1), Varcarolis: Ch. 13, 14, 17, 18, 19, 21, 22, 23, 24 (Unit 2)
Questions With Complete Solutions
A 10-year-old child cares for siblings while the parents work
because the family cannot afford a babysitter. This child says,
"My father doesn't like me. He calls me stupid all the time." The
mother says the father is easily frustrated and has trouble
disciplining the children. The community health nurse should
consider which resources to stabilize the home situation?
Select all that apply.
a. Parental sessions to teach childrearing practices
b. Anger management counseling for the father
c. Continuing home visits to provide support
d. Safety plan for the wife and children
e. Placement of the children in foster care correct answers ABC
A 26-month-old child displays negative behavior, refuses toilet
training, and often shouts, "No!" when given direction. The
nurse's counseling with the parent should be based on the
premise that the child is engaged in which of Erikson's
psychosocial crises?
a. Trust versus Mistrust
b. Initiative versus Guilt
c. Industry versus Inferiority
,d. Autonomy versus Shame and Doubt correct answers D
A 26-month-old child displays negative behavior, refuses toilet
training, and often shouts, "No!" when given directions. Using
Freud's stages of psychosexual development, a nurse would
assess the child's behavior is based on which stage?
a. Oral
b. Anal
c. Phallic
d. Genital correct answers B
A 26-month-old child displays negative behaviors. The parent
says, "My child refuses toilet training and shouts, 'No!' when
given direction. What do you think is wrong?" Select the nurse's
best reply.
a. "This is normal for your child's age. The child is striving for
independence."
b. "The child needs firmer control. Punish the child for
disobedience and say, 'No.'"
c. "There may be developmental problems. Most children are
toilet trained by age 2 years."
d. "Some undesirable attitudes are developing. A child
psychologist can help you develop a remedial plan." correct
answers A
A 4-year-old child grabs toys from siblings, saying, "I want that
toy now!" The siblings cry, and the child's parent becomes upset
with the behavior. Using the Freudian theory, a nurse can
interpret the child's behavior as a product of impulses
originating in the:
a. id.
,b. ego.
c. superego.
d. preconscious. correct answers A
A 40-year-old adult living with parents states, "I'm happy but I
don't socialize much. My work is routine. When new things
come up, my boss explains them a few times to make sure I
understand. At home, my parents make decisions for me, and I
go along with them." A nurse should identify interventions to
improve this patient's:
a. self-concept.
b. overall happiness.
c. appraisal of reality.
d. control over behavior. correct answers A
A basic level registered nurse works with patients in a
community setting. Which groups should this nurse expect to
lead? Select all that apply.
a. Symptom management
b. Medication education
c. Family therapy
d. Psychotherapy
e. Self-care correct answers A B E
A bill introduced in Congress would reduce funding for the care
of people with mental illnesses. A group of nurses write letters
to their elected representatives in opposition to the legislation.
Which role have the nurses fulfilled?
a. Advocacy
b. Attending
, c. Recovery
d. Evidence-based practice correct answers A
A child is placed in a foster home after being removed from
parental contact because of abuse. The child is apprehensive and
overreacts to environmental stimuli. The foster parents ask the
nurse how to help the child. What should the nurse recommend?
Select all that apply.
a.
Use a calm manner and low voice.
b.
Maintain simplicity in the environment.
c.
Avoid repetition in what is said to the child.
d.
Minimize opportunities for exercise and play.
e.
Explain and reinforce reality to avoid distortions. correct
answers A B E
A child was abducted and raped. In the emergency department,
this victim is confused and crying. Which personal reaction by
the nurse could interfere with this victim's care?
a. Anger
b. Concern
c. Empathy
d. Compassion correct answers A