Title: Human Development Exam 03
Course: PRN 0020 Human Development and Lifespan > Section: Module 8 Communication

Q: The family pattern in which the relationships are unequal and the parents attempt to control the children with strict, rigid rules and expectations is known as the:
- autocratic family pattern.
- patriarchal family pattern.
- matriarchal family pattern.
- democratic family pattern.
A: autocratic family pattern.

Q: The stage of family development that begins when the couple acknowledges to themselves and others that they are considering marriage is known as the:
- expectant stage.
- parenthood stage.
- establishment stage.
- engagement/commitment stage.
A: engagement/commitment stage.

Q: The stage of family development that begins at the birth or adoption of the first child is known as the:
- expectant stage.
- parenthood stage.
- establishment stage.
- engagement/commitment stage.
A: parenthood stage.

Q: The stage of family development that is considered to be the last stage of the life cycle is known as the:
- expectant stage.
- senescence stage.
- establishment stage.
- disengagement stage.
A: senescence stage.

Q: A nurse instructing the mother of a young infant about how to introduce solid foods into the infant’s diet should instruct the mother to begin with:
- meats.
- fruits.
- cereals.
- vegetables.
A: cereals.

Q: At approximately 4 to 6 months of age, solid food is introduced to a baby. Foods with high iron content are recommended by the nurse and include:
- pureed fruit.
- fortified cereals.
- fruit juice.
- rice.
A: fortified cereals.

Q: A nurse teaching the mother about infant oral hygiene instructs the mother to offer the infant sips of:
- cola.
- milk.
- juice.
- water.
A: water.

Q: A child who uses senses and motor abilities to understand the world is displaying characteristics consistent with Piaget’s:
- sensorimotor stage of cognitive development.
- preoperational stage of cognitive development.
- formal operational stage of cognitive development.
- concrete operational stage of cognitive development.
A: sensorimotor stage of cognitive development.

Q: Separation anxiety includes which stage(s)? (Select all that apply.)
- Detachment
- Protest
- Anger
- Despair
- Withdrawal
A: Detachment; Protest; Despair

Q: The school nurse recognizes that lack of physical activity and increased consumption of fast food by children are causative factors contributing to the problem of:
- nutritional disorders.
- weight gain.
- type I diabetes.
- dental caries.
A: weight gain.

Q: The nurse sets up a sample physical activities schedule to fit the FDA’s Dietary Guidelines for Americans that recommends that children get at least how many minutes of physical activity per day?
- 15
- 30
- 45
- 60
A: 60

Q: The theory of aging that suggests the older person who is more active socially is more likely to adjust well to aging is the:
- activity theory.
- autoimmunity theory.
- wear-and-tear theory.
- disengagement theory.
A: activity theory.

Q: When using the term behavior, the mental health nurse is referring to:
- an isolated incident.
- the manner in which a person performs.
- a product of a coping strategy.
- failure to adapt.
A: the manner in which a person performs.

Q: The nurse clarifies the concept of “mental health” by defining it as:
- a wellness of attitude.
- a person’s response to disease and dysfunction.
- the ability to cope and adjust to everyday stresses.
- how the person performs activities of daily living.
A: the ability to cope and adjust to everyday stresses.

Q: When assessing patients with mental illness, the nurse anticipates their behavior to be:
- very disruptive to a person in society.
- differing from socially acceptable behavior.
- causing the person to be involved in problems.
- resulting from an inability to exercise control.
A: differing from socially acceptable behavior.

Q: In 1882, the first psychiatric training school for nurses opened. The first psychiatric nurse was:
- Dorothea Dix.
- Linda Richards.
- Clara Barton.
- Lillian Wald.
A: Linda Richards.

Q: The majority of people function in a relatively healthy manner, but their functioning capacity can be diminished by:
- lack of a support system.
- periods of crisis.
- nutritional deficits.
- a physical disease process.
A: periods of crisis.

Q: Classifying a person as having a mental illness is based on the:
- behavior exhibited and the context.
- response of society to the behavior.
- ability of the patient to conform.
- patient’s history and previous behavior.
A: behavior exhibited and the context.

Q: Using Freud’s personality theory, the nurse identifies the influence of the superego after observing a patient:
- eating an entire chocolate pie.
- becoming anxious about having no visitors.
- monopolizing the attention of the physician.
- giving back a $5 bill that another patient left on the table.
A: giving back a $5 bill that another patient left on the table.

Q: The nurse assesses a patient as having a poor self-concept because the patient consistently:
- wears bright-colored clothing.
- demands the attention of staff.
- apologizes to others repeatedly.
- becomes angry when frustrated.
A: apologizes to others repeatedly.

Q: Any event that requires change stimulates an amount of:
- anger.
- depression.
- stress.
- anxiety.
A: stress.

Q: The nurse documents a flat affect when the patient:
- stomps on and flattens the envelope from the IRS announcing his audit.
- goes to bed after his dog was run over.
- laughs vigorously when his physician trips and falls.
- receives the news of his mother’s death without response.
A: receives the news of his mother’s death without response.

Q: When a 40-year-old patient cries and has a tantrum when the physician refuses to give her a prescription for diet pills, the nurse observes the use of the defense mechanism of:
- compensation.
- denial.
- regression.
- repression.
A: regression.

Q: The patient complains to the nurse that the physician does not like him and wants him to fail at following the diet prescribed. The nurse recognizes that the patient is using the defense mechanism of:
- conversion.
- projection.
- introjection.
- repression.
A: projection.

Q: The nurse is very observant of patient behavior because all behavior has meaning and is:
- preformed.
- important.
- learned.
- repeated.
A: learned.

Q: When developing a care plan for a mentally ill patient, the nurse’s first priority would be to assess:
- coping strategies.
- emotional status.
- medications taken.
- nutritional status.
A: emotional status.

Q: Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. The nurse’s best response to these observations is:
- “I am glad you are feeling better and have no discomfort.”
- “Where do you hurt?”
- “What you are saying and what I am observing don’t seem to match.”
- “It makes me uncomfortable when you are not honest with me.”
A: “What you are saying and what I am observing don’t seem to match.”

Q: The nurse considers the feelings and needs of a patient by stating, “I know you are concerned about your surgery tomorrow. How can I help you?” This type of communication is:
- intrusive.
- aggressive.
- closed.
- assertive.
A: assertive.

Q: If the nurse aggressively says to a patient, “Why couldn’t you have asked me to give you your pain medication when I was in here earlier?” the patient is most likely to feel:
- angry.
- that his needs are met.
- humiliated and unworthy.
- that his request will be granted.
A: humiliated and unworthy.

Q: Therapeutic communication:
- facilitates the formation of a positive nurse-patient relationship.
- manipulates the patient.
- assigns the patient a passive role.
- requires the patient to accept what the nurse says.
A: facilitates the formation of a positive nurse-patient relationship.

Q: If a nurse sits in a chair near the patient’s bed, leans forward to hear what the patient is saying, and does not interrupt, the nurse is demonstrating:
- support.
- caring.
- active listening.
- interest.
A: active listening.

Q: A patient does not speak English; therefore, the nurse cannot use words to provide comfort during a painful procedure. Another intervention that may provide comfort is:
- silence.
- listening.
- touch.
- restating.
A: touch.

Q: A patient states, “I do cocaine when I feel things are out of my control.” The nurse who responds by asking, “What else does cocaine do for you?” is using the communication skill of:
- summarization.
- restating.
- showing acceptance.
- stating observations.
A: showing acceptance.

Q: A patient states, “I’m really strung out about this pregnancy.” The nurse who responds by asking, “What about this pregnancy worries you?” is using the technique of:
- closed inquiry.
- restating.
- open-ended question.
- minimal encouraging.
A: open-ended question.

Q: A grieving young widow cries out, “Why was my husband killed? Why wasn’t it me?” The best response from the nurse would be:
- stating “You need to be strong for your children.”
- silently placing her hand on the widow’s arm.
- asking if there is anyone the widow needs to have notified.
- stating “You are feeling overwhelmed about your husband’s death.”
A: silently placing her hand on the widow’s arm.

Q: When communicating with an unresponsive patient, the communication technique the nurse should use is to:
- avoid speaking directly to the patient.
- assume verbal stimuli are heard.
- speak in a loud voice.
- use simple words.
A: assume verbal stimuli are heard.

Q: If in response to the patient statement, “I am upset about all this lab work” the nurse responds, “You’re upset?” this is an example of:
- an open-ended question.
- reflecting.
- restating.
- paraphrasing.
A: restating.

Q: One of the main characteristics of therapeutic communication is that it:
- allows the patient a passive role.
- uses only verbal communication.
- involves the patient as a person.
- is directive.
A: involves the patient as a person.

Q: A nurse actively avoids the use of one-way communication because the major problem is that:
- the receiver is in control.
- feedback is provided to the sender.
- participation is not equal.
- the communication is unstructured.
A: participation is not equal.

Q: When nursing actions cause the nurse to violate the personal space of the patient, the nurse can reduce the discomfort of the patient by:
- approaching the interaction in a professional manner.
- distracting the patient with jokes and humor.
- asking another nurse to be present at the bedside.
- assuring the patient that all people dislike invasion of personal space.
A: approaching the interaction in a professional manner.

Q: The best method for a literate, English-speaking patient on a ventilator to communicate his or her needs would be:
- eye blinking for “yes” and “no.”
- magic slate or paper and pencil.
- computer.
- message board or cards.
A: magic slate or paper and pencil.

Q: A patient roughly asks the nurse to bring him some ice cream. An assertive response by the nurse is:
- “You are hungry and want a snack.”
- “I can do that in 10 minutes when I finish my rounds.”
- “Maybe I can get one of the aides to bring you something in a while.”
- “Call the nursing station and ask them to have the kitchen bring whatever you want.”
A: “I can do that in 10 minutes when I finish my rounds.”

Q: During a complete assessment, which type of questioning is not usually conducive to fostering communication?
- Open-ended
- Focused
- Closed
- Clarifying
A: Closed

Q: Maintaining eye contact for 2 to 6 seconds during communication:
- keeps the nurse’s attention on the conversation.
- counteracts shyness in the patient.
- indicates continuous focused attention.
- assesses if the patient is involved in the conversation.
A: indicates continuous focused attention.

Q: A nurse communicates with a patient by maintaining eye contact and through the use of touch. The nurse is demonstrating the use of what type of communication?
- Verbal
- Persuasive
- Directive
- Nonverbal
A: Nonverbal

Q: A nurse frequently looks at her watch when giving a patient a bed bath. The message that is most likely conveyed to the patient is that the nurse:
- desires to spend more time with the patient.
- is anxious to listen to the patient’s concerns.
- is feeling hurried.
- likes her watch.
A: is feeling hurried.

Q: When listening to a patient, the nurse demonstrates disinterest and coldness by:
- tightly crossing her arms.
- uncrossing her arms.
- uncrossing her legs.
- facing the patient.
A: tightly crossing her arms.

Q: A nurse caring for a pediatric patient is most likely to be perceived as nonthreatening by:
- tightly crossing her arms.
- maintaining an open posture.
- maintaining a tense posture.
- standing at the bedside.
A: maintaining an open posture.

Q: A nurse is caring for a newly admitted diabetic patient. When performing the initial assessment, the nurse demonstrates use of a closed question when stating:
- “What time do you take your insulin?”
- “How do you feel about taking insulin?’
- “Tell me about your support system.”
- “How do you feel about having diabetes?”
A: “What time do you take your insulin?”

Q: The nurse emphasizes a study that focused on the amount of time children spend in front of the TV that stated cutting TV watching by ____% would have a significant impact on increasing physical activity.
- 20
- 30
- 40
- 50
A: 50