Nursing Chapter 20 Competencies Context And Environment Practice Conduct Population based

2. Intuitive-projective

3. Universalizing

4. Individuating-reflexive

Question 16

Type: MCSA

A client with an acute, serious illness has been hospitalized. Upon entering the room, the nurse observes the client

praying. The client states to the nurse: “I don’t know how people manage to get through difficult times without

their faith. It’s where I get my strength.” With which theorist should the nurse associate this client’s belief?

1. Fowler

2. Westerhoff

3. Gilligan

4. Kohlberg

Question 17

Type: SEQ

The nurse is reviewing the four stages of development in Westerhoff’s spiritual theory. In which order should the

nurse review these stages to match the life cycle?

Standard Text: Click and drag the options below to move them up or down.

Choice 1. Owned faith

Choice 2. Affiliative faith

Choice 3. Experienced faith

Choice 4. Searching faith

Question 18

Type: MCSA

A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.

The child has been frustrated at first, but now is able to give the reason to use the meter on a daily basis.

Remembering the growth and development characteristics of the adolescent, how should the nurse respond to this

client?

1. “You should feel very proud for understanding and using your meter.”

2. “Think of using the meter as one of your daily chores.”

3. “Maybe you could make a game out of the daily use of your meter.”

4. “It’s too bad if you don’t want to use the meter, it’s just something you’ll have to do.”

Question 19

Type: MCSA

A nurse is working with the residents of an assisted living complex. When planning care for the old-old stage, the

nurse realizes that what action will be important?

1. Provide as much care to the residents as possible.

2. Allow as much independence for the residents as possible.

3. Make sure to provide safety measures as needed.

4. Make sure the residents maintain peer interactions and social groups.

Question 20

Type: MCSA

A community health nurse is planning adult health education classes. According to Erikson’s stages of

development, the nurse should address which task with this age group?

1. Industry versus inferiority

2. Identity versus role confusion

3. Intimacy versus isolation

4. Generativity versus stagnation

Question 21

Type: MCSA

A parent brings her baby in for a well-child checkup. Which action of the child should the nurse identify as an

indicator of positive resolution of the central task of this age?

1. The child does not cry when the parent allows the nurse to hold the child.

2. The child shows mistrust when strangers approach.

3. The child becomes willful when disciplined.

4. The child does not play with other children.

Question 22

Type: MCSA

A parent tells the nurse that his child is quite creative and learning how to pretend with “almost anything in the

house.” According to Piaget, the nurse realizes this child is demonstrating which stage/phase?

1. Tertiary circular reaction: stage 5

2. Inventions of new means: stage 6

3. Preconceptual phase

4. Concrete operations phase

Question 23

Type: MCMA

The nurse concludes that a young adult client is completing developmental tasks within Havighurst’s early

adulthood age period. What did the nurse assess to come to this conclusion?

Standard Text: Select all that apply.

1. Taking on civic responsibility

2. Developing adult leisure-time activities

3. Getting started in an occupation

4. Relating oneself to one’s spouse as a person

5. Managing a home

Question 24

Type: MCMA

The nurse is discussing human growth and development with the parents of a newborn. What should the nurse

include in this discussion?

Standard Text: Select all that apply.

1. Growth involves physical change and increase in size.

2. Skills and function increase with growth.

3. Most humans experience a similar pattern of growth.

4. Being able to adapt to one’s environment is an indicator of growth.

5. Children’s growth is monitored by height, weight, bone size, and dentition.

Question 25

Type: MCMA

The nurse is assessing a child’s growth and development. What questions should the nurse ask the parents that

demonstrate an understanding of the factors that affect growth and development processes?

Standard Text: Select all that apply.

1. How tall the parents are

2. Whether noises seem to bother their child

3. How many ounces of formula their child drinks daily

4. What their yearly income is

5. Whether their child will receive day-care services

New Questions:

Question 26

Type: MCMA

The nurse is preparing a teaching session for a group of parents with newborn children. What should the nurse

include about Bowlby’s attachment theory during this presentation?

Standard Text: Select all that apply.

1. Use the attachment figure as security

2. Desire to be near the attachment figure

3. Plan to separate from the attachment figure

4. Return to the attachment figure when threatened

5. Express anxiety when the attachment figure is absent

Question 27

Type: MCMA

After analyzing behavior, the nurse determines that a client is demonstrating defense mechanisms. According to

Freud, what should the nurse realize as being the cause of this behavior?

Standard Text: Select all that apply.

1. Anxiety created by conflicts

2. Activation of the conscience

3. Conflict between the id’s impulses

4. Immediate pleasure and gratification

5. Underlying motivation for development