Question 1

The mother of a 5-month-old infant calls the pediatrician's office to report to the nurse that she has noticed that her infant still has tremors of the extremities and chin at times.Which of the following actions would be appropriate for the nurse?

Accepted Answer

A)  Reassure the mother that these tremors are a normal part of the infant's development.
B)  Give the mother the first available appointment to see the health care provider.
C)  Contact the health care provider to see if an electroencephalogram (EEG) should be ordered.
D)  Ask the mother to keep a diary of the tremors and schedule an appointment for next week.

Question 2

The nurse is talking with an older adult client who has recently retired after 45 years of working as an executive at the same company.Which of the following demonstrates to the nurse that the client is adjusting to this new phase of life?

Accepted Answer

A)  The client spends most of the day at home and declines invitations to outside gatherings with friends because there is "so much to do" at home.
B)  The client has enrolled in courses at the local university to complete the college degree that was started "years ago," but interrupted by family responsibilities.
C)  The client has lunch at the company cafeteria several times each week.
D)  The client has purchased hearing aids,but rarely uses them.

Question 3

Just after an appointment with the health care provider,an older adult client asks the nurse,"Why can't I seem to exercise like I did when I was younger? I just don't have the endurance that I did when I was 45,even though I feel good.The health care provider says I'm in good health and can exercise,but do you think there could be something wrong with me?" The nurse's best response to this client's statement is:

Accepted Answer

A)  "I think you should discuss this further with the health care provider;maybe you need more tests."
B)  "As individuals get older,there are normal changes that occur in the body,specifically the heart and lungs,that may contribute to decreased endurance."
C)  "The health care provider cleared you for exercise.I'm sure you are fine."
D)  "The body undergoes physiologic changes that can affect your endurance,such as decreased cardiac output and increased residual air volume in the lungs."

Question 4

The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair.Which of the following suggestions by the nurse would be most appropriate to assist this client?

Accepted Answer

A)  "You should consider buying a bigger house so that your divorced son can come and live with you."
B)  "You should consider getting a job to fill your time."
C)  "You should organize your family photos into an album"
D)  "You should consider playing a sport."

Question 5

Using Piaget's theory of cognitive development,the nurse expects preschoolers will:

Accepted Answer

A)  Be egocentric and fail to see another's point of view.
B)  Focus on many aspects of a given situation at once.
C)  Assume everyone else in their world sees things as they do.
D)  Believe they have magical powers of thought to control the universe.
E)  Understand cause-and-effect relationships

Question 6

An older adult client voices concerns to the nurse regarding the seemingly continued loss of family and friends to illness and death.The client states,"God is cruel.I have no one anymore.I am too old to make new friends;it's useless,everyone leaves me." Using Erickson's psychosocial theory,the nurse interprets the client's remarks.This client is:

Accepted Answer

A)  Successfully mastering the stage of integrity versus despair.
B)  Is having difficulty passing through the stage of generativity versus stagnation.
C)  Is experiencing struggles to succeed in the stage of integrity versus despair.
D)  Is demonstrating unsuccessful completion of the intimacy versus isolation stage of development.

Question 7

The adult children of an older adult client report they are becoming frustrated.They relate they are trying to get their parent to "take it easy";stop working and reduce social activities.When questioned by the nurse,they report feeling this lessened stress will protect their loved one.Which of the following statements should be included in the nurses responses?

Accepted Answer

A)  "Keeping busy will assist your parent to remain productive."
B)  "Older adults who lack intellectual challenges may demonstrate cognitive declines."
C)  "Your plans will increase your parent's quality of life."
D)  "Retirement will promote rest and relaxation for your parent."
E)  "It is important for older adults to have opportunities to develop and maintain friendships."

Question 8

An older adult presents to the clinic for a routine physical examination.The client reports having trouble with memory and often has to "search" for words when having a conversation with friends or family.Which of the following assessment tools will help the nurse to gather more data about this client's concerns?

Accepted Answer

A)  The Denver II
B)  Mini-Mental Status Examination
C)  Life Experiences Survey
D)  Hassles and Uplifts Scale

Question 9

Which of the following assessment findings in an older adult client does the nurse associate with the normal aging process?

Accepted Answer

A)  Increased systolic blood pressure
B)  Increased muscle tone
C)  Decreased cardiac output
D)  Increased vital capacity
E)  Decreased renal function

Exam 3: Health Assessment Across the Lifespan

The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair.Which of the following suggestions by the nurse would be most appropriate to assist this client?

Correct Answer
verified

The nurse is talking with an older adult client who has recently retired after 45 years of working as an executive at the same company.Which of the following demonstrates to the nurse that the client is adjusting to this new phase of life?

Correct Answer
verified

Correct Answer
verified

Using Piaget's theory of cognitive development,the nurse expects preschoolers will:

Correct Answer
verified

Correct Answer
verified

The mother of a 5-month-old infant calls the pediatrician's office to report to the nurse that she has noticed that her infant still has tremors of the extremities and chin at times.Which of the following actions would be appropriate for the nurse?

Correct Answer
verified

Correct Answer
verified

Which of the following assessment findings in an older adult client does the nurse associate with the normal aging process?

Correct Answer
verified

Correct Answer
verified

Exam 3: Health Assessment Across the Lifespan

The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair.Which of the following suggestions by the nurse would be most appropriate to assist this client?

Correct AnswerverifiedShow Answer

The nurse is talking with an older adult client who has recently retired after 45 years of working as an executive at the same company.Which of the following demonstrates to the nurse that the client is adjusting to this new phase of life?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Using Piaget's theory of cognitive development,the nurse expects preschoolers will:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The mother of a 5-month-old infant calls the pediatrician's office to report to the nurse that she has noticed that her infant still has tremors of the extremities and chin at times.Which of the following actions would be appropriate for the nurse?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which of the following assessment findings in an older adult client does the nurse associate with the normal aging process?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified