Fundamental Nursing Care, 2nd Edition by Roberta Pavy Ramont
Fundamental Nursing Care, 2nd Edition by Roberta Pavy Ramont
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Chapter 11 Life Span Development
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)During a class discussion about life span development, an instructor asks the nursing students togive examples of the relationship of a nurse’s moral development to that nurse’s clinical practice.Which example indicates that a nurse has incorporated a high level of moral development intoclinical practice?1)A)A newly hired nurse wants to do well and be liked by everyone.B)A nurse follows the rules of the employer.C)A nurse supports and implements the Patient’s Bill of Rights.D)A nurse refuses to care for a client who has had an abortion.Answer:CExplanation:A)The highest level of moral development, according to Kohlberg, is evidenced by anunderstanding of the principles of human rights and a personal conscience. Lawsare upheld because they protect universal rights, not singularly because of a licenseor a facility. Basing clinical practice on the approval of others is an example ofKohlberg’s middle or conventional level. A nurse may refuse to care for a clientwho has had an abortion because of his or her religious beliefs, except in the case ofan emergency or when a client’s life is in danger. This statement is too general toselect as the correct answer.EvaluationHealth Promotion and MaintenanceApplicationB)The highest level of moral development, according to Kohlberg, is evidenced by anunderstanding of the principles of human rights and a personal conscience. Lawsare upheld because they protect universal rights, not singularly because of a licenseor a facility. Basing clinical practice on the approval of others is an example ofKohlberg’s middle or conventional level. A nurse may refuse to care for a clientwho has had an abortion because of his or her religious beliefs, except in the case ofan emergency or when a client’s life is in danger. This statement is too general toselect as the correct answer.EvaluationHealth Promotion and MaintenanceApplicationC)The highest level of moral development, according to Kohlberg, is evidenced by anunderstanding of the principles of human rights and a personal conscience. Lawsare upheld because they protect universal rights, not singularly because of a licenseor a facility. Basing clinical practice on the approval of others is an example ofKohlberg’s middle or conventional level. A nurse may refuse to care for a clientwho has had an abortion because of his or her religious beliefs, except in the case ofan emergency or when a client’s life is in danger. This statement is too general toselect as the correct answer.EvaluationHealth Promotion and MaintenanceApplication1
D)The highest level of moral development, according to Kohlberg, is evidenced by anunderstanding of the principles of human rights and a personal conscience. Lawsare upheld because they protect universal rights, not singularly because of a licenseor a facility. Basing clinical practice on the approval of others is an example ofKohlberg’s middle or conventional level. A nurse may refuse to care for a clientwho has had an abortion because of his or her religious beliefs, except in the case ofan emergency or when a client’s life is in danger. This statement is too general toselect as the correct answer.EvaluationHealth Promotion and MaintenanceApplication2)A 7-year-old child has been diagnosed with acute glomerulonephritis and is to be on bedrest athome until there is no longer any hematuria. It is expected that this will be approximately twoweeks. The child’s parents ask the home care nurse for suggestions for appropriate activities for thechild during this time. The most appropriate suggestion by the nurse is for the parents to:2)A)Have the child select a favorite stuffed animal for company when the parents are busy withother household requirements.B)Provide the child with safety scissors, several magazines with pictures, paste, and paper tomake a book project.C)Have school friends visit for short periods of time each day so the children can play videogames.D)Get a selection of picture books from the library each week.Answer:BExplanation:A)A 7-year-old child is able to use blunt end scissors safely and correctly. Anongoing project will hold the child’s (and the parent’s) interest over time. Therewill be a finished product at the end of the bedrest limitations. This activity isappropriate for the child’s age, manual skills, and developmental stage. A selectionof books from the library is a good choice except that picture books are moreappropriate for the toddler and preschool-age child. A stuffed animal is not thebest choice either as an activity or as a replacement for the parents. Children withacute glomerulonephritis need a quiet environment, which is not likely to occurwith a group of school friends playing games.ImplementationHealth Promotion and MaintenanceAnalysisB)A 7-year-old child is able to use blunt end scissors safely and correctly. Anongoing project will hold the child’s (and the parent’s) interest over time. Therewill be a finished product at the end of the bedrest limitations. This activity isappropriate for the child’s age, manual skills, and developmental stage. A selectionof books from the library is a good choice except that picture books are moreappropriate for the toddler and preschool-age child. A stuffed animal is not thebest choice either as an activity or as a replacement for the parents. Children withacute glomerulonephritis need a quiet environment, which is not likely to occurwith a group of school friends playing games.ImplementationHealth Promotion and MaintenanceAnalysis2
C)A 7-year-old child is able to use blunt end scissors safely and correctly. Anongoing project will hold the child’s (and the parent’s) interest over time. Therewill be a finished product at the end of the bedrest limitations. This activity isappropriate for the child’s age, manual skills, and developmental stage. A selectionof books from the library is a good choice except that picture books are moreappropriate for the toddler and preschool-age child. A stuffed animal is not thebest choice either as an activity or as a replacement for the parents. Children withacute glomerulonephritis need a quiet environment, which is not likely to occurwith a group of school friends playing games.ImplementationHealth Promotion and MaintenanceAnalysisD)A 7-year-old child is able to use blunt end scissors safely and correctly. Anongoing project will hold the child’s (and the parent’s) interest over time. Therewill be a finished product at the end of the bedrest limitations. This activity isappropriate for the child’s age, manual skills, and developmental stage. A selectionof books from the library is a good choice except that picture books are moreappropriate for the toddler and preschool-age child. A stuffed animal is not thebest choice either as an activity or as a replacement for the parents. Children withacute glomerulonephritis need a quiet environment, which is not likely to occurwith a group of school friends playing games.ImplementationHealth Promotion and MaintenanceAnalysis3)A male school nurse is presenting a health education class for 9th-grade students. When the nurseuses the words “penis” and “vagina” several students begin to laugh and talk loudly with eachother, while other students are very quiet and a few appear embarrassed. What is the mostimportant understanding for the nurse to use to base his response to the students?3)A)Laughing with the students will decrease the tension in the room.B)Adolescence is a time to develop more mature relations with age-mates.C)The students may be more uncomfortable with the information because the school nurse is amale.D)People of all ages are uncomfortable with explicit terminology for body organs and functions.Answer:BExplanation:A)Students in the 9th grade are approximately 14-15 years of age. This age child isexperiencing expected body image changes with sexual maturation. Using correctterminology for the reproductive structures is appropriate and the students need tobe assisted to increase their comfort in discussions using these terms, as part oftheir health education. Saying that people of all ages are uncomfortable withexplicit terminology for body organs and functions is too general and does notprovide insight that is helpful in moving the students past the laughter andembarrassment. Laughing with the students responds only to those students whoare laughing. While laughter does decrease tension and is appropriate in somesettings, for the instructor to laugh with the students at this time reinforces the ideathat the terms are funny. Stating that the students are uncomfortable because thenurse is a male makes an assumption that the student’s responses are based on theteacher’s gender.EvaluationHealth Promotion and MaintenanceAnalysis3
B)Students in the 9th grade are approximately 14-15 years of age. This age child isexperiencing expected body image changes with sexual maturation. Using correctterminology for the reproductive structures is appropriate and the students need tobe assisted to increase their comfort in discussions using these terms, as part oftheir health education. Saying that people of all ages are uncomfortable withexplicit terminology for body organs and functions is too general and does notprovide insight that is helpful in moving the students past the laughter andembarrassment. Laughing with the students responds only to those students whoare laughing. While laughter does decrease tension and is appropriate in somesettings, for the instructor to laugh with the students at this time reinforces the ideathat the terms are funny. Stating that the students are uncomfortable because thenurse is a male makes an assumption that the student’s responses are based on theteacher’s gender.EvaluationHealth Promotion and MaintenanceAnalysisC)Students in the 9th grade are approximately 14-15 years of age. This age child isexperiencing expected body image changes with sexual maturation. Using correctterminology for the reproductive structures is appropriate and the students need tobe assisted to increase their comfort in discussions using these terms, as part oftheir health education. Saying that people of all ages are uncomfortable withexplicit terminology for body organs and functions is too general and does notprovide insight that is helpful in moving the students past the laughter andembarrassment. Laughing with the students responds only to those students whoare laughing. While laughter does decrease tension and is appropriate in somesettings, for the instructor to laugh with the students at this time reinforces the ideathat the terms are funny. Stating that the students are uncomfortable because thenurse is a male makes an assumption that the student’s responses are based on theteacher’s gender.EvaluationHealth Promotion and MaintenanceAnalysisD)Students in the 9th grade are approximately 14-15 years of age. This age child isexperiencing expected body image changes with sexual maturation. Using correctterminology for the reproductive structures is appropriate and the students need tobe assisted to increase their comfort in discussions using these terms, as part oftheir health education. Saying that people of all ages are uncomfortable withexplicit terminology for body organs and functions is too general and does notprovide insight that is helpful in moving the students past the laughter andembarrassment. Laughing with the students responds only to those students whoare laughing. While laughter does decrease tension and is appropriate in somesettings, for the instructor to laugh with the students at this time reinforces the ideathat the terms are funny. Stating that the students are uncomfortable because thenurse is a male makes an assumption that the student’s responses are based on theteacher’s gender.EvaluationHealth Promotion and MaintenanceAnalysis
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