Title: Exam: Growth and Development School Age, Adult, Death
Course: PRN 0930 Practical Nursing I > Section: Growth and Development - Death and Dying

Q: An important safety precaution the home health nurse teaches parents to prevent burns to small children is to:
- never leave them unattended.
- turn pot handles on stoves away from reach.
- turn hot water on first when filling the bathtub.
- keep side rails up on the crib.
A: turn pot handles on stoves away from reach.

Q: When offering a cup of hot coffee to a frail, older adult patient, the nurse must:
- give the patient a straw.
- dilute the coffee with cold water.
- fill the cup half full.
- offer a bib or an apron.
A: fill the cup half full.

Q: An 8-year-old child asks how a blood pressure is taken. The nurse should reply:
- “This small machine will measure your systolic and diastolic pressure.”
- “The armband will hug your arm and tell me how well your blood is going through your arm.”
- “The armband will cut off your circulation for a while and then we can hear when it comes back.”
- “When you are ill we need to know if your blood is still moving in your body
A: “The armband will hug your arm and tell me how well your blood is going through your arm.”

Q: When speaking to a parents’ group, the nurse cites a study that found that 11% of children between 6 and 19 were overweight or obese. The nurse explained the goal of Healthy People 2010 is to reduce this to:
- 10%.
- 8%.
- 7%.
- 5%.
A: 5%.

Q: The school nurse designed a home program to increase physical activity in children while at home to reduce the time spent watching television. The average amount of time children spend in media-focused activities per day is estimated at:
- 2 hours.
- 4 hours.
- 5 hours.
- 6 hours.
A: 6 hours.

Q: The nurse informs a group of adolescents that the single most preventable cause of death and disease in the United States today is:
- drug use.
- alcohol addiction.
- cigarette smoking.
- malnutrition.
A: cigarette smoking.

Q: The school nurse develops a campaign to make parents aware of how smoking can contribute to an increased risk of heart and lung disease in children caused by:
- air pollution.
- allergens in the environment.
- environmental smoke.
- lack of oxygen in the air.
A: environmental smoke.

Q: Problems such as domestic violence, sexually transmitted infections (STIs), school failure, and motor vehicle accidents (MVAs) are attributed to:
- lack of supervision.
- psychological problems.
- substance abuse.
- physiological problems.
A: substance abuse.

Q: The college counselor stresses safe sex because he is aware that half of all new HIV cases are among people younger than:
- 50 years.
- 40 years.
- 30 years.
- 25 years.
A: 25 years.

Q: The school nurse focuses a drug awareness program on the age group that has the largest increase in drug use. That age group is:
- 7- to 9-year-olds.
- 10- to 12-year-olds.
- 12- to 13-year-olds.
- 15- to 17-year-olds.
A: 12- to 13-year-olds.

Q: Because of the Healthy People 2010 findings relative to adolescents’ health needs, the public health nurse led the move to create a citywide program for:
- a juvenile diabetic seminar.
- a teenage suicide hotline.
- scoliosis screening.
- a teenage parenting course.
A: a teenage suicide hotline.

Q: The parents of a child suffering from depression ask the nurse what causes depression in children. The nurse states that:
- the causes of major depression are unknown.
- major affective disorders in parents increase depression in children.
- boys are more likely than girls to be depressed.
- the prevalence rate is higher in prepubescent children.
A: major affective disorders in parents increase depression in children.

Q: The high school nurse is very sensitive for cues to suicidal ideation because suicide is which leading cause of death among 15- to 19-year-olds in the United States?
- First
- Second
- Third
- Fourth
A: Third

Q: The school nurse reminds the faculty of a high school that it is imperative to report to a mental health professional any:
- signs of depression.
- threats of suicide.
- signs of withdrawal.
- behavioral problems.
A: threats of suicide.

Q: The mother of an 11-year-old asks about the benefits of her child joining a soccer team. At this age, the child will benefit because athletics provide an opportunity for the development of:
- role identification.
- competition.
- parallel play.
- cooperation.
A: competition.

Q: A 14-year-old male patient has undergone a leg amputation. The nurse makes the focus of the nursing care plan to support the patient’s:
- nutritional status.
- academic progress.
- body image.
- socialization needs.
A: body image.

Q: The cognitive developmental level of the adolescent according to Piaget is the:
- concrete operational stage.
- sensorimotor stage.
- preoperational stage.
- formal operational stage.
A: formal operational stage.

Q: The nurse performing a physical assessment on a 25-year-old understands that during this time the patient is most likely experiencing:
- a gradual decline in physical capabilities.
- optimal level of functioning.
- slight diminishing of visual acuity.
- minimal hearing loss.
A: optimal level of functioning.

Q: Erikson identifies intimacy as a developmental task of adulthood. If this task is not accomplished, the outcome will be:
- inferiority.
- isolation.
- mistrust.
- guilt.
A: isolation.

Q: The nurse informs a group of young adults that the leading cause of death in their age group is:
- diabetes.
- accidents.
- hypertension.
- testicular cancer.
A: accidents.

Q: A 53-year-old woman complains of night sweats and mood swings. The nurse recognizes that these symptoms most likely relate to:
- menopause.
- weight problems.
- dietary problems.
- thyroid problems.
A: menopause.

Q: A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as:
- presbycusis.
- otitis externa.
- presbyopia.
- otitis media.
A: presbycusis.

Q: Prejudice against older adults is known as:
- socialism.
- sexism.
- racism.
- ageism.
A: ageism.

Q: There are many theories of aging. The one that claims there is a hereditary basis for aging is:
- activity theory.
- physiological theory.
- disengagement theory.
- biological programming theory.
A: biological programming theory.

Q: The nurse reminds an older adult patient that the task for the older adult is to achieve ego integrity. Failure to achieve this task results in:
- failure.
- despair.
- reminiscing.
- accomplishment.
A: despair.

Q: When assessing the home for fall risks and increased safety for an 85-year-old, the home health nurse suggests that:
- bright lights be kept on at all times.
- sponge baths be taken rather than showers.
- excess furniture be removed.
- loose, comfortable shoes be worn.
A: excess furniture be removed.

Q: The theory of aging that suggests the body becomes less able to recognize or tolerate the “self” is the:
- free radical theory.
- autoimmunity theory.
- wear-and-tear theory.
- biologic programming theory.
A: autoimmunity theory.

Q: The theory of aging that suggests there should be a natural withdrawal between the individual and society is the:
- free radical theory.
- autoimmunity theory.
- wear-and-tear theory.
- disengagement theory.
A: disengagement theory.

Q: Which theory of aging suggests that previously developed coping abilities and the ability to maintain previous roles and activities are critical to adjustment to old age?
- Continuity theory
- Autoimmunity theory
- Wear-and-tear theory
- Disengagement theory
A: Continuity theory

Q: A child who has just begun to demonstrate the ability to understand and apply logical operations to help interpret specific experiences or perceptions is in which of Piaget’s stages of cognitive development?
- Sensorimotor
- Preoperational thought
- Formal operational thought
- Concrete operational thought
A: Concrete operational thought

Q: A child who is able to use a systematic, scientific problem-solving approach is in which of Piaget’s stages of cognitive development?
- Sensorimotor
- Preoperational thought
- Formal operational thought
- Concrete operational thought
A: Formal operational thought

Q: Which of Erikson’s Developmental Tasks does a school-age child attempt to master during the ages of 7-11?
- initiative vs. guilt
- industry vs. inferiority
- identity vs. role confusion
- generativity vs. stagnation
A: industry vs. inferiority

Q: A school nurse teaching a group of adolescents about adequate nutrition should encourage increased intake of:
- potassium and sodium.
- chloride and magnesium.
- iron and calcium.
- vitamins and minerals.
A: iron and calcium.

Q: The eating disorder characterized by body image distortion, excessive exercise, and vicarious enjoyment of food is called:
- self-fasting.
- anorexia nervosa.
- bulimia nervosa.
- binge eating.
A: anorexia nervosa.

Q: The final stage of human growth and development is:
- integrity.
- death.
- despair.
- resolution.
A: death.

Q: A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. The nurse is exhibiting a common reaction to the care of the dying, which is:
- efficiency.
- anger.
- withdrawal.
- anxiety.
A: withdrawal.

Q: A perceived loss differs from an actual loss because it is:
- more quickly resolved.
- situational.
- easily overlooked.
- a superficial response.
A: easily overlooked.

Q: Upon being told of her father’s death, the daughter cries out, “No! Oh, God, no!” The nurse recognizes this behavior as an example of the grief stage of:
- anger.
- bargaining.
- denial.
- prayer.
A: denial.

Q: The nurse spends a great deal of time in the room of a dying 12-year-old because the nurse knows that most children are aware of their condition and want the nurse to:
- keep them clean.
- help them eat.
- care about them.
- keep them comfortable.
A: care about them.

Q: When instructing a patient about a durable power of attorney, the nurse explains that in case the patient becomes incapacitated, this document:
- directs treatment in accordance with the patient’s wishes.
- directs an agent to make health care decisions.
- gives power to an agent to make decisions regarding health, property, and other assets.
- can only be executed by an attorney.
A: directs an agent to make health care decisions.

Q: When a nurse informs a patient’s spouse that the patient has died, the spouse states, “You must be mistaken.” According to Kübler-Ross’s stages of dying theory, the spouse is demonstrating:
- anger.
- denial.
- depression.
- bargaining.
A: denial.

Q: A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and has withdrawn from interpersonal interactions. The patient is demonstrating what stage of dying according to Kübler-Ross’s stages of dying theory?
- Anger
- Denial
- Depression
- Bargaining
A: Depression

Q: A nurse caring for the dying mother of a 7-year-old recognizes that the child:
- associates death with aggression.
- believes own death cannot be avoided.
- lacks understanding of the concept of death.
- understands death as the inevitable end of life.
A: associates death with aggression.

Q: The home health nurse assesses an older adult’s respiratory function carefully because age-related changes in the respiratory system could result in increased:
- vital capacity.
- susceptibility to respiratory infections.
- expiratory capacity due to increased chest size.
- oxygen and carbon dioxide exchange.
A: susceptibility to respiratory infections.

Q: Older adults try to make sense out of their live in which Developmental Task of Erikson’s Stages of Development?
- identity vs. role confusion
- intimacy vs. isolation
- generativity vs. stagnation
- ego integrity vs. despair
A: ego integrity vs. despair

Q: The home health nurse assesses that the goal of grief resolution has been accomplished when the nurse observes that a widow performs which activities? (Select all that apply.)
- Adjusted to an environment without the spouse
- Put financial affairs in order
- Made plans for a lengthy trip
- Sought new relationships
- Acquired a job
A: Adjusted to an environment without the spouse; Sought new relationships

Q: Which of the five aspects of human functioning must a nurse address when dealing with a grieving person? (Select all that apply.)
- Physical
- Emotional
- Intellectual
- Sociocultural
- Spiritual
A: Physical; Emotional; Intellectual; Sociocultural; Spiritual

Q: The nurse informs a group of college students that young adults will face which challenges in this particular time of life? (Select all that apply.)
- Starting a family
- Selecting housing
- Job security
- Relations with extended family
- Establishing intimacy
A: Starting a family; Selecting housing; Job security; Relations with extended family; Establishing intimacy

Q: The pediatric nurse stresses that health promotion activities must be ongoing for which reason(s)? (Select all that apply.)
- To identify health risks
- To encourage healthy behavior
- To prevent disease
- To improve nutrition
- To prevent accidents
A: To identify health risks; To encourage healthy behavior; To prevent disease; To improve nutrition; To prevent accidents

Q: The school nurse collaborates with the physical education instructor to increase the amount of physical activity during the school day because of which major benefits of physical activity? (Select all that apply.)
- Reduced death rates as adults.
- Reduced risk of cardiovascular disease.
- Reduced risk of hypertension.
- Reduced risk of diabetes.
- Increased self-esteem.
A: Reduced death rates as adults.; Reduced risk of cardiovascular disease.; Reduced risk of hypertension.; Reduced risk of diabetes.; Increased self-esteem.