Journey Across The Life Span Human Development And Health Promotion 5th Edition By Polan, Elaine U – Test Bank

 

 

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Sample Questions

 

Chapter 4. Communication

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   Communication is the:

a.	Last step in the nursing process
b.	Most vital link between diagnosis and disease
c.	Exchange of information and ideas
d.	Basis for all thinking processes

 

 

____    2.   Part of the communication process is:

a.	Emotions
b.	Mental
c.	Physical
d.	Feedback

 

 

____    3.   The person who interprets the message is called the:

a.	Sender
b.	Receiver
c.	Method
d.	Process

 

 

____    4.   A form of verbal communication is:

a.	Body language
b.	Gestures
c.	Appearance
d.	Words

 

 

____    5.   A professional appearance by the health-care worker can communicate:

a.	Incompetence
b.	Uncaring
c.	Pride
d.	Acceptance

 

 

____    6.   Which of the following behaviors by your patient indicates a willingness to communicate?

a.	Downcast eyes
b.	Face toward you
c.	Legs tightly crossed
d.	Slumping posture

 

 

____    7.   Which of the following describes nonverbal behavior?

a.	Gestures
b.	Spoken word
c.	Tone of voice
d.	Aggressive style

 

 

____    8.   Periods of silence during the communication process allow the health-care worker to:

a.	Redirect the patient
b.	Observe nonverbal behavior
c.	Relieve the patient’s anxiety
d.	Minimize rejection

 

 

____    9.   The communication style that serves to empower the individual is:

a.	Assertive
b.	Unassertive
c.	Aggressive
d.	Passive

 

 

____  10.   Therapeutic communication:

a.	Serves the needs of both participants
b.	Involves equal sharing of thoughts and feelings
c.	Is light and superficial in nature
d.	Promotes trust and a good rapport

 

 

____  11.   Active listening requires an active mind and:

a.	Closed posture
b.	Leaning forward toward the patient
c.	Staring intently at the patient
d.	Sitting alongside the patient

 

 

____  12.   Being yourself as well as being open and truthful describe:

a.	Warmth
b.	Listening
c.	Genuineness
d.	Positive regard

 

 

____  13.   Understanding the patient’s feelings and viewing the world as the patient does describes:

a.	Sympathy
b.	Empathy
c.	Positive regard
d.	Congruence

 

 

____  14.   Agreement between spoken words and body language describes:

a.	Congruence
b.	Empathy
c.	Positive regard
d.	Validation

 

 

____  15.   Gaining insight into your personal feelings is an example of:

a.	Empathy
b.	Biases
c.	Proxemics
d.	Self-awareness

 

 

____  16.   You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The technique used is satisfactory if Sally:

a.	Speaks to Gerry from his doorway
b.	Speaks to Gerry in a loud tone
c.	Speaks with Gerry in a darkened room
d.	Asks Gerry for feedback verbally or in writing

 

 

____  17.   You overheard Jane telling her mother that she is afraid to ride over the bridge, and Jane’s mother responds, “Don’t be silly. Let’s go.” This is an example of:

a.	Stereotyping
b.	Belittling
c.	Giving advice
d.	Giving false reassurance

 

 

____  18.   Mary, an elderly patient in the nursing home, states, “They are not doing anything to help me.” Your best response would be:

a.	“Don’t worry. You will feel better soon.”
b.	“What do you want us to do?”
c.	“We are taking good care of you.”
d.	“Describe when you began feeling this way.”

 

 

____  19.   John, age 54, is admitted for day surgery and is anxious and tense during the procedure. How would you respond?

a.	“Calm down. You will be fine.”
b.	“You will only need light anesthesia.”
c.	“You’re not dying. Why are you thinking this way?”
d.	“You seem to be concerned about the surgery.”

 

 

____  20.   After completing morning care for Sarah, an 83-year-old patient in the nursing home, she states, “You are the only one who takes the time to care for me.” Your best response would be:

a.	“You are still complaining, Sarah.”
b.	“You feel others don’t take the time?”
c.	“You are such a worrier.”
d.	“Sarah, you know that’s not true.”

 

 

____  21.   Which open-ended question would best help a person describe his or her pain?

a.	“Do you have a lot of pain?”
b.	“Does it hurt when you walk?”
c.	“Is your pain sharp?”
d.	“Describe what your pain is like.”

 

 

____  22.   The caregiver notices that one of her patients is in her room crying. The caregiver’s best response is:

a.	“I’m sure things will get better.”
b.	“A good cry will make you feel better.”
c.	“It may help to talk about what is upsetting you.”
d.	“Crying is just a waste of time.”

 

 

____  23.   Your patient is usually very verbal. Today the caregiver notes that the patient is withdrawn and quiet. The best caregiver action is to:

a.	Allow the patient to have privacy and time alone.
b.	Attempt to offer light, superficial conversation.
c.	State that “you need to talk about your problems.”
d.	Spend time with her and continue to observe her behavior.

 

 

____  24.   The caregiver says, “I’m not sure of the answer to your question.” This response indicates that the caregiver is:

a.	Evasive
b.	Uninformed
c.	Genuine
d.	Nontherapeutic

 

 

____  25.   Touching a client suddenly without warning may be interpreted as:

a.	Affectionate
b.	Invasive
c.	Empathic
d.	Comforting

 

 

____  26.   Telling a client that you know exactly what the client is going through is an example of:

a.	False reassurance
b.	Giving advice
c.	Stereotyping
d.	Agreeing

 

 

____  27.   When a health-care worker changes the subject during a patient interaction, the result may:

a.	Foster support of the client
b.	Reduce the health-care worker’s anxiety
c.	Add emphasis to the message
d.	Build trust

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____    1.   Which of the following comments would be nontherapeutic? (Select all that apply.)

a.	“You should stop smoking.”
b.	“Why are you always complaining?”
c.	“I think you are making the right decision.”
d.	“How are you feeling about this?”
e.	“Let’s talk about happier times.”

 

 

____    2.   Which of the following influences how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.)

a.	Age
b.	Feelings
c.	Gender
d.	Attitude
e.	Past experience

 

 

True/False

Indicate whether the statement is true or false.

 

____    1.   Touch has different meanings to different individuals.

 

____    2.   The intonation of a person’s voice gives clues to the true emotional meaning of the message.

 

____    3.   Agreeing, providing false reassurance, and changing the subject can be blocks to therapeutic communication.

 

____    4.   Touch can elicit both negative and positive reactions, depending on cultural interpretation.

Chapter 7. Toddlerhood

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____    1.   May is worried that 2 1/2-year-old Tracy has not grown in the past few months. The best response would be:

a.	“It is normal for growth to be slow at this time.”
b.	“This could be a sign of bone disease.”
c.	“This results from a poor state of nutrition.”
d.	“She is expected to grow 4 to 5 inches during this period.”

 

 

____    2.   To help increase visual acuity in 2-year-old Charles, you would have his parents:

a.	Hold large objects at close range
b.	Place colored objects on the wall 19 feet away
c.	Hold brightly colored paintings at close range
d.	Hold large objects 6 feet away

 

 

____    3.   Bedtime rituals provide the child with a:

a.	Sense of security
b.	Sense of vulnerability
c.	Feeling of panic
d.	Sleepless night

 

 

____    4.   Children are prone to accidents because:

a.	They act like grown-ups
b.	Of an inability to recognize danger
c.	Of poor peripheral vision
d.	Of muscle weakness

 

 

____    5.   The typical potbellied appearance of the toddler is due to:

a.	Rapid growth in the limbs
b.	Separation of the vertebrae
c.	Weak abdominal muscles
d.	A rounded chest wall

 

 

____    6.   In a greenstick fracture, the bone:

a.	Breaks in two distinct pieces
b.	Breaks in several small pieces
c.	Breaks and punctures the skin
d.	Bends but does not break

 

 

____    7.   Toddlers are more prone to ear infection because the:

a.	Internal ear is larger than that of an adult
b.	Bones in the inner ear have not fused
c.	Eustachian tube is shorter and wider
d.	Ear fills more rapidly with wax

 

 

____    8.   At what age can a child climb the stairs two feet at a time?

a.	18 months
b.	12 months
c.	2 years
d.	3 years

 

 

____    9.   Hand dominance is not determined until:

a.	15 months
b.	12 months
c.	2 years
d.	3 years

 

 

____  10.   Bladder training can usually be accomplished by age:

a.	3 1/2 years
b.	18 months
c.	12 months
d.	2 years

 

 

____  11.   After and during toilet training, accidents should be handled:

a.	By scolding the child
b.	In a matter-of-fact way
c.	Aggressively
d.	By punishing the child

 

 

____  12.   Discipline in the toddler years is directed toward:

a.	Denying the child freedom
b.	Giving more opportunities to explore
c.	Challenging creativity
d.	Developing good behavior

 

 

____  13.   To reduce temper tantrums, the parent would best be instructed to:

a.	Restrict the child’s movement
b.	Punish the child
c.	Give the child more choices
d.	Remove the child from the environment

 

 

____  14.   In object permanence, the toddler:

a.	No longer believes objects will disappear
b.	Is afraid that the mother will abandon him or her
c.	Believes objects change and disappear
d.	Has paranoid tendencies

 

 

____  15.   The toddler’s eating habits are often influenced by:

a.	Siblings
b.	Reward
c.	Instinct
d.	Play

 

 

____  16.   The parent of 3-year-old Camille complains that she has eaten only a small amount of food over the past week. She does not appear to be ill, and her mother would like to know how to resolve the problem. You would advise her that:

a.	In order to maintain her nutritional state, she must be force fed.
b.	This is not an unusual pattern and will disappear without any intervention.
c.	Allowing play at and close to mealtimes can stimulate the appetite.
d.	Using a stool softener or laxative at night can stimulate the appetite.

 

 

____  17.   To foster good eating habits, toddlers should have:

a.	Large meals offered
b.	At least three meals per day
c.	Staggered mealtimes
d.	An appetite stimulant

 

 

____  18.   Play that is symbolic means the child:

a.	Engages in pretend play
b.	Likes to squeeze soft toys
c.	Must be placed in real play situations
d.	Plays in isolation

 

 

____  19.   Toddlers generally prefer to:

a.	Play with other children
b.	Play alone
c.	Play with grown-ups
d.	Play alongside other children