Chapter 9-10 Flashcards
Due to social media, adolescents are more likely to contract and STD. Which of the following is contributing to this growing trend? Select all that apply.
A - Use of social media for “hooking up”
B - Concurrent sexual partners and multiple sexual partners
C - The belief that condoms protect from all STIs
D - All sexually active teens use condoms.
E - Oral sex has increased in prevalence among adolescents
A
B
C
E
Which strategy might help facilitate trust when a nurse is performing an examination of an adolescent?
A - Speak only to the patient
B - Remember that the client is a child, and be firm with instructions.
C - Do not tell the client any assessment findings, as he or she will not understand the relevance.
D - Speak directly to the client and ask if he or she wants the parent present for the examination.
D
Which of the following are risks faced by adolescent girls who are pregnant. Select all that apply.
A - Bone density loss
B - Iron Deficiency Anemia
C - Loss of educational opportunities
D - Increased risk for gestational diabetes
E - Interruption of developmental tasks
A
B
C
E
What type of advanced thinking develops during young adulthood?
A - Post-Formal Operations
B - Formal Operations
C - Rational Thought
D - Future thinking
A
The nurse is interviewing a sexually active young adult who has multiple partners. Which of the following Sexually Transmitted Diseases would be a possible risk? Select all that apply.
A - Pregnancy
B - Chlamydia
C - Genital Warts
D - Candida
E - Gonorrhea
B
C
E
Which of the following best defines intimate partner violence?
A - Intimate violence between two people who do not know each other.
B - The abuse of power and control within an intimate relationship.
C - When the rape victim knows their perpetrator
D - The physical abuse from a paid caregiver to an elderly person.
B
The nurse is working with an adolescent around issues that affect health. Which of the following should the nurse stress about the adolescent’s diet?
A - Adolescents can eat whatever they want, as long as they exercise.
B - Nutrition is only a concern if the adolescent is obese or anorexic.
C - Adolescents should take 1300 mg of calcium and 400 up of vitamin D daily.
D - Sugar and fat intake do not need to be monitored because growth is so rapid.
C
When assessing a young adult, what characteristics might alter the nurse to potential diabetes or heart disease?
A - Client’s who are overweight
B - Client’s who abuse alcohol
C - Clients who have no family history of cardiac problems.
D - Clients who do not exercise
A
Which of the following is an example of the intimacy vs isolation phase of social development for young adults?
A - Caring for their aging parents
B - Developing lasting friendships and associations
C - Getting married and having children
D - Competing college and getting a job
B
Which of the following would be important components of an adolescent health history? Select all that apply.
A - Psychosocial profile
B - Driving history
C - Nutrition and body image
D - Tattoos and piercings
E - Sleep patterns
A
C
D
E
Which are possible contributing factors to obesity in school-aged children? Select all that apply.
A - Less time playing outside
B - More fast food consumption
C - Busy lifestyle
D - Reading more books
E - Increased incidence of illness
A
B
C
At what age is HPV recommended for both boys and girls?
A - 9
B - 11
C - 13
D - 15
B
Which of the following instructions should the nurse provide parents, when an antibiotic has been prescribed for their child? Select all that apply.
A - Antibiotics should not be prescribed for a cold or the flu
B - It is important for children to take the entire course of medication, even if the symptoms are gone.
C - When your child is no longer contagious, they can stop taking the antibiotics.
D - Your doctor may prescribe antibiotics for symptoms of the flu
E - Children never develop antibiotic resistant infections
A
B
Which of the following safety interventions should the nurse review with the school-aged child and his or her parents?
A - Use a helmet while bicycling
B - Use safety equipment while playing sports
C - Wear a seatbelt in the car
D - The importance of good nutrition
E - The CDC’s recommendations on immunizations
A
B
C
A 6th grade female is undergoing her physical examination. What should the nurse assess for during this visit? Select all that apply.
A - Nutrition and BMI
B - Scoliosis
C - Visual Acuity
D - Hepatitis B immunization
E - Risky sexual behviors
A
B
C
D
The nurse is obtaining a health history from a 22 year old female client. Which of the following would be an appropriate recommendation from the nurse regarding exercise?
A - no aerobic exercise is necessary at this age.
B - Exercise at a moderate intensity for 2.5 hours a week
C - As long as you eat healthy, exercise should not be a concern.
D - Woman of childbearing age should not exercise
B
Which of the following examples of age and demographics would likely have the longest lifespan at birth according to data from the national center for health statistics (2017)?
A - White male
B - Non-Hispanic black male
C - White female
D - Hispanic female
D
Which are common health problems of middle adulthood? Select all that apply.
A - Obesity
B - Hypertension
C - Unintentional injury
D - Cancer
E - Eating disorders
A
B
D
A recently admitted 32 year old female client has just been told she has State IV breast cancer. She immediately tells her family members to leave the room and not come back and becomes agitated with the nursing staff when trying to implement the nursing plan. Which best describes this type of behavior?
A - Id
B - Ego
C - Unconscious mind
D - Defense mechanism
D
A middle aged patient is admitted with a diagnosis of cardiovascular disease. What 2 factors for this disease process are not in the patient’s control? Select all that apply.
A - Age
B - Excessive weight
C - Sedentary lifestyle
D - Smoking
E - Family /history
A
E
Which is a leading cause of death in the middle adult years?
A - diabetes
B - Cardiovascular disease
C - Joint Pain
D - Obesity
B
Which of the following vaccines should middle adults be encouraged to have?
A - MMR
B - Influenza
C - Shingles
D - Pneumonia
B
What is the reason for a slight loss of height during the middle years?
A - Slight loss of bone density
B - Slumping while walking
C - Lordosis
D - Decrease in muscle tone
A
The nurse is teaching a group of middle-age adults. What is the focus of the nurse when educating this group?
A - Promotion of a healthy lifestyle
B - Support for chronic health problems
C - Focus on the changes in their Boyd
D - Preparation for declining health
A
Cognitive and social changes during neonatal period. Select all that apply.
A - behaviors are primarily reflexive
B - Newborns will turn toward loud sounds
C - Neonates primarily follow the fathers voice
D - Neonates fixate and focus on objects
E - Neonates are sensitive to touch
F - Vision is clear at the time of birth
G - Neonates prefer human faces and black/white contrasting images
H - Neonates can distinguish the smell of their own mother’s breast milk
A
D
E
G
H
Cognitive and social changes during infancy. Select all that apply.
A - infants receive pleasure from sucking
B - Infants verbally interact with caregivers
C - Infants are unable to recognize familiar objects
D - Color discrimination begins
E - Infants please themselves by cooing and laughing
F - Infants find pleasure in sucking
G - Trust develops when needs are ignored
H - Imitation of sounds begins in infancy
A
B
D
E
F
H
Cognitive and social changes during toddler age. Select all that apply.
A - language develops
B - toddlers tolerate long periods of separation from primary caregiver
C - Toddlers begin to solve problems with thinking
D - Toddlers become more independent
E - Toddlers tolerate change well
F - Toddlers begin to learn control and autonomy
G - Toilet training begins
H - tantrums occur
A
C
D
F
G
H
Common health problems of infancy. Select all that apply.
A - Immunization anaphylaxis
B - Colic
C - Dental caries
D - Failure to thrive
E - Malnutrition
F - Electrolyte imbalances
G - Unintentional injury
H - Sudden Infant Death Syndrome
B
C
D
G
H
Common health problems of toddler years. Select all that apply.
A - Chronic illness
B - Infections
C - Unintentional injury
D - Delays in development
E - Failure to thrive
F - Sleep disorders
G - Constipation
H - Malnutrition
B
C
A parent has brought her 11-month-old child to the healthcare clinic for a well-child appointment and immunizations. To assess the child’s risk for injury, which question should the nurse ask the caregiver? Select all that apply.
A - “Do you have any pets in your home?”
B - “Have you ever had a CPR class?”
C - “Does your child use a car seat?”
D - “Do you have any guns in your home?”
E - “Where do you keep poisons and medications in your home?”
A
B
C
D
E
The nurse practitioner is evaluating a 3-year-old in the clinic. The mother states, “My son is still in diapers and he doesn’t seem interested in using the toilet like my friends’ toddlers.” What would be the nurse’s best response?
A - “You may not have the right incentive for him. Have you tried rewards?”
B - “He may be mentally slow. Let’s do some further evaluation.”
C - “It’s most common for children to be out of diapers by 18 months.”
D - “Often children will be into their preschool years before they are out of diapers.”
D
Which best describe the cognitive and psychosocial development of the neonate? Select all that apply.
A - Calms when pacified with warm blanket or swaddling
B- Possesses limited hearing
C - Focuses on objects
D - Exhibits reflexive responses to stimuli
E - Can distinguish mother’s sounds from those of others
A
C
D
E
The nurse is assessing an infant for common health problems during the 3-month follow-up appointment. Which assessment finding is normal and not a cause for concern?
A - Improper use of a car seat
B - Use of milk in a bottle during the night
C - Weight loss over the past month
D - The infant sleeps 10 hours a night
D
A toddler is brought to the clinic with 1 day’s onset of a fever and lethargy. What is a priority assessment?
A - Signs of abuse or trauma
B - Height and weight
C - Ability to throw a ball
D - Immunization record
D
Which describe competencies of cognitive development according to Piaget’s theory? Select all that apply.
A - Growth
B - Adaptation
C - Maturation
D - Assimilation
E - Accommodation
B
D
E
An infant has an Apgar score of 9 at 5 minutes after birth. The nurse assessing the infant knows that this indicates which situation?
A - A medical emergency requiring resuscitation
B - Normal function, but continued monitoring
C - Robust, excellent health
D - Observed in intensive care
B
What is a leading cause of health problems in toddlers?
A - Cancer
B - Cardiovascular disease
C - Unintentional injury
D - Complications from childhood illnesses
C
A nurse in the neonatal unit is assigned a newborn who exhibits tremors, restlessness, hyperactive reflexes, poor temperature control, and high-pitched cries. The nurse also notices the infant is at risk for seizures. Upon assessment, it is determined the infant has been exposed to which teratogen?
A - Alcohol
B - Nicotine
C - Cocaine
D - Heroin
D
An infant is being admitted for diagnostic testing to determine why there are developmental delays. You notice the 10-month-old is not using his arms and legs as he should and is not crawling or pushing himself up. Which developmental pattern has been affected by this delay?
A - Proximodistal
B - Cephalocaudal
C - Proximocaudal
D - Cephalodistal
A
Neural tube defects such as spina bifida are due to which?
A - Folic acid deficiency
B - Heart disease
C - Gestational diabetes
D - Use of methamphetamines
A
During the first 8 hours after birth, what should the nurse assess the newborn for?
A - Sleep stage
B - Elimination
C - Parent-infant attachment
D - Focus ability
E - Response to bathing and care
A
B
C
Which of the following skin conditions might be present at birth?
A - Cherry angiomas
B - Vernix caseosa
C - Milia
D - Atopic dermatitis
E - Mongolian spot
B
C
E
When measuring the newborn at birth, the nurse should expect to the length to be:
A - 14 to 19 inches
B - 16 to 24 inches
C - 18 to 22 inches
D - 20 to 25 inches
C
What is the definition of growth?
A - Physical changes that occur over time, such as an increase in height, weight, sexual maturation, and muscle tone
B - The process of adapting to one’s own body and environment over time
C - Mastering skills of increased complexity and function
D - Ability to discern different types of decisions and functions
A
Latisha and her twin sister, Natasha, are 4 years old and preparing for preschool. Their mom brings them to the clinic for an annual physical.
Both girls weigh 38 pounds and are 39 inches tall. They know their colors and have 20/20 vision. Hearing is mature, and they can classify objects. They love to skip rope and play hopscotch. Which of these examples demonstrates normal physical development for the girls? Select all that apply.
A - Height and weight
B - Vision and hearing
C - Ability to classify objects
D - Skipping rope
E - Playing hopscotch
A
B
C
D
E
