
individual must make? (Points : 2)
Acting out the choice
Being happy with beliefs
Repeatedly acting in some type of pattern
Choosing freely

The nurse recognizes which behavior as an example of a teenager?s risk-taking behavior? (Points
: 2)
Riding an ATV without a helmet
Scuba diving
Eating fast foods every day
Reporting a group of friends who are smoking cigarettes

Which action should parents take to help their teenagers meet developmental tasks? (Points : 2)
Set strict rules and discipline.
Maintain an ongoing dialogue about important issues and upcoming challenges.
Maintain a friendship with the teenager.
Create a no-rules environment that fosters teenager identity exploration.

The nurse recognizes a teenager exhibiting behavior that is suspicious of substance abuse. Which
sign should be evaluated further? (Points : 2)
Disrespectful to parents.
Agitated and has trouble sleeping.
No interest in attending family functions.
Values friends? opinions more than parents?.

The nurse working in the college health center is planning a program about sexually transmitted
diseases (STDs). Which information should the nurse include in the program? (Points : 2)
STDs are only a risk with multiple sexual partner.
STDs can be transmitted by through other ways than vaginal intercourse alone.
STDs usually occur as a single, one time infection.

Washing before and after sexual intercourse prevents STDs

Which circumstance accounts for the leading cause of preventable death in young adults? (Points
: 2)
Tobacco use
Motor-vehicle accidents
Legal drug use
HIV infection

The school nurse is conducting an in-service program for teachers that discusses the
development of elementary school children. According to Piaget?s theory of cognitive
development, which of the following information would the nurse include? (Points : 2)
Use abstract thought to discuss a story.
Make moral decisions concerning right and wrong actions.
During this concrete operations phase, children can appreciate the differences between their
perspectives and that of their friends.
During this sensorimotor phase, the child needs visual learning stimulation.

Older adults experience several age related changes in all of the following senses except (Points :
2)
Vision
Emotions
Taste
Hearing

A high school sophomore engages in risky behavior to fit in with his peers. According to
Erikson?s theory of psychosocial development, which of the following developmental conflicts is
this student facing? (Points : 2)
Initiative versus guilt
Industry versus inferiority
Identity versus role confusion
Intimacy versus isolation

The community health nurse has obtained a grant to offer safe driving education for older adults.
Which information should the nurse stress? (Points : 2)
Traffic fatalities involving older adults occur mainly in the morning.
The cause of two-vehicle accidents is frequently an older driver striking another car.
The average blood alcohol level in older adults involved in accidents is higher than the
blood alcohol level of younger drivers involved in accidents.
Relearning the art of defensive driving can help reduce the likelihood that an older driver
will be involved in a motor vehicle accident.

A man tells a nurse that he is concerned about his risk of developing cancer. Which behavior
would place the man at the highest risk of developing cancer? (Points : 2)
Smoking half of a pack of cigarettes a day.
Exercising outdoors three times a week.
Consuming potato chips with trans fats several times a week.
Lack of aerobic exercise

The nurse recognizes which statement as the best definition of polypharmacy? (Points : 2)
The use of multiple medications and herbal preparations for recreational use.

The use of multiple medications for the same or different health problems
The use of multiple pharmacies securing the best price for medications.
The use of multiple medications and supplements simultaneously

Research demonstrates that self-esteem has which component? (Points : 2)
Self-esteem is learned from experiences and lessons.
Self-esteem is genetically predisposed.
Self-esteem develops in the late teens.
Self-esteem is valuing yourself more than others.

nurse is working on values clarification with a person who has chosen to smoke during her
pregnancy. Which statement would be the most appropriate for the nurse to assist in this process?
(Points : 2)
?Why still smoke cigarettes and harm your baby??
?What do you value most in life??
?What does your family believe about it??
?Does your husband tolerate smoking??

To combat low health literacy, the nurse encourages the patient to ask all of the following except
which question at a health visit? (Points : 2)
?What is my main problem??
?What do I need to do??
?Is it important for me to do this??
?What is the incidence of my problem in Sweden

In a therapeutic communication, what does this phrase indicate? "Did I understand you correctly
that you think you may be fired because of your hospitalization?" (Points : 2)
Asking for clarification
Open ended questions
Assessment phase
Closed ended questions

The nurse recognizes that which of the following are symptoms or warning sign of anorexia
nervosa? (Points : 2)
Regular menstruation in females
Dramatic weight fluctuations
Eating only small amounts of certain foods
Binging between meals

A community health nurse is caring for a variety of different people in the community. Which
individual would the nurse recognize as NOT being at risk for increased stress related to family
dynamics? (Points : 2)
A 54-year-old couple whose young adult daughter and grandson move back into their home
A 44-year-old single mother raising three adolescent children without child support
A 60-year-old couple whose children have established successful careers in another state
A 50-year-old nurse working full time while her husband is at home after being laid off
from his job

The distance between the nurse and the client is at least 6 feet before the nurse begins to ask
questions related to the client?s health history. (Points : 3)
This is the ideal space for conversational communication.

This distance is too far for the nurse to build a therapeutic relationship.
This is the recommended distance between client and nurse for effective therapeutic
communication.
The nurse should be positioned next to the patient so that the two are touching.

The time from infancy to school-age are significant development years for children and their
parents. What educational role is most appropriate for the nurse? (Points : 3)
Advise and teach parents about health and wellness.
Advise parents about mandatory vaccinations required by the school system.
Advise parents of appropriate school choices.
Advise parents of healthy choices for children television shows and movies.

The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7
lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which conclusion would the nurse make
about the child?s weight? (Points : 3)
The infant is gaining weight faster than anticipated.
The infant is malnourished.
The infant is at the expected weight for his or her age.
The infant is having a growth and development issues.

A nurse who is conducting a parenting class is asked how to select a good day care center for an
18-month-old child. Which response should be made by the nurse? (Points : 3)
?Day care centers that have the children watch 2-4 hours of educational videos per day
increase verbal ability.?
?Human interaction increases a toddler?s verbal skills, so select a day care center that values
adult-to-toddler interaction.?
?Learning to understand the meaning of words is increased when toddlers are exposed to
educational DVDs, so select a day care center that has an extensive library of age-appropriate,
educational DVDs and limits human interaction.?

?There really is no difference in the quality of day care centers based on whether or not
videos or DVDs are used for educational purposes all day care centers licensed by the state meet
the same criteria and are therefore the same.?

A nurse is teaching parents of a toddler about nutrition. Which statement should the nurse make?
(Points : 3)
?Raisins are a good finger food because they provide fiber.?
?Grapes are a good snack choice because they help toddlers meet their daily fruit
requirements.?
?Avoid hot dogs?they may cause choking.?
?Make sure you cut all food into small enough pieces for the toddler to be able to pick them
up and eat then on their own.?

A nurse is conducting a staff development program about human sexuality for nurses who work
in a long-term care facility. Which statement is accurate? (Points : 3)
The desire for sexual intimacy declines rapidly with age.
Older adults are very well-informed about sexuality.
Older adults need to know about practice safe sex.
The danger of contracting STDs during sexual intimacy is extremely low in older adults.

According to Erikson?s theory of development, which older adult has successfully navigated the
stage of ego integrity versus despair? (Points : 3)
72-year-old man who is reluctant to retire because ?work is everything to me.?
78-year-old woman who has scheduled her third face lift.
80-year-old man who volunteers at a local pet shelter and is the Santa Claus at the local
department store at Christmas time.

67-year-old woman who is depressed because she has not been promoted at work for the
past 10 years.

A nurse is assisting with development of menu items at a long-term care facility. Which menu
would the nurse most likely recommend? (Points : 3)
Pesto-Stuffed Mushrooms, Kale Salad with Lemon Tahini Dressing, Raw Tutti Frutti Ice
Cream, 8 oz. skim milk
California roll (sushi), with Ramen soup, seaweed salad, tea and almond cookie
Chef salad with 8 oz. each ham and turkey, lettuce, tomato, bean sprouts, onion, green
pepper, Ranch dressing, and one roll with butter
Turkey bacon, lettuce, and tomato sandwich on whole wheat bread with two teaspoons of
low-fat mayonnaise, 10 vegetable chips, and iced tea with artificial sweetener

A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which
response should be made by the nurse? (Points : 3)
?Go to bed at the same time every night.?
?How long has this been a problem??
?Stop napping during the day and you will sleep better at night.?
?Let?s talk about your sleep schedule and things that may prevent you from getting a restful
night?s sleep.?

The nurse plans a health education workshop focused on developing an individualized lifestyle
change program for each participant. Which action should the nurse stress that individuals take
first? (Points : 3)
Review Healthy People 2020 website for applicable health improvement measures.
Stop smoking and drinking.
Rigorous exercise at least one hour daily.
Scheduling a complete physical and dental exam

Which middle-aged adult has successfully transitioned to Erikson?s generativity-versusstagnation stage of development? (Points : 3)
A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a
week.
A 63-year-old man who regrets his career choice and feels he cannot change careers.
A 58-year-old woman who resents having to care for her aging mother-in-law.
A 50-year-old man who has not saved for retirement but spends his discretionary income on
vacations he takes by himself.

A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop
osteoporosis like her mother did. Which statement is the most appropriate response by the nurse?
(Points : 3)
?The American diet is much better now than when your mother was your age, so you have
enough calcium in your diet to keep your bones strong as long as you take vitamin D with the
calcium.?
?You have a strong genetic risk factor. There is not much we can do to stop the process, but
you can slow it down by using 1 tums tablet a day as a supplement.?
?You need about 1 mg of calcium a day to keep your bones strong. Let?s talk about your diet
and how much orange juice you drink.?
?Tell me about your diet, how much walking you do each day, and what medications you
take.?

A nurse working in a rural location is interested in starting a weight management group for
clients in the area. Which intervention is most likely to ensure success? (Points : 3)
Using a preset list of topics for discussion related to the age group
Distributing printed material to relay information to the group
Asking for a list of topics that interest the group
Beginning each session with a 2-mile walk

Which type of guidance uses proactive teaching based on developmental milestones to help
people successfully manage the stress that arises from changes during the life span? (Points : 3)
Anticipatory
Participatory
Adaptive
Confrontational

A 19-year-old college student is seen by the college health service nurse. The young woman is
distraught that she had unprotected sex 3 days ago and is afraid she may have become pregnant.
Which statement should be made by the nurse? (Points : 3)
?There are several types of birth control available going forward.?
?Do you know who the prospective father is about this??
?I know you are upset, but we are in one of the 40 states that allow drugstores to carry Plan
B, an emergency contraception drug. Let?s talk about how to use the medication.?
?You have several options. Let?s discuss what would be the best thing for you to do next.?

Which young adult has transitioned successfully to Erikson?s intimacy versus isolation and
loneliness stage of development? (Points : 3)
A 21-year-old man who has a part-time job, spends most of his leisure time with his buddies,
and has numerous short-term intimate relationships
A 25-year-old woman who is very concerned with how she is perceived by her coworkers
and friends
A 30-year-old man who just graduated with a PhD and is looking for his first full-time job
A 26-year-old woman who has a long-term relationship with a female companion

A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which
measure would be most effective for the nurse to promote? (Points : 3)
Use of helmets
Increasing the minimum age for motorcycle licensure
Provide a list of area paths for bike
Lobby for a Right-of-way law for bicyclists

A nurse is discussing optimal activity for young adults as recommended by Healthy People 2020.
Which information should be stressed? (Points : 3)
Forty-five minutes of moderate exercise per day is required to maximize health benefits.
Amount of time is not important as long as your heart rate increases by 10% while you
exercise.
Moderately brisk walking is an appropriate aerobic exercise.
Sixty minutes of exercise six times a week is recommended.

A nurse is initiating a discussion about alcohol consumption during a physical exam with a
teenager. Which question would be most appropriate for the nurse to ask? (Points : 3)
?So, what do you and your friends do for fun and excitement??
?Do your parents have drinks in the house??
?Do any of your friends drink??
?So tell me how much alcohol you drink, I know you drink, all teenagers do.?

Which statement warns that a teenager is at increased risk for acquiring a sexually transmitted
disease and should be provided with anticipatory guidance? (Points : 3)
Asks the nurse for information about condoms
Feels her friends and family do not care about her
Has multiple friends and feels good about herself

Talks to her boyfriend on the phone for hours

A mother is concerned because her daughter has been taking a nap every day after school. Which
statement would be the best response by the nurse? (Points : 3)
?Don?t worry; all teenagers do that, it?s probably a growth spirt.?
?Tell me about your daughter?s schedule.?
?Let?s bring her in for some blood work.?
?Have you addressed your daughter why she is so tired

During a physical exam, a teenager asks the nurse if she can have a stronger medication for her
constipation because the laxatives she has been taking are not helping. During the physical exam,
the nurse observes mild to moderate erosion of the tooth enamel. Which disorder is the client
most likely experiencing? (Points : 3)
Bulimia nervosa
Crohn?s disease
Idiopathic constipation
Anorexia

Parents recently discovered that their teenage daughter has been consuming alcohol on a regular
basis. They ask the nurse for advice on how to best help their daughter. Which of the following
recommendations should the nurse give to the parents? (Points : 3)
Send their daughter to rehab then an aftercare program.
Tell the school about the girl?s activities and ask for their help.
Enroll their daughter in a peer support group focused on teenage drinking.
Provide their daughter with literature regarding the dangers of drinking.

A high school sophomore engages in risky behavior to fit in with his peers. The nurse recognizes
the developmental conflict the student is facing. According to Erikson?s theory of human
development, which stage of development is the adolescent in? (Points : 3)
Initiative versus guilt
Industry versus inferiority
Identity versus role confusion
Intimacy versus isolation

The following description is characteristic of Erikson?s theory of development. (Points : 3)
A healthy personality is defined by the lack of mood swings.
Stages of development advance based on psychosocial theories.
The main premise of the theory is that individuals are interdependent beings and rely on
each other in order to develop successfully.
An individual must successfully accomplish one developmental stage before developing
successfully in the next stage.

A mother comes to the pediatric clinic and says to the nurse, ?I am worried about my 11-monthold baby because he is not crawling yet, and his brother crawled when he was 11 months old. Is
something wrong?? Which is the appropriate statement made by the nurse? (Points : 3)
?Siblings usually reach developmental milestones at the same time. It is highly unusual this
isn?t happening with your son. I?ll ask the physician to assess him.?
?All babies reach developmental milestones at different rates.?
?This may be something to worry about. I?ll have the physician examine him.?
?Be thankful, he?s not getting into much now. I wouldn?t worry about it?

On her initial home health meeting, a patient tells the nurse that she is very nervous about their
initial meeting today. The nurse recognizes that patient may be experiencing anxiety about which
professional relationship stage? (Points : 3)

Orientation phase
Working phase
Therapeutic phase
Trusting phase

A nurse is working with a person to increase his daily exercise and activity. Which statement
made by the nurse best demonstrates the use of reflection? (Points : 3)
?I exercise every day; you should start out small and increase your exercises each week.?
?Regular exercise plays an important role in preventing many health problems.?
?You said that you have difficulty making time in your day for exercise.?
?Daily exercise is important but you need to restrict your calories as well to lose weight."

This communication technique allows individuals to reflect on what is being discussed or
experienced while communicating that the nurse is available and still willing to help. (Points : 3)
Using silence
Presenting reality
Ma…