Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse is working with a new mother who will require surgery. The
follow-up treatment will interfere w ith bonding. In appl ying Freuds
theory, the nurse recognizes that the stage of development that may be
affected is the:
A. Oral stage
B. Anal stage
C. Phallic stage
D. Latent stage
ANS: A
According to Freud, disruption in the physical or emotional availabilit y
of the parent for the newborn (e.g., undergoing surgery) will affect the
oral stage of development; the anal stage is from 12 to 18 months to 3
years, when the child is toilet -training; the phallic stage is from 3 to 6
years of age, when the child becomes inter ested in the genital organs;
and the latent stage is from 6 to 12 years, when the child represses
sexual urges and channels them into productive activities that are
sociall y acceptable.
DIF: A REF: 138 OBJ: Comprehension TOP: Nursing
Process: Assessment MSC: NC LEX test plan designation:
Safe, Effective Care Environment/Staff Education
,2. In accordance with Eriksons theory, it is expected by the nurse that a
middle-aged adult client will be involved in the process of:
A. Developing a sense of identit y
B. Searching for meaning in life
C. Enhancing ones capabilit y to love others
D. Expanding personal and social involvement
ANS: D
In accordance with Eriksons theory, the middle -aged adult client is
involved in the process of expanding ones personal and social
involvement. Middle-aged adults should be able to see beyond their
needs and accomplishments to the needs of societ y. Developing a sense
of identit y is in accordance with Eriksons identit y versus role
confusion (pubert y) stage of development. Searching for meaning in
life is in accordance with Eriksons integrity versus despair (old age)
stage of development. Enhancing ones capabilit y to love others is in
accordance with Eriksons intimacy versus isolation (young adult) stage
of development.
DIF: A REF: 140 OBJ: Knowled ge TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment/Staff Education
3. The primary purpose for the nurse to understand human growth and
development is to be best able to:
A. Identify deviations from normal
B. Select effective nursing interventions
C. Be sensitive to age -appropriate needs
, D. Enhance nurse -client communication
ANS: A
Understanding normal growth and development helps nurses predict,
prevent, and detect any deviations from clients normal expected
patterns. While being familiar with the characteristics of the various
stages of human growth and development and being able to appl y that
knowledge to the individual client do have a positive impact on
determining the most appropriate nursing interventions, the primary
purpose is to predict, prevent, and detect any deviations from the
clients normal expected patterns. Although being familiar with the
characteristics of the various stages of human growth and development
and being able to appl y that knowledge to th e individual client do have
a positive impact on identifying age -appropriate needs, the primary
purpose is to predict, prevent, and detect any deviations from the
clients normal expected patterns. While being familiar with the
characteristics of the variou s stages of human growth and development
and being able to appl y that knowledge to the individual client do have
a positive impact on the nurses abilit y to communicate with the client
in an appropriate manner, the primary purpose is to predict, prevent,
and detect any deviations from the clients normal expected patterns.
DIF: C REF: 137 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Safe, Effective
Care Environment/Staff Education
4. Which of the following should the nurse consider first when assessing the
cognitive abilit y of an older adult?
A. A life-long bachelor
B. Orphaned at age 12