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TLE 9 3rd Quarter Exam

Test 1. Select all that apply
1. A client becomes angry and aggressive towards a caregiver after speaking on the phone with his
son. The caregiver learns that the son can’t visit as expected. Which interventions might the
caregiver use to help the client deal with his displacement anger?
a. Explore the client’s unmet needs
b. Avoid the client until he apologizes
c. Suggest that the client direct his anger at his son
d. Invite the client to a quiet place to talk
e. Assist the client in identifying alternate ways of approaching the problem
2. Which of the following interventions would be appropriate for rape victim?
a. Admit the client to the treatment area right away
b. Encourage the client to undergo an examination immediately in order to get it behind her
c. Assure the client that she’s safe in the examination room
d. Touch the client early on so that she knows that you are supportive
e. Allow a third party to be present if the client requests it
f. Ask “what” questions to determine the type of assault
3. A caregiver is engaging in a therapeutic relationship with a client. Which of the following
describe this?
a. identify and meet the needs of the client and nurse
b. help the client explore different problem-solving techniques
c. encourage the practice of new coping skills
d. give advice to the client
e. exchanging information with the client
f. discuss the client’s feelings with her family
4. A caregiver has developed a relationship with a client who has an addiction problem. Which
actions would indicate that the therapeutic interaction is in the working phase?
a. The client discusses how the addiction has contributed to the family distress
b. The client reluctantly shares the family history of addiction
c. The client verbalizes difficulty identifying persona strengths
d. The client discusses the financial problems related to addiction
e. The client expresses uncertainty about meeting with the caregiver
f. The client acknowledges the addiction’s effects on his children
5. A recent diagnosis of cancer has caused a client severe anxiety. Which of the following
interventions should you include in the plan of care?
a. Maintain a calm, nonthreatening environment
b. Explain relevant aspects of chemotherapy
c. Encourage the client to verbalize her concerns regarding the diagnosis
d. Encourage the client to deep-breathing exercises and other relaxation techniques during
periods of increased stress
e. Provide distractions for the client during periods of stress
f. Teach the stages of grieving to client

d. “Let’s talk about your mother’s illness and how it will progress.” Which of the following responses by the caregiver would be appropriate? a. “Don’t worry. “I don’t know what to say to my mother if she asks me if she’s going to die. A 26-year-old client with chronic renal failure was recently told by his physician that he is poor candidate for a transplant because of chronic uncontrolled diabetes mellitus. “the treatments are only 3 days a week. e. You interviews the family of a client hospitalized with severe depression and suicidal ideation. may have different meaning in different cultures.” b. whom should the caregiver consider to be part of the client’s family? Test II. Current family stressors 7.” Which of the following responses is appropriate? a. You can live with that. Then. Respect the client’s cultural beliefs c. A caregiver is caring for a client whose cultural back-ground is different from her own.” e.” c. Employment skills d. 10. A caregiver is assessing a newly admitted client. choose the best answer. According to Erikson.” 8. Say to the client. Consider that nonverbal cues. Now the client tells the caregiver. “I want to go off dialysis. Multiple Choice Direction: Read each question thoroughly and carefully.” d. Explain the caregiver’s beliefs so that the client will understand the differences. hospice will take care of your mother. “Tell your mother not to worry. Communication patterns e. Say to the client. “we all have days when we don’t feel like going on. Leave the room to allow the client privacy to collect his thoughts. Which of the following actions are appropriate for the caregiver to take? a. A client has just been diagnosed with terminal cancer and is being transferred to home hospice care. “You’re feeling upset about the news you got about the transplant.” c. b. In the family assessment. Let’s talk about that. d. Role expectations f.6. Ask the client if he has cultural or religious requirements that should be considered in his care. Physical pain b. I’d rather not live than be on this treatment for the rest of my life. Take a seat next to the client and sit quietly to reflect on what he said.” e. She still has some time left. Situation: Health Promotion and Care of Normal Growing and developing Infants 1. “You sound like you have some questions about your mother dying. What family assessment information is essential in formulating an effective plan of care? a.” 9. infancy is the age for developing which psychosocial task? . Say to the client. The client’s daughter tells the caregiver. “Tell me how you’re feeling about your mother dying. Personal responsibilities c. such as eye contact. Understand that all cultures experience pain in the same way. b.

8. Refined thumb-to-finger coordination b. Closed posterior fontanel b. Holds a slim rattle briefly c. Sense of identity versus role diffusion d. 6 month old and identifies he is growing normally because his present weight. A pair of molars d. Quadrupled c. A pair of upper central incisors b. Passage of urine and stools c. Washable c. Two pairs of incisors During a well-child visit. a. Between 11 and 12 months The clinic caregiver evaluates a 7-months-old infant for eruption of primary teeth and finds a normal eruption schedule. 3. Decrease in maternal hormones b. Which of the following does the caregiver expect to note in this infant? a. 5. Enhances development The caregiver assesses an 8-month-old infant. which of the following is least likely to be included in the caregiver’s response? a. Which is advance of the age? a. Tripled b. the caregiver weighs Baby James. Between 12 and 15 months d. Sense of industry 2-month-old infant is assessed for developmental milestones. Decreased When the mother asked the caregiver as to the reason(s) of the loss in weight of her 7-day-old infant. Rolls from back to side Which of the following is the most important characteristic of toys of infants? a. Presence of sepsis . Sense of trust versus mistrust c. Stands with support At which is the infant able to follow simple commands such as “Wave bye-bye” a. Sense of initiative versus guilt b. 7. Doubled d. Fears strangers c. Uses the word ‘Ma’ d. At his stage. compared to his birth weight has: a. Inadequate oral intake d. Brightly-colored d. 4. Between 4 and 5 months c. 6. A pair of lower central incisors c.2. Small b. Between 8 to 9 months b. how many primary teeth are expected? a. Exhibits social smile d.

cereal. vegetable. To promote bonding between the newborn and the mother. fish 13. Aspiration 14. meat. Jane has finished with her mother’s class on well-child care and prevention of diseases and injuries in children. which of stage is this? a. fish b. Breastfeeding provides all the protection needed by the infant. Advise the mother to breastfeed every 2 hours d. meat. Fruit. Vegetables. 90 – 100 ml 15. Cereal.9. Preoperational stage b. What is the gastric capacity of a 4-mont-old infant? a. Encourage and support breastfeeding c. 160 – 180 ml c. Colic b. Which is the most common? a. Encourage the mother to hold the newborn during bottlefeeding 10. vegetables. Breastfeeding provides the best milk for infants b. Concrete operations stage . Cereal. vegetable. Vomiting d. 45-60 ml b. The caregiver’s response should be based on the knowledge that: a. A mother asks the caregiver if there is still a need to submit her son for immunization even iif he already receives ample antibiotics from her breast milk. Sensorimotor c. The following are feeding problems in infancy. The clinic caregiver instructs the mother on the instruction of solid foods to her baby. meat. such that there is no need for immunization c. Milk 12. which of the following measures is most appropriate to implement? a. fruit. Breastfeeding can only provide the baby antibodies that the mother herself has so the baby still needs to be immunized d. According to Piaget. Breastfeeding provides active immunity against all childhood diseases 11. Meats d. fish c. cereal. fish d. Involve parents in the care of newborn b. Diarrhea c. Vegetables c. To prevent vomiting in infants. fruit. Fruits b. She opens the session for an open forum. 210 -220 ml d. Which of the following is the correct sequence of introducing solids? a. To stimulate the senses of infants and provide early mental feeding is to meet the needs of this cognitive stage of infancy. Which of these food items is considered the most allergic food? a. fruit. one measure is avoiding them. meat. Food allergy is one of the problems in infant feeding.

Pleasure stage a. Father d. Mother c. Breast milk has more calories per ounce than cow’s milk c. a caregiver notices the watchers of other patients in the unit gathered around Luis. Id stage 3. Breast milk has more sugar than cow’s milk The most significant person to the infant is the _______ a. Stage for development of the self 4. Hold the child’s arms down b. 1. except_______ Standing without support Walking with assistance Having 4-5 words in his vocabulary Closing of the bregma The caregiver explains to a group of mothers the differences between breast milk and cow’s milk. Cow’s milk is richer in protein and minerals that breast milk b. on the floor having an episode. c. b. Oral stage 2. the father of modern psychiatry. 18. d. 1 and 2 only Situation: Upon returning to the cubicle. d. 1.2.4 d. a 5-year-old child with recurrent seizures (epilepsy). the following developmental milestones can be demonstrated by the child. the age of infancy corresponds to the _______ 1. Move the child back to his bed c. Place something in the child’s mouth . Which is incorrect? a. 19. All of the above According to Sigmund Freud.3 b. 17. which of the following measures is most important? a. Parents b. The infant should be fed whenever he cries c. Formal operations stage At 12 months.2. Breast milk contains antibodies that protect the child against childhood diseases d.16. Cradle the child’s head in her lap d. The mother should always be at home b. Basic family In order to foster the development of sense of trust in infants. 2. 21.3. The infant’s needs should be met consistently d. 20. a. The best immediate response of the caregiver would be to _____ a.4 c.

Anal b. Hirschsprung’s disease 24. and diarrheic and have a foul odor. pale. In explaining to parents about parallel play in toddlers. “My 1-1/2 year-old child recently passed several stools that are large. Rice cereals Situation: Health Promotion and Care of Normal Growing and Developing Toddlers 26. each playing with his toy d.” 23. Autonomy c. Go tells a caregiver. Which of these is leading cause of delay in achieving toilet training? a. Breaded chicken and gravy d. Strictly monitor I and O b. Congenital defect d. the caregiver should suspect that the child has developed_______ a. Starting early with toilet training c. The foods are high in gluten and should be avoided include_____ a. The nursing diagnosis high-risk for injury is the priority in the care of children with epilepsy d. 2-year-old peter is in which stage of psychosocial development? a. Parents need not encourage their toddlers to share during parallel play c. The causes of the most cases of epilepsy remain unknown b. According to Erikson. Intrussusceptions c. Parallel play is when two toddlers are seated together or side by side. There is still a stigma connected with the term epilepsy c. Las attitude of the mother towards toilet training 27. Based on this information. It is normal for toddlers not to share b. Prevent infection 25. All of the above 28.22. If Pete gets admitted because of celiac crisis. Chronic illness b. Rice cake b. Parents should encourage toddlers to cooperate and share at play . with the exception of: a. Pre-conceptual d. Implement IV therapy promptly c. Biliary atresia b. Celiac disease d. All cases of epilepsy can be controlled by medications Situation: Mrs. Avoid gluten-rich foods d. To caregiver is reinforcing the teaching on how to prevent celiac crisis to the parents of a child with celiac disease. which of the following actions should be done to reverse the crisis? a. which should be excluded by the caregiver? a. Corn flakes c. The following statements concerning epilepsy are true.

Cruises c. The caregiver notices this characteristic as quite delayed in a 2-year-old chid: a. as this trait is normal in the stage b. Walks alone b. Bring the child to the paediatrician for evaluation . Runs fairly well d.29. Climbs stairs 30. Be strict so he will learn the virtue of obedience early d. Give simple choices he can choose from c. Which advice will you give a mother who expresses concern over her child’s negativism? a. Ignore the child’s behaviour.