ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 23 : Conception Through Young Adulthood Questions
Question 1 of 5
Nursing students attending a class on genomics are discussing its use in current nursing practice. Which statements by the students identify genetic principles that will challenge nurses to integrate genomics in their research, education, and practice? Select all that apply.
Correct Answer: A,B,E
Rationale: Health care providers are challenged to integrate genomics into their research, education, and practice. Genetic tests plus family history tools have the potential to identify people at risk for diseases. Pharmacogenetics studies how genetic variation affects a person's response to drugs, helping to determine if a patient is likely to have a strong therapeutic response or develop adverse effects to a drug. Genetic variation can either accelerate or slow the metabolism of many drugs. Evidence-based review panels and national databases are emerging challenges, but they are not principles of genomics. It is within a nurse's scope to discuss genetic findings and their impact on health.
Question 2 of 5
A nurse who is working with women in a drop-in shelter studies Carol Gilligan's theory of morality in women to use when planning care. According to Gilligan, what is the motivation for female morality?
Correct Answer: C
Rationale: In Gilligan's theory, women typically see moral requirements emerging from the needs of others within the context of a relationship. This moral orientation of women is called the ethic of care, which develops through three levels: Preconventional (Selfishness), Conventional (Goodness), and Postconventional (Nonviolence).
Question 3 of 5
A school nurse uses Kohlberg's theory of moral development as a basis for a roundtable discussion with parents on bullying. According to Kohlberg, what factor initially influences the moral development of propuestas?
Correct Answer: A
Rationale: The beginnings of moral development result from parent/caregiver-child communications during early childhood, as the young child tries to please parents and caregivers. Kohlberg's stages of moral development begin in childhood but may continue developing into adolescence and adulthood.
Question 4 of 5
A school nurse uses Havighurst's principles and theories of growth and development when planning programs for high school students. With this information, the nurse can assist students to correlate their behavior and decisions to which age-appropriate developmental task?
Correct Answer: D
Rationale: According to Havighurst, the role of the adolescent is to achieve a masculine or feminine gender role. Developing a conscience, morality, and a scale of values and achieving personal independence are roles of middle childhood. Finding a congenial social group is a role of young adulthood.
Question 5 of 5
While assessing a patient in the medical clinic, the patient tells the nurse: 'I'm currently a sales associate, but I'm considering a career move, which makes me somewhat anxious.' According to Levinson, what phase of adult life is this patient experiencing?
Correct Answer: C
Rationale: Midlife transition (ages 40 to 45 years) involves a reappraisal of goals and values, which may lead to career changes and associated anxiety. Entering the adult world (ages 22 to 28) involves trying different careers and lifestyles. Settling down (ages 33 to 40) focuses on investing energy in personally important areas. Entering middle adulthood (ages 45 to 50) involves committing to new tasks after forming a new life structure.