Complete Final Exam (Qns & Ans)
2025
1. Scenario: A preterm infant in a neonatal intensive care unit
shows difficulty maintaining stable blood glucose levels and
exhibits lethargy. The nurse explains that early life is
characterized by a “sensitive period” during which appropriate
sensory stimulation can optimize neural outcomes. Which
intervention best reflects this advanced growth concept?
- A) Routinely minimizing caregiver contact to reduce
overstimulation
- B) Implementing gentle tactile stimulation and skin-to-skin
contact
- C) Prioritizing high-intensity auditory stimulation to
promote alertness
- D) Delaying feeding to allow for metabolic stabilization
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, ANS: B) Implementing gentle tactile stimulation and skin-to-
skin contact
Rationale: During the sensitive (or critical) period, positive
sensory experiences such as gentle touch and skin-to-skin contact
are crucial for neural development and stress regulation in
preterm infants.
2. Scenario: During a routine well-child visit, a 2-year-old is
noted to have delayed language development compared to age
norms. The nurse applies Piaget’s Cognitive Development Theory
to guide the intervention. Which characteristic of the
preoperational stage is most relevant in this case?
- A) Ability to think logically about abstract concepts
- B) Use of symbolic thinking accompanied by egocentrism
- C) Development of conservation skills
- D) Mastery of operational reasoning
ANS: B) Use of symbolic thinking accompanied by
egocentrism
Rationale: In the preoperational stage (typically ages 2 to 7),
children develop symbolic thinking but are still egocentric.
Recognizing these traits helps the nurse tailor language
interventions using play and symbolic activities.
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,3. Scenario: An adolescent patient in a community clinic
displays confusion about personal values and goals, along with
experimentation in peer groups. Which psychosocial conflict,
according to Erikson’s theory, is central to this stage of
development?
- A) Trust vs. Mistrust
- B) Autonomy vs. Shame and Doubt
- C) Initiative vs. Guilt
- D) Identity vs. Role Confusion
ANS: D) Identity vs. Role Confusion
Rationale: Erikson’s fifth stage, Identity vs. Role Confusion,
typically occurs during adolescence. This stage involves forming
a coherent sense of self while navigating peer influences and
experimentation, making it pivotal for understanding adolescent
behaviors.
4. Scenario: A middle-aged patient expresses dissatisfaction
with stagnant life goals and a sense of unfulfilled purpose. The
nurse recognizes these concerns as aspects of what Erikson stage?
- A) Integrity vs. Despair
- B) Generativity vs. Stagnation
- C) Initiative vs. Guilt
- D) Identity vs. Role Confusion
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, ANS: B) Generativity vs. Stagnation
Rationale: In Erikson’s stage of Generativity vs. Stagnation
(typically mid-adulthood), individuals seek to contribute
meaningfully to society and nurture the next generation; failure to
achieve this may result in feelings of stagnation and discontent.
5. Scenario: A nurse conducts a cognitive assessment on an
elderly patient who shows slowed processing speed yet retains a
rich vocabulary and accumulated knowledge. Which concept best
explains this pattern?
- A) Fluid intelligence
- B) Crystallized intelligence
- C) Sensory integration deficit
- D) Executive dysfunction
ANS: B) Crystallized intelligence
Rationale: Crystallized intelligence encompasses learned
knowledge and experiences that typically remain stable or even
improve throughout life, whereas fluid intelligence (processing
speed and novel problem solving) tends to decline with age.
6. Scenario: A child who experienced significant early
adversity now demonstrates marked resilience in overcoming
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