Which type of play would the nurse encourage when providing age appropriate care to a preschool aged child who is hospitalized quizlet?

The nurse leading parent education classes bases instruction on Erikson’s developmental stages. It follows that the nurse will plan to instruct the parents that a helpful strategy to foster a child's initiative would be to:

B: Allow the child to help wash the unbreakable dishes used to serve breakfast.

Which of the following responses would the nurse expect from a 12-year-old regarding stealing?

D. “Stealing food when you don’t have anything to eat is alright.”

A nursing diagnosis of hopelessness would be considered for an individual who:

C: Had inconsistent, unpredictable physical care as an infant

An adolescent has been a consistently, poor academic student due to a learning disorder. Which statement overheard by the nurse would support the possibility of a problem with the developmental stage competence versus inferiority?

B: “I’ll never be able to get into a good college.”

A parent is concerned with the interpersonal skills of her 12-year-old son. Based on interpersonal theory, the nurse asks:

A: “Does your son belong to team or club with friends or classmates?”

The parents of an 8-year-old are attempting to help their child comprehend new information. Which intervention suggested by the nurse shows an understanding of the cognitive development theory for this age group?

B: Comparing the child’s experiences to the new material

According to Piaget, which of the following would the nurse consider normal when assessing a 6-year-old?

A: Playing with an “imaginary friend”

Which developmental level would be characterized by a child being able to focus, to coordinate, and to imagine a series of events?

Which strategy will the nurse include in the plan of care for a 6-year-old child for whom operant conditioning has been recommended?

B: Consistently offering praise when the child puts his dirty clothes in the hamper

A child who has been physically abused becomes emotionally distorted when told that the parent will no longer be allowed to visit. Which principle of social learning theory is most likely for the child’s response?

A: The child views the abuse to be more desirable than the parent leaving.

Which nursing intervention supports the principles on which the cross-links theory of aging is based?

A: Applying an elastin sustaining moisturizer to an adult patient’s skin

The nurse determines that a patient is showing a decline in explicit memory. Which characterizes such a deficiency?

B: Difficulty remembering the name of a place visited 20 years ago

A patient is experiencing distress with midlife transition. Which statement provides support that the patient is successfully managing this stressor?

C: “I’ll never be rich but I can save enough to live comfortably.”

According to Maslow’s hierarchy of needs, the nursing strategies a psychiatric nurse would use to assist in meeting self-esteem needs of elderly patients would include:

D: Attending to patient hygiene and dress in preparation for spousal visits

A patient is involved in a smoking cessation program that encourages self-control therapy interventions. Which intervention would the nurse suggest to this patient?

B: Keeping a behavioral diary that tracks when the patient smokes

A 70-year-old male has the nursing diagnosis situational low self-esteem related to forced retirement. Using Maslow’s hierarchy of human needs, the nurse is confident the patient is meeting the outcome of experiencing self-worth when the patient:

C: Attends his grandchildren’s school functions

The spouse of a patient recently diagnosed with early stage Alzheimer’s disease asks, “
Is there anything I can do to help delay the progression of this disease?” Which strategy has the greatest potential for preserving the protective abilities of immune cells related to the disease?

D: Identify creative ways to keep the patient mentally challenged.

A nurse is using Piaget’s model to assess a child’s developmental stage. Which behaviors would determine that a child is successfully achieving the skills required of the formal operations level of development? Select all that apply.

B: Plans a trip to attend a basketball game

D: Selects the appropriate clothing for a ski trip

E: Enjoys solving “what if” types of word problems

The nurse is assessing a child according to Kohlberg’s developmental theory. Which statement would support the belief the child is showing appropriate behaviors of the pre-conventional state? Select all that apply.

A: “If I pick up my toys, can I get an ice cream cone?”

B: “I can’t watch cartoons when I don’t pick up my toys.”

E: “If I don’t pick up my toys, mommy could trip on them and fall.”

Which activities should the nurse evaluate in an assessment of an older patient’s functional status? Select all that apply.

A: Possessing the ability to prepare nutritious meals independently

D: Effectively toileting themselves for both bowel and bladder elimination

E: Safely moving around their residence without an increased risk for falls

Which older adult patient’s medical conditions appear to support the hypothesis upon which the immunologic theory of aging is based? Select all that apply.

A: Has, at age 64, been diagnosed with type 2 diabetes

D: Has begun to experience symptoms of rheumatoid arthritis

The nurse manages the care for several older adult patients. Which strategies shows an understanding of the effects of aging on cognitive function? Select all that apply.

A: Allowing ample time for completion of patient activities

B. Breaking complicated patient activities into single tasks

C: Planning patient activities that can be completed rather quickly

According to most biological theories of aging, predisposing factors create the affects seen in aging. Which behaviors are considered predisposing factors regarding aging? Select all that apply.

A: Diagnosis of a chronic genetic disease

C: Family history of several different cancers

D: Occupation that involved working with toxins

E: Radiation exposure from numerous diagnostic studies

The nurse is preparing to educate a group of middle-aged adults on longevity strategies. Which behaviors would the nurse stress? Select all that apply.

A: Having warm and caring people in your life

B: Engaging in age-appropriate exercise on a regular basis

D: Seeking help if changes of aging cause depression or anxiety

A nurse is working with a group of older adults attending a seminar on the physical and emotional effects of aging. Which patient statements are good predictors of positive well being and perceived mortality? Select all that apply.

A: Being “satisfied with growing older”

B: Feeling “younger than my birthdays say I should”

C: Retirement “gives me time to do the things I’ve put off doing.”

Which complaint is representative of anxiety in a 6-year-old child?

A: “I worry that my dad will get hurt at work.”

Which of the following meets the DSM-IV-TR criteria for moderate mental retardation?

C: Advanced as far as the second grade and provides her own personal care with supervision

The nurse is assessing a child with autism. Which of the following behaviors would the nurse expect to observe?

C: Repeating, ‘milk, milk, milk, milk’ until given a drink

Which behavior best supports the diagnosis of attention-deficit/hyperactivity disorder in an 8-year-old child?

D: Can concentrate on school work for only very short periods of time

Which behavior is most characteristic of a conduct disorder?

B: Only apologizes for hitting a friend to avoid being punished

Which assessment finding should be considered a high risk factor for adolescent suicide?

Planning for a patient with Asperger’s disorder will be facilitated if the nurse understands that this disorder is different from autism. The nurse will base care on knowledge that Asperger’s disorder is characterized by:

B: Age-appropriate language development

Which behaviors would support a diagnosis of oppositional-defiant disorder?

B: Negative, hostile, and spiteful toward parents and blames others for misbehavior

Which child’s history is a risk for developing a reactive attachment disorder?

D: Spent first 12 months of life in an Asian orphanage

Which intervention will best help a teenager manage aggressive behavior?

C: Reenacting situations that may trigger aggression

Which intervention will best help a child manage hyperactive behavior?

A: Arranging for the child to play basketball 4 times a week

The nursing diagnosis that would be universally applicable for children with autistic disorder would be:

C: Impaired social interaction related to inability to relate to others

A child’s diagnosis of conduct disorder is supported by the fact that:

B: The child engages in ritualistic behaviors.

Which intervention will best help minimize parental guilt in the family of a child diagnosed with a psychiatric disorder?

A: Helping them to develop realistic expectations for their child

Which behavior demonstrates that a child is achieving appropriate management of separation anxiety?

A: Earned two As, three Bs, and one C this report card period

A 15-year-old has been diagnosed with major depression and admitted to the adolescent unit. Which behavior would the nurse expect to observe in this patient?

D: Reporting decreased enjoyment of school-related activities

When discussing depression and suicide with parents of teenagers, the nurse is accurate in reporting that the most common method used in late adolescent suicide is:

Planning safety interventions for a teenager with a history of self-injurious behavior is based on what research-based information?

B: Suicides can occur accidentally as a result of self-injurious behaviors.

Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?

C: “The gun I got for my birthday is my most prized possession.”

The mother of a child describes her child’s “annoying behavior” as not being able to sit still or to stop jerking his arms when told to. Which disorder does the nurse suspect?

Which response is most therapeutic when a parent whose child is diagnosed with Tourette’s disorder voices concerns that their child’s facial contortions are merely acts of defiance?

D: “Your son’s behavior is likely due to a neurological dysfunction that causes those involuntary facial tics.”

Which description is characteristic of an impulsive child?

C: Running out into the street regardless of frequent instruction to look both ways first

Which intervention would qualify as primary prevention of violent behaviors in children and adolescents?

B: Limiting exposure to violence on TV, video, and computer games

A friend says to a nurse, “I am not going to get vaccines for my baby. I hear that vaccines cause autism.” The nurse’s best reply is:

C: “There is no conclusive evidence to connect autism to vaccinations.”

A 5-year-old girl on a behavior modification program is admitted to the unit. The nurse would expect to participate in which activity based on this approach?

B: Including the child in the creation of a behavioral contract

A mother asks why the whole family needs to meet with the therapist because it is her teenage stepdaughter who has the substance abuse problem. The nurse replies with the knowledge that:

D: Sometimes the teenaged patient is actually acting out family dynamics.

The parents of a child diagnosed with ADHD ask the nurse what current medications are available for their child. The nurse should list which of the following medications? (Select all that apply.)

A: Methylphenidate (Concerta)

C: Dextroamphetamine (Adderall)

D: Atomoxetine (Strattera)

Which suicide is an example of Durkheim’s anomic suicide?

B: A woman whose life savings were embezzled from her

The nurse administering an antidepressant to a suicidal patient understands that the brain abnormality the medication addresses is:

C: Irregularities in the serotonin system

A family member of a suicidal patient asks, “Are there any medications that can prevent a person from committing suicide?” Which statement best answers the question?

C: Antidepressants treat mood disorders that accompany suicidal ideation.

Which intervention would the nurse implement when a patient’s frontal lobe is affected?

C: Assessing the patient for any suicidal ideations

Which approach listed in the plan of care of a suicidal patient is considered a cognitive technique?

C: Limitation of negative thought patterns and increase of realistic self-evaluation

The nurse presenting a suicide prevention lecture would decide who the target population is based on what fact?

D: Rates of suicide are highest among the older population, age 80 and older.

Which statement by a young adult would alert the nurse to increased suicide risk?

A: “I have a necktie in my room that I can use to hang myself.”

An older adult is admitted to the hospital for severe depression. The nurse, gathering data for a medical and psychiatric history, learns of a suicide attempt 4 years ago after the death of a spouse. Based on this information, it is likely that the patient:

C: May express suicidal ideation or make a suicide attempt

The nurse asks a patient admitted with a diagnosis of major depression, “Do you feel like hurting yourself at this time?” What is the primary rationale for obtaining this information when nothing in the referral note implied that the patient was suicidal?

C: Specific safety measures must be implemented when self-harm is a danger.

The nurse working at the crisis center received a call from a patient who stated he was depressed and wanted to die. Further investigation revealed that the patient had within reach all of the items listed below that he could use “to get the job done.” Which item would cause the nurse the most concern?

Which statement made by a patient who attempted suicide 5 days ago would cause the nurse to observe his behavior more closely?

D: “My wife and I would have celebrated our thirty-sixth wedding anniversary today.”

Which finding related to a teenager who has been diagnosed with depression is most significant when planning care?

B: Her mother died from suicide 1 year ago.

The nurse is planning care for a patient who was admitted to the hospital after threatening to harm himself when he was stopped by the police for speeding. He was intoxicated at the time of admission and was assessed as being depressed, anxious, and hostile. Which patient outcome is the priority?

A: Patient will remain free from self-harm although hospitalized.

A patient was admitted and prescribed antidepressants for severe depression with feelings of hopelessness, helplessness, and suicidal ideation. When would the patient be at greatest risk for suicide during hospitalization?

C: Within the first 24 hours after admission and as discharge approaches

Which statement made by the patient who attempted suicide best indicates that the criterion for discharge has been met?

D: “I do not feel like harming myself anymore and that feels so comforting.”

The Emergency Department nurses were discussing a patient who seeks help almost every holiday by expressing suicidal ideation or making a suicide gesture. One of the nurses stated, “I don't think he is serious about hurting himself. Maybe we should not see him the next time he comes.” Which response from the charge nurse is accurate in dealing with the patient who may be using suicidal behavior as a ploy to enter the hospital?

D: “Each episode must be individually evaluated, and all options must be explored.”

A patient diagnosed with cancer of the prostate was admitted after his wife reported he was trying to mix a lethal dose of medications and alcohol to drink. Which patient outcome is a priority to this situation?

D: Patient will admit to suicidal thoughts when asked by staff.

On day 4 of hospitalization after a suicide attempt, the patient tells the nurse, “You don’t have to worry about me any longer. Today was the turning point. You can stop the suicide precautions.” Which action indicates the nurse’s use of intuition in responding to this patient?

A: Reporting the patient’s statements and the nurse’s own feelings to the staff and suggest increased vigilance

A patient has been displaying advanced thought of suicide. Which action reflects this behavior?

C: Wrists are bleeding from cuts with a butter knife

A patient who is a policewoman tells the nurse she is depressed and can no longer deal with the stress of her job. She mentions that employee assistance counseling failed to change her hopeless attitude. She states that she will use her police revolver to shoot herself in the head during the day when no one is at home and the home is locked. Which formulation by the triage nurse is correct?

A: Plan explicit. Imminence high. Method highly lethal and accessible. Rescue potential low.

The health care team is planning care for a patient hospitalized following a suicide attempt. Which statement by a team member should serve as a basis for planning?

C: “A patient who has made a recent suicide attempt requires ongoing assessment to determine the level of risk.”

A suicidal patient agreed on day 2 of hospitalization to write and sign a “no self-harm contract.” As a result of this contract, the health care team should plan to:

B: Base the level of observation on staff assessment.

When assigning the suicidal patient to a room on the unit, the nurse should select a:

D: Double room near the nurse’s station

There are several suicidal patients on the psychiatric unit. When meal trays are returned to the kitchen, a serrated-edge knife is missing. The nurse to whom the aide reports this should:

C: Report the information to the charge nurse and suggest a unit search.

To maximize therapeutic care to a newly admitted suicidal patient on days 1 and 2 of hospitalization, the nurse will:

C: Encourage the patient to express psychological pain.

A suicidal patient tells the nurse, “There’s no other way out for me. I have so many problems that there’s nothing to do but cash it in.” Which statement by the nurse would be a helpful approach?

B: “Let’s look at the problem you consider most urgent to see about a solution.”

A newly admitted patient with depression has been determined as suicidal and in need of one-to-one supervision. What is the best statement to inform the patient of the plan of care?

C: “We understand the impulse to attempt self-harm may be strong, so someone will stay with you to help you control the impulse.”

A young child is being evaluated in the Emergency Department for injuries her mother reports resulted from a fall down the stairs. Which of these findings indicates that physical abuse may be a chronic problem for the child?

B: Several fractures revealed on x-ray in varying degrees of healing

A child was admitted to the children's unit, having been sexually abused by an acquaintance of her family. The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse?

The nurse is leading a support group for women who have experienced interpersonal violence. When a patient asks about the characteristics of the perpetrators of interpersonal violence, the nurse accurately responds that they are:

B: Most often someone the victim knows

Which nursing intervention will assist a patient being treated in the Emergency Department for extensive soft tissue injuries to disclose an experience of domestic violence?

C: Providing a safe, nonintimidating, and supportive environment

A patient admits to having been battered by her live-in boyfriend several times over the past 2 years. She states to the nurse, “We plan to get married next June, and I think things will be better then. He is always so sorry afterward, that I think I can trust him to change.” Which intervention should be included in the patient’s teaching plan?

C: Assist her in developing an emergency plan, because the pattern of violence is likely to continue.

The nurse in the Emergency Department is taking a history from a family accompanying a child with suspicious traumatic injuries. The nurse should:

A: Be open, concerned, and honest.

When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse. The patient denied that she had been abused. Her denial is most likely based on her:

D: Fear of the possibility of being removed from her family

A nurse planning a group to help batterers learn more effective ways to cope would teach participants that the key component in wife battering is:

A: Their need for the batterer to control

The nurse caring for a school-age child who has been sexually abused by a close family member demonstrates an understanding of communication barriers in this situation by:

B: Assuring the child that the story they are telling is believed

The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:

D: Have suspicions that the abuse has occurred.

A community health nurse is working with a family in which an elderly woman was neglected by her son and his wife but insists on remaining with the young couple despite the threat of future neglect. Which intervention should be given highest priority?

B: Establishing patient rights and consequences of abuse and monitoring

To provide nursing care to abused children and their families, the nurse must first:

D: Examine personal feelings regarding the trauma of child abuse and neglect.

According to statistical research data, which of these children currently being followed by the pediatric nurse practitioner is at the greatest risk for fatal abuse?

A: A child who is 2 years old and has cerebral palsy

A patient has been physically abused by her boyfriend frequently since moving in together. During her last discussion with the nurse, the patient stated, “I probably should not keep going back to him, because he continues to abuse me.” The nurse is aware that the final decision to leave a batterer is:

A: Usually a gradual process that occurs over time

A patient has been chronically battered by her husband since they were married. Until now she had avoided dealing with her situation, but she now expresses a desire to deal with the problem since the attacks are occurring more frequently. Which outcome is realistic for the patient?

B: Verbalizing an awareness of her increasingly dangerous situation

The nurse who sees a number of battered elderly females each year decides to put together a set of guidelines for nurses. An appropriate guideline to include would be to:

C: Begin the interview by asking the least sensitive questions.

A nurse planning teaching for a parent group concerned with preventing family violence can discuss the fact that exposure to violence in the media:

A: Desensitizes people to the violence around them

Which symptom reported by an adult patient, who was sexually abused as a child, reflects the diagnosis of posttraumatic stress disorder (PTSD)?

A: A history of substance abuse

While planning care for a preschool child who has been physically and sexually abused, the nurse includes play therapy because it assists the child to:

B: Express feelings that cannot easily be verbalized.

A new nurse asks the experienced nurse, “Why did you ask about culture when it was obvious you needed to focus on the battering?” The experienced nurse should respond:

C: “Culture is a determinant of how women interpret and respond to violence.”

The experienced nurse assessing a battered woman patient uses many open-ended questions during the interview. The rationale for this is that:

A: The woman will feel more in charge of the interview.

The nurse is interviewing a patient who presents with a dislocated shoulder and demonstrates signs of anxiety although relying on her partner for answers. Although the partner is out of the room, which question is most important to ask?

D: “Have you ever been physically or emotionally hurt by someone?”

A woman whose husband physically abuses her mentions to the nurse, “Someday I’ll have to leave him.” Which of the following would be the nurse’s best response?

B: “Could we talk about developing a safety plan?”

The nurse is planning care for a battered woman who has mentioned, “Someday I’ll have to leave him.” Which outcome should the nurse include in the plan of care for this patient?

B: Patient will verbalize awareness of the dangerousness of her situation.

A patient who has been battered by her partner sobs, “It was my own fault.” Which of the following would be the priority response by the nurse?

C: “No one has the right to abuse another.”

The care plan for a battered woman will be most successful if the nurse:

A: Empowers the patient to make her own decisions

A teenage boy has been periodically beaten by his father. The boy tells the nurse, “He’ll pay for this one way or another.” The nurse treating his contusions should assess for behaviors suggesting:

A patient in her early teens who is being treated for irritable bowel syndrome has just disclosed that she has been the victim of child abuse for 8 years. For what other condition should the nurse assess this patient?

C: Posttraumatic stress disorder

Which statement regarding the various types of child offender is correct?

D: The physical offender has poor self-esteem and unrealistic expectations of children, although the sexual offender has diverse characteristics.

A toddler was brought to the hospital with a broken humerus and upper arm bruising. The child’s father states that he shook the child while disciplining him to teach him to be quiet. An appropriate family-related nursing diagnosis is:

C: Impaired parenting related to unrealistic expectations for child

An experienced nurse correctly notes that an important factor in assessing survivors of childhood sexual abuse is to be aware that they often experience long-term symptoms most closely resembling DSM-IV-TR criteria for:

C: Posttraumatic stress disorder

An elderly patient who lives with her daughter, son-in-law, and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things. The daughter states, “I have so much to do that I become frustrated when my mother can’t move fast enough or causes me extra work.” The nurse caring for the mother could appropriately suggest:

C: Enrolling in a therapeutic group that addresses stress management

After being raped, a woman was told by her aunt, “I’m not surprised that happened to you. You always dress to show off your figure.” The victim states, “I can’t believe that people can think that way.” The rape crisis nurse correctly hypothesizes that the patient is:

A: Being revictimized by society

Which of the following would be an appropriate outcome for a patient diagnosed with rape-trauma syndrome?

D: Patient will verbalize that recovery may never happen totally.

Which developmentally appropriate actions would the nurse take when caring for a hospitalized preschool

Which setting would the nurse prepare to administer developmental assessment for pediatric clients quizlet?

Which developmental milestone would the nurse expect when assessing a preschooler quizlet?

Which stage of psychosocial development would the nurse expect in a 4 year old child?