NUR 3450 COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔A nurse supports a parent for praising a child who behaves in helpful ways to others.
When this child behaves with politeness and helpfulness in adulthood, which feeling will
most likely result?
a. Guilt
b. Anxiety
c. Humility
d. Self-esteem - ✔✔d. self-esteem
✔✔An adult says, "I never know the answers," and "My opinion does not count." Which
psychosocial crisis was unsuccessfully resolved for this adult?
a. Initiative versus guilt
b. Trust versus mistrust
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption - ✔✔c. Autonomy versus shame and doubt
✔✔Which statement by a client would lead the nurse to suspect unsuccessful
completion of the psychosocial developmental task of infancy?
a. "I know how to do things right, so I prefer jobs where I work alone rather than on a
team."
b. "I do not allow other people to truly get to know me."
c. "I depend on frequent praise from others to feel good about myself."
d. "I usually need to do things several times before I get them right." - ✔✔b. "I do not
allow other people to truly get to know me."
According to Erikson, the developmental task of infancy is the development of trust.
✔✔A client is suspicious and is frequently sarcastic toward others. To which
psychosexual stage do these traits relate?
,a. Oral
b. Anal
c. Phallic
d. Genital - ✔✔a. Oral
✔✔A client expresses a desire to be cared for by others and often behaves in a
helpless fashion. Which stage of psychosexual development is most relevant to the
client's needs?
a. Latency
b. Phallic
c. Anal
d. Oral - ✔✔d. Oral
✔✔A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too
busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these
statements contrast?
a. Trust and mistrust
b. Intimacy and isolation
c. Industry and inferiority
d. Generativity and self-absorption - ✔✔d. Generativity and self-absorption
✔✔An adult dies in a tragic accident. Afterward, the siblings plan a funeral service.
Which statement by a sibling best indicates a sense of self-actualization?
a. "Of all of us, I am the most experienced with planning these types of events."
b. "Funerals are supposed to be conducted quietly, respectfully, and according to a
social
protocol."
c. "This death was unfair, but I hope we can plan a service that everyone feels is a
celebration of life."
d. "This death was probably the consequence of years of selfish and inconsiderate
behavior
by our sibling." - ✔✔c. "This death was unfair, but I hope we can plan a service that
everyone feels is a
celebration of life."
✔✔A student nurse says, "I don't need to interact with my clients. I learn what I need to
know by observation." An instructor can best interpret the nursing implications of
Sullivan's theory to this student by providing what response?
a. "Interactions are required in order to help you develop therapeutic communication
skills."
, b. "Nurses cannot be isolated. We must interact to provide clients with opportunities to
practice interpersonal skills."
c. "Observing client interactions will help you formulate priority nursing diagnoses and
appropriate interventions."
d. "It is important to pay attention to clients' behavioral changes, because these signify
adjustments in personality." - ✔✔b. "Nurses cannot be isolated. We must interact to
provide clients with opportunities to practice interpersonal skills."
✔✔A nurse consistently encourages client to do his or her own activities of daily living. If
the client is unable to complete an activity, the nurse helps until the client is once again
independent. This nurse's practice is most influenced by which theorist?
a. Betty Neuman
b. Patricia Benner
c. Dorothea Orem
d. Joyce Travelbee - ✔✔c. Dorothea Orem
✔✔A nurse uses Maslow's hierarchy of needs to plan care for a client diagnosed with
mental illness. Which problem will receive priority?
a. Refusal to eat or bathe.
b. Reporting feelings of alienation from family.
c. Reluctance to participate in unit social activities.
d. Being unaware of medication action and side effects. - ✔✔a. Refusal to eat or bathe.
✔✔Operant conditioning is part of the treatment plan to encourage speech in a child
who is nearly mute. Which technique applies?
a. Encourage the child to observe others talking.
b. Include the child in small group activities.
c. Give the child a small treat for speaking.
d. Teach the child relaxation techniques. - ✔✔c. Give the child a small treat for
speaking.
✔✔The parent of a child diagnosed with schizophrenia tearfully asks the nurse, "What
could I have done differently to prevent this illness?" What is the nurse's best response?
a. "Although schizophrenia results from impaired family relationships, try not to feel
guilty.
No one can predict how a child will respond to parental guidance."
b. "Schizophrenia is a biological illness resulting from changes in how the brain and
nervous
system function. You are not to blame for your child's illness."
c. "There is still hope. Changing your parenting style can help your child learn to cope
effectively with the environment."
QUESTIONS SET A+
✔✔A nurse supports a parent for praising a child who behaves in helpful ways to others.
When this child behaves with politeness and helpfulness in adulthood, which feeling will
most likely result?
a. Guilt
b. Anxiety
c. Humility
d. Self-esteem - ✔✔d. self-esteem
✔✔An adult says, "I never know the answers," and "My opinion does not count." Which
psychosocial crisis was unsuccessfully resolved for this adult?
a. Initiative versus guilt
b. Trust versus mistrust
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption - ✔✔c. Autonomy versus shame and doubt
✔✔Which statement by a client would lead the nurse to suspect unsuccessful
completion of the psychosocial developmental task of infancy?
a. "I know how to do things right, so I prefer jobs where I work alone rather than on a
team."
b. "I do not allow other people to truly get to know me."
c. "I depend on frequent praise from others to feel good about myself."
d. "I usually need to do things several times before I get them right." - ✔✔b. "I do not
allow other people to truly get to know me."
According to Erikson, the developmental task of infancy is the development of trust.
✔✔A client is suspicious and is frequently sarcastic toward others. To which
psychosexual stage do these traits relate?
,a. Oral
b. Anal
c. Phallic
d. Genital - ✔✔a. Oral
✔✔A client expresses a desire to be cared for by others and often behaves in a
helpless fashion. Which stage of psychosexual development is most relevant to the
client's needs?
a. Latency
b. Phallic
c. Anal
d. Oral - ✔✔d. Oral
✔✔A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on
Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too
busy taking care of myself to volunteer to help others." Which psychosocial
developmental task do these
statements contrast?
a. Trust and mistrust
b. Intimacy and isolation
c. Industry and inferiority
d. Generativity and self-absorption - ✔✔d. Generativity and self-absorption
✔✔An adult dies in a tragic accident. Afterward, the siblings plan a funeral service.
Which statement by a sibling best indicates a sense of self-actualization?
a. "Of all of us, I am the most experienced with planning these types of events."
b. "Funerals are supposed to be conducted quietly, respectfully, and according to a
social
protocol."
c. "This death was unfair, but I hope we can plan a service that everyone feels is a
celebration of life."
d. "This death was probably the consequence of years of selfish and inconsiderate
behavior
by our sibling." - ✔✔c. "This death was unfair, but I hope we can plan a service that
everyone feels is a
celebration of life."
✔✔A student nurse says, "I don't need to interact with my clients. I learn what I need to
know by observation." An instructor can best interpret the nursing implications of
Sullivan's theory to this student by providing what response?
a. "Interactions are required in order to help you develop therapeutic communication
skills."
, b. "Nurses cannot be isolated. We must interact to provide clients with opportunities to
practice interpersonal skills."
c. "Observing client interactions will help you formulate priority nursing diagnoses and
appropriate interventions."
d. "It is important to pay attention to clients' behavioral changes, because these signify
adjustments in personality." - ✔✔b. "Nurses cannot be isolated. We must interact to
provide clients with opportunities to practice interpersonal skills."
✔✔A nurse consistently encourages client to do his or her own activities of daily living. If
the client is unable to complete an activity, the nurse helps until the client is once again
independent. This nurse's practice is most influenced by which theorist?
a. Betty Neuman
b. Patricia Benner
c. Dorothea Orem
d. Joyce Travelbee - ✔✔c. Dorothea Orem
✔✔A nurse uses Maslow's hierarchy of needs to plan care for a client diagnosed with
mental illness. Which problem will receive priority?
a. Refusal to eat or bathe.
b. Reporting feelings of alienation from family.
c. Reluctance to participate in unit social activities.
d. Being unaware of medication action and side effects. - ✔✔a. Refusal to eat or bathe.
✔✔Operant conditioning is part of the treatment plan to encourage speech in a child
who is nearly mute. Which technique applies?
a. Encourage the child to observe others talking.
b. Include the child in small group activities.
c. Give the child a small treat for speaking.
d. Teach the child relaxation techniques. - ✔✔c. Give the child a small treat for
speaking.
✔✔The parent of a child diagnosed with schizophrenia tearfully asks the nurse, "What
could I have done differently to prevent this illness?" What is the nurse's best response?
a. "Although schizophrenia results from impaired family relationships, try not to feel
guilty.
No one can predict how a child will respond to parental guidance."
b. "Schizophrenia is a biological illness resulting from changes in how the brain and
nervous
system function. You are not to blame for your child's illness."
c. "There is still hope. Changing your parenting style can help your child learn to cope
effectively with the environment."