A nurse assessing a toddler should consider which finding abnormal?
- A. Lumbar lordosis
- B. Cyanotic nail beds
- C. A protruding abdomen
- D. A convex lumbar curve
Correct Answer: B
Rationale: Normal assessment findings in a toddler include lumbar lordosis (convex lumbar curve) and a protruding abdomen. Cyanotic nail beds are an abnormal finding.
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What is the stage of family development that begins when the couple acknowledges that they are considering marriage?
- A. Expectant stage
- B. Parenthood stage
- C. Establishment stage
- D. Engagement/commitment stage
Correct Answer: D
Rationale: The engagement/commitment stage begins when the couple acknowledges to themselves and others that they are considering marriage. At this time, opposition or support will be evident from friends and parents. Wedding plans must be arranged. Housing, work, and furnishings are some of the items discussed and explored.
The nurse reminds an older adult patient that the task for the older adult is to achieve ego integrity. Failure to achieve this task results in which of the following?
- A. Failure
- B. Despair
- C. Reminiscing
- D. Accomplishment
Correct Answer: B
Rationale: The challenge of late adulthood is integrity versus despair.
Which theory of aging suggests that previously developed coping abilities and the ability to maintain previous roles and activities are critical to adjustment to old age?
- A. Continuity theory
- B. Autoimmunity theory
- C. Wear-and-tear theory
- D. Disengagement theory
Correct Answer: A
Rationale: Supporters of the continuity theory suggest that the critical factors in adjustment to old age are previously developed coping abilities and the ability to maintain previous roles and activities.
Which theory of aging suggests that there should be a natural withdrawal between the individual and society?
- A. Free radical theory
- B. Autoimmunity theory
- C. Wear-and-tear theory
- D. Disengagement theory
Correct Answer: D
Rationale: According to supporters of the disengagement theory of aging, there should be a natural withdrawal, or disengagement, between the individual and society.
A 5-year-old who has an imaginary friend with whom he converses frequently is displaying characteristics consistent with which of Piaget's stages of cognitive development?
- A. Operational stage
- B. Preoperational stage
- C. Formal operations stage
- D. Concrete operations stage
Correct Answer: B
Rationale: Piaget's preoperational stage describes the preschooler as imaginative and egocentric, believing in magical thinking.
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