23.

The nurse is caring for a homeless client who recently

emigrated from China. The client has a language barrier, and
the hospital has been unsuccessful in locating any relatives.
The health care provider is considering the option of placing
the client on a respirator to manage a severe respiratory tract
problem. To be a caring advocate for this client, the nurse must
first:
1. Ask the hospital chaplain to arrange for appropriate religious
support
2. Be sure that the client receives the best available care for his
condition
3. Arrange for a Chinese interpreter to facilitate client-staff
conversations
4. Become familiar with the Chinese culture's attitudes
regarding life support
Become familiar with the Chinese culture's attitudes regarding
life support
1. A nurse who wants to apply a theory that relates to moral
development should read more from the work of:
1. Gould
2. Freud
3. Erikson
4. Kohlberg
Kohlberg
2. The nurse using Erikson's theory to assess a 20-year-old
client's developmental status expects to find which of the
following behaviors?
1. Coping with physical and social losses
2. Enjoys participating in the community
3. Applying self to learning skills
4. Overcoming a sense of guilt or frustration
Enjoys participating in the community
3.The nurse recognizes that Freud's theory approaches
development by looking at:
1. Moral reasoning.
2. Logical maturity
3. Psychosexual aspects
4. Cognitive development
Psychosexual aspects
4. According to Piaget, a preschool child (3 to 5 years old) who
comes to the clinic is expected by the nurse to exhibit which of
the following behaviors?

1. Far-reaching problem-solving
2. Exploration of the environment
3. Cooperation and sharing with others
4. Thinking with the use of symbols and images
Thinking with the use of symbols and images
5. For an older adult client, an example of a common
behavioral task or critical event is:
1. Selecting a mate
2. Rearing children
3. Finding a congenial social group
4. Adjusting to decreasing physical strength
Adjusting to decreasing physical strength
6. The nurse working in an adult medical clinic wishes to learn
more about a developmental theory that focuses on the adult
years. The nurse investigates different possibilities and selects
the theory proposed by:
1. Gould
2. Piaget
3. Freud
4. Chess and Thomas
Gould
7. The nurse recognizes that which one of the following
statements about growth and development is correct?
1. Development ends with adolescence.
2. Growth refers to qualitative events.
3. Developmental tasks are age-related achievements.
4. Cognitive theories focus on emotional development.
Developmental tasks are age-related achievements.
8. In Kohlberg's Moral Development theory, an individual who
reaches level II (conventional thought) is expected to exhibit:
1. Absolute obedience to authority
2. Reasoning based on personal gain
3. Personal internalization of other's expectations
4. Self-chosen ethical principles, universality, and impartiality
Personal internalization of other's expectations
9. According to Piaget, the infant is in the first period of
development, which is characterized by:
1. Concrete operations
2. Preoperational thought

3. Sensorimotor intelligence
4. Identity versus role confusion
Sensorimotor intelligence
10. A child's understanding of the concept of ice becoming
water, Piaget's stage of cognitive development, is seen in:
1. Sensorimotor
2. Preoperational
3. Formal operations
4. Concrete operations
Concrete operations
11. The nurse in a pediatric health care setting is using
Kohlberg's developmental theory. A child is evaluated as
having reached level I, the preconventional level, if the child:
1. Makes sure that he or she is not late for school
2. Cleans the blackboards after school for the teacher
3. Runs for school council in order to change policies
4. Stays away from peer groups that harass other children
Makes sure that he or she is not late for school
12. In applying Gould's developmental theory, the nurse
anticipates that a client will have a greater concern for one's
health within the following theme and age-group:
1. First theme (20s)
2. Second theme (early 30s)
3. Fourth theme (40s)
4. Fifth theme (50s)
Fifth theme (50s)
13. The nurse is working with a new mother who will require
surgery. The follow-up treatment will interfere with bonding.
In applying Freud's theory, the nurse recognizes that the stage
of development that may be affected is the:
1. Oral stage
2. Anal stage
3. Phallic stage
4. Latent stage
Oral stage
14. In accordance with Erikson's theory, it is expected by the
nurse that a middle-aged adult client will be involved in the
process of:
1. Developing a sense of identity
2. Searching for meaning in life

3. Enhancing one's capability to love others

4. Expanding personal and social involvement
Expanding personal and social involvement