ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 23 Questions
Question 1 of 5
When caring for older adults in a long-term care facility, a nurse encourages an older adult to talk about past life events. One patient tells the nurse they were an angry person, lost many jobs, and ended up alone. According to Erikson, this patient is in what developmental stage?
Correct Answer: A
Rationale: Reminiscence during the older years of a person's life provides a sense of fulfillment and purpose (ego integrity). The patient's description of anger, job loss, and loneliness suggests they are experiencing despair, which occurs when a person believes their life has been a series of failures or missed directions.
Question 2 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.
Question 3 of 5
A nurse assessing a toddler in a pediatric office tells the parents that the child is in the 90th percentile for height and weight and has blue eyes. The nurse explains these physical characteristics are primarily determined by which of the following?
Correct Answer: C
Rationale: Physical appearance and growth have a predetermined genetic base in inheritance patterns carried on the chromosomes.
Question 4 of 5
A nurse is teaching parents of preschoolers the types of behavior to expect from their children based on developmental theories. Which statements describe this stage of development? Select all that apply.
Correct Answer: A,D,E
Rationale: According to Freud, the child is in the phallic stage. According to Fowler, the child imitates religious behavior of others. According to Kohlberg, the child defines satisfying acts as right. According to Erikson, the child is in the initiative versus guilt stage, not trust versus mistrust. According to Havighurst, the child is learning sex differences, forming concepts, and getting ready to read. Achieving gender-specific social roles is associated with adolescence, not preschoolers.
Question 5 of 5
A parent shares with the nurse in the pediatric clinic that their 12-month-old cries when they leave the room or hide a favorite stuffed animal. The nurse explains that object permanence typically occurs in which group?
Correct Answer: B
Rationale: Object permanence, the understanding that objects continue to exist even when out of sight, typically develops between 12 to 18 months according to Piaget's sensorimotor stage. A 12-month-old crying when a parent leaves or a toy is hidden indicates they are beginning to develop this concept.