15.

The primary purpose for the nurse to understand human

growth and development is to be best able to:
1. Identify deviations from normal
2. Select effective nursing interventions
3. Be sensitive to age-appropriate needs
4. Enhance nurse-client communication
Identify deviations from normal
16. Which of the following should the nurse consider first when
assessing the cognitive ability of an older adult?
1. A life-long bachelor
2. Orphaned at age 12
3. History of a chronic disease process
4. Recent immigration to the United States
Recent immigration to the United States
17. A nurse caring for a 78-year-old client recently diagnosed
with pneumonia will find Erikson's psychosocial development
theory most helpful in determining:
1. Which needs the client will typically develop
2. Which coping mechanisms the client will likely use
3. How the client will respond to the respiratory problem
4. How the client and his family will adjust to the stressors
How the client will respond to the respiratory problem
18. As described by Freud, the nurse recognizes that a young
adult best shows a well-developed superego when he:
1. Tells a friend that he'll help him stop smoking
2. Returns a lost wallet to a stranger who dropped it
3. Arranges for a cab ride home after consuming alcohol
4. Has 10% of his salary automatically transferred to savings
Arranges for a cab ride home after consuming alcohol
19. A nurse is preparing to discharge an 11-month-old child
after a hospitalization for a viral infection. The nurse uses
anticipatory guidance most effectively when:
1. Encouraging the parents to limit visitors for 14 days
2. Providing the parents with written discharge instructions
3. Arranging the follow-up pediatrician appointment for the
parents
4. Informing the parents that the child may cry when taken to
daycare
Informing the parents that the child may cry when taken to
daycare

20. Which of the following situations/statements best depicts

Gould's fourth theme of adult development?
1. "When I made that decision, I didn't expect it to turn out like
it did."
2. "I have to take the opportunity to be my own boss and not
rely on others."
3. "I think you can do anything if only you have your health and
good friends."
4. "As much as I'd love to open my own shop, I just can't take
that kind of chance."
"As much as I'd love to open my own shop, I just can't take that
kind of chance."
21. The nurse is caring for an older adult client who has
reported symptoms suggestive of depression. Which of the
following questions asked by the nurse is most therapeutic in
assessing the client's perception of the impact depression has
had on her life?
1. "What does it mean to be depressed?"
2. "How does being depressed make you feel?"
3. "Were you happy before becoming depressed?"
4. "What makes you think that you are depressed?"
"What does it mean to be depressed?"
22. The nurse is caring for a 6-year-old child who is scheduled
for outpatient surgery. Piaget's theory of cognitive
development suggests that the nurse can help the child cope
with the stressors of this hospital experience best by:
1. Arranging for the parents to be with the child until the
anesthetic takes affect
2. Explaining the entire process with the child using ageappropriate language
3. Using play as a means of familiarizing the child with the
events he will experience
4. Providing the child with a coloring book that shows the
events he will be experiencing
Using play as a means of familiarizing the child with the events
he will experience
23. Which of the following nursing responses is most
therapeutic when made in response to a parent's concern about
her 3-year-old child's tendency to "break the rules"?
1. "Just keep reminding her of the rules."
2. "Daycare will help her learn to play fair."
3. "She will begin to understand that concept in a year or so."
4. "Add an age appropriate punishment for breaking the rules."

"She will begin to understand that concept in a year or so."