TEST BANK For Growth and Development Across the Lifespan, 3rd Edition By Gloria Leifer; Eve Fleck, Verified Chapters 1 - 16, Complete Newest Version.pdf

Test Bank For Growth and Development
Across the Lifespan
3rd Edition By Gloria Leifer; Eve
Fleck Chapters 1 - 16 Complete

Table of Content
Chapter 1 Healthy People 2020
Chapter 2 Government Influences on Health Care
Chapter 3 Cultural Considerations in Health Care
Chapter 4 The Influence of Family on Developing a Lifestyle
Chapter 5 Theories of Development
Chapter 6 Prenatal Influences on Healthy Development
Chapter 7 The Infant
Chapter 8 Early Childhood
Chapter 9 Middle Childhood
Chapter 10 Adolescence
Chapter 11 Young Adulthood
Chapter 12 Middle Adulthood
Chapter 13 Late Adulthood
Chapter 14 Advanced Old-Age and Geriatrics
Chapter 15 Planning for the End of Life
Chapter 16 Loss, Grief, and Bereavement

Chapter 1: Healthy People 2020
Test Bank
MULTIPLE CHOICE
1. The purpose of Healthy People 2020 is to:
a. examine world health needs.
b. evaluate accomplishments for years 2010–2020.
c. focus primarily on infant health and mortality.
d. examine funding issues for health care.
ANSWER: B
Healthy People 2020 is an evidence-based 10-year report card describing health-
care accomplishments in the United States between the years of 2010 and
2020.
DIF: Cognitive Level: Comprehension REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
2. A health-care worker planning a research project related to teenage pregnancy in
his community would include in the initial assessment the health status of the
target population. Health status could be best evaluated by the examination of
the: a. birth rate, disease
morbidity, and life expectancy.
b. birth rate, access to health care, and death rate.
c. disease morbidity, life expectancy, and health insurance coverage.
d. health insurance coverage, death rate, and access to health care.
ANSWER: B
Birth rate statistics identify age of mother; death rates include infant mortality
and age of mother; access to health care may affect a teenager’s ability to
obtain adequate prenatal care.
DIF: Cognitive Level: Application REF: p. 6 OBJ: 3
TOP: Health status KEY: Nursing Process Step: Planning
3. The health-care worker teaches a group of new parents about the “back to sleep”
program, which is directed toward the reduction of sudden infant death
syndrome (SIDS) by: a.
positioning the baby on a small flat pillow.
b. placing the baby on its back in the crib.
c. gently rocking the baby before returning it to bed.
d. tucking infant snuggly in the crib with a light blanket.
ANSWER: B
The back to sleep program helps reduce the incidence of SIDS by placing the
infant on its back rather than on its stomach.

TOP: Back to sleep program KEY: Nursing Process Step: Intervention
4. Healthy People 2020 endorses the completion of a high school education primarily
to enable a person to:
a. secure a better job.
b. increase the quality of life.
c. make healthy lifestyle choices.
d. maintain the family unit.
ANSWER: C
One of the goals of Healthy People 2020 is to increase the number of persons
graduating from high school so that they have a better education basis on which
to make healthy lifestyle choices.
TOP: Health indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA
5. Healthy People 2020 is published by the:
a. Centers for Disease Control and Prevention.
b. Department of the Interior.
c. World Health Organization.
d. Department of Health and Human Services.
ANSWER: D
Healthy People 2020 is published by the U.S. Department of Health and Human
Services.
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 1
TOP: Healthy People 2020 KEY: Nursing Process Step: NA MSC: NCLEX: NA
6. Infant mortality rates are based on infant deaths that occur:
a. at birth, per 1000 deliveries.
b. before 1 year of age, per 1000 live births.
c. from infection and congenital disorders, per 1000 live births.
d. from unexplained causes, per 1000 live births.
ANSWER: B
Infant mortality is reported on deaths occurring before the age of 1 year per
1000 live births.
TOP: Infant mortality KEY: Nursing Process Step:
Planning MSC: NCLEX: Health Promotion and Maintenance: growth and
development
7. Although the life expectancy has increased, Healthy People 2020 will focus on the
older
adult’s need for:
a. better pharmacy insurance coverage.
b. improved extended care facilities.
c. increased compliance to medical protocols.
d. maintenance of independent lifestyles.
ANSWER: D

The maintenance of independent lifestyles is an ongoing problem for the older
adult.
DIF: Cognitive Level: Comprehension REF: p. 9 OBJ:
4 TOP: Older adultsKEY: Nursing Process Step: Planning
8. Information about morbidity and mortality gives the health-care worker data to
identify: a.
lifespan statistics.
b. high-risk age groups for certain diseases or hazards.
c. effectiveness of treatment.
d. cost-effective treatment for the general population.
ANSWER: B
Evaluating specific details of the determinants of health help health-care workers
develop an understanding of the health status of the population. Morbidity and
mortality statistics can identify risks for disease or health hazard by age group.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ:
3 TOP: Morbidity KEY: Nursing Process Step: Planning
9. A major cause of death for children under the age of 1 year is:
a. congenital abnormalities.
b. infection.
c. cancer.
d. injuries.
ANSWER: A
The Centers for Disease Control and Prevention has identified congenital
abnormalities as a leading cause of death for children under the age of 1 year.
DIF: Cognitive Level: Knowledge REF: p. 6, Box 1-
1 OBJ: 1 TOP: Health status
KEY: Nursing Process Step: Intervention
10. The health-care worker advises a young woman who is 7 weeks pregnant to
include folic acid supplements in her diet in order to:
a. strengthen muscles in preparation for effective labor.
b. help control excessive weight gain during pregnancy.
c. reduce incidence of congenital malformations.
d. enhance the probability of carrying the pregnancy to full term.
ANSWER: C
One of the goals of Healthy People 2020 is to promote use of folic acid
supplements early in pregnancy. Ideally, folic acid supplements, or adequate
dietary folic acid, should be recommended early in the pregnancy to help prevent
congenital malformations, especially spina bifida.
DIF: Cognitive Level: Application REF: p. 8 OBJ:
4 TOP: Folic acid KEY: Nursing Process Step: Intervention

MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of
disease
11. Guidelines for “baby-friendly” hospitals include:
a. information about immunizations.
b. active support of parent–baby bonding.
c. control of peri-delivery infection.
d. encouragement to breastfeed for the first year of life.
ANSWER: D
Baby-friendly hospitals encourage breastfeeding during the first year of life.
TOP: Baby-friendly hospitals KEY: Nursing Process Step: Planning MSC:
NCLEX: Health Promotion and Maintenance: growth and development
12. The statistic widely used to compare the health status of different populations is:
a. incidence of specific infections such as AIDS or smallpox.
b. maternal mortality rate.
c. infant mortality rate.
d. health insurance coverage.
ANSWER: C
Infant mortality rates are used worldwide as an indicator of the health of a
nation.
TOP: Healthy People progress KEY: Nursing Process Step: Intervention
disease
13. A health-care worker who is planning a health education program for geriatric
adults based on the goals of Healthy People 2020 would include: a. smoking
cessation.
b. drug and alcohol abuse.
c. education about medications.
d. fall prevention.
ANSWER: D
Reducing falls will reduce the incidence of hip fracture, which continues to be a
problem, especially among elderly females.
TOP: Health education KEY: Nursing Process Step: Planning
disease
14. The role of the professional nurse has evolved to include:
a. providing direct care to patients at the bedside.
b. managing care to cure health problems once they have occurred.
c. planning patient care to cover longer hospital stays.
d. forming legislation for policies and practices related to health care.
ANSWER: D

Nurses are no longer simply providing bedside care. Their role now includes
policymaking, global health education planning, working as change agents for
traditional health-care systems, and so on.
5 TOP: World health KEY: Nursing Process Step: NA MSC: NCLEX:
NA
15. Adults over the age of 65 can significantly reduce their health risk by:
a. using herbal remedies.
b. getting annual vaccines for influenza and pneumonia.
c. engaging in a mild exercise regimen.
d. eating three large, well-balanced meals a day.
ANSWER: B
Annual immunizations against pneumonia and influenza significantly reduce
morbidity from these diseases.
4 TOP: Issues and goals related to phases of the life cycle
KEY: Nursing Process Step: Planning
MULTIPLE RESPONSE
16. The new topic areas in the Healthy People guidelines established in 2011 for
consideration for Healthy People 2020 include: (Select all that apply.) a.
adolescent health.
b. social determinants of health.
c. blood disorders for adolescents.
d. gay, lesbian, and transgender health concerns.
e. teen pregnancies.
ANSWER: A, B, C, D
The new topics initiated by the Healthy People 2020 guidelines in 2011 include
adolescent health, blood disorders and safety, early and middle childhood,
genomics, global health, health-care associated infections, health-related
concerns for gay, lesbian, and transgender patients, dementia in older adults,
preparedness, sleep health, and social determinants of health.
DIF: Cognitive Level: Analysis REF: p. 1 OBJ: 1
TOP: New Healthy People topics KEY: Nursing Process Step: NA MSC: NCLEX:
NA
COMPLETION
17. Criteria used to measure health-related concepts are referred to as .
ANSWER:
Health indicators
Health indicators are measurements of health-related concepts such as
increased availability to health care and changing level of tobacco use.

DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 3 TOP: Health
indicators KEY: Nursing Process Step: NA MSC: NCLEX: NA
18. The life expectancy at birth in the United States is above years.
ANSWER: 78
seventy-eight seventy eight
The life expectancy at birth in the United States is 78.49 years.
DIF: Cognitive Level: Knowledge REF: p. 7, Table 1-2 OBJ: 3 TOP: Life
expectancy in the United States
KEY: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance: growth and development
19. In addition to injuries, the leading causes of death in adolescents and young
adults aged 15 through 24 years are and .
ANSWER:
suicide, homicide homicide, suicide
According to the Healthy People review, suicide and homicide are among the leading causes of
death in this age-group.
DIF: Cognitive Level: Knowledge REF: p. 6, Box 1-1 OBJ: 4
TOP: Issues and goals related to phases of the life cycle (adolescent and young adult) KEY:
Nursing Process Step: NA MSC: NCLEX: NA

Chapter 2: Government Influences
on Health Care Test Bank
MULTIPLE CHOICE
1. Changes in health-care delivery systems have been influenced primarily by:
a. institution of various systems to provide cost-effective health care.
b. governmental regulation of the cost of all health-care services.
c. the need to meet the health-care needs of an aging population.
d. development of medical technology that has reduced the incidence of illness.
ANSWER: A
Increasing health-care costs have led to initiation of health-care delivery systems to
contain cost while providing care. Cost control addressing national health goals,
entitlements, use of available sources, and identification of changing health-care
needs is the basic goal of these systems.
TOP: Health-care reform KEY: Nursing Process Step:
NA MSC: NCLEX: NA
2. The purpose of the state/national government program of Medicaid is to provide:
a. immunizations for preschool children.
b. prescription drugs at a lower cost.
c. medical care on the basis of need or poverty.
d.community clinics for wom e n an d c hi ld re n .
ANSWER: C NU R SIN G T B. COM
Medicaid is similar to a welfare program in which benefits are provided on the basis of
need or poverty.
DIF: Cognitive Level: Comprehension REF: p. 19, Box 2-3
OBJ: 3 TOP: Medicaid KEY: Nursing Process Step:
NA MSC: NCLEX: NA
3. A student is preparing a report on the history of the Women, Infants, and
Children (WIC) program would acquire the most useful information from:
a. Health, United States.
b.the Department of Health and Human Services.
c.the Federal Register.
d.the Centers for Disease Control and Prevention.
ANSWER: C
Federal legislation related to health care is recorded and published in the Federal
Register.
TOP: Department of Health and Human Services KEY: Nursing Process Step:
NA MSC: NCLEX: NA
4. The Human Genome Project has the potential to reduce health-care costs by
assisting health-care providers to:

N URSINGTB.COM
a. detect illnesses before they become chronic.
b. prevent chromosomal related illnesses.
c. identify the most effective drugs for specific diseases.
d. design low cost complementary and alternative medicine (CAM) remedies.
ANSWER: A
The Human Genome Project gives health-care providers the potential to detect
illnesses before they become chronic.
TOP: Human Genome Project KEY: Nursing Process Step:
NA MSC: NCLEX: NA
5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the
development of:
a. diagnosis-related groups (DRGs).
b. Medicaid access for the poor.
c. aid to families with dependent children.
d. maternal and child health services block grants.
ANSWER: A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.
DIF: Cognitive Level: Knowledge REF: p. 21, Table 2-1
OBJ: 2 TOP: Diagnosis-related groups KEY: Nursing Process Step:
NA MSC: NCLEX: NA
6. The scope of practice for nursing is stipulated by the:
a. American Nurses Associati on .
b. Board of Nurse Examiners.
c. Nursing Licensure Pact.
d. Nurse practice act.
ANSWER: D
Nurse practice acts of each state establish the scope of practice for nursing in that
state.
TOP: Nurse Practice Acts KEY: Nursing Process Step:
NA MSC: NCLEX: NA
7. The roles of the nurse have changed as a result of the national health-care focus on:
a. illness prevention and health maintenance.
b. increased accountability to professional codes and international standards of
care.
c. treatment of disease or disability.
d. planning for nationalized health care.
ANSWER: A
Prevention and early intervention appear to be critical to reducing health-care costs
and are at the heart of the objectives of Healthy People 2020.
TOP: Illness prevention KEY: Nursing Process Step:
NA MSC: NCLEX: NA

8. An informed consent form requires that:
a. the patient is informed of all adverse problems of a procedure.
b. the nurse signs as a witness that the patient received the necessary information.
c. the nurse questions the patient to confirm that all aspects of
treatment are understood.
d. the nurse documents that the consent has been signed.
ANSWER: B
The nurse is required to sign the informed consent form as witness that the patient
received pertinent information. Extra documentation is not required.
TOP: Informed consent KEY: Nursing Process Step:
NA MSC: NCLEX: NA
9. A diagnosis-related group (DRG) is:
a. a standard used by health-care facilities to determine charges for
health-care services.
b. a medical condition classification system that determines what
Medicare will pay for health-care services.
c. the method that health-care agencies use to decide what health-care
services are needed for patients.
d. a system used by all insurance companies to determine what health-care
services will be covered.
ANSWER: B
DRGs are a government-mandated program that radically changed the face of health
care by establishing strict rules for reimNbUuRrsSemIeNnGt.TB.COM
DIF: Cognitive Level: Comprehension REF: p. 21, Table 2-1
OBJ: 2 TOP: Policy setting KEY: Nursing Process Step:
NA MSC: NCLEX: NA
10. Prospective payment systems for health-care services:
a. reimburse only preapproved treatments.
b. pay only health-care providers under contract with the system to
provide the lowest-priced services.
c. require that health care be provided by preapproved health professionals.
d. provide payment based on flat predetermined rates regardless of actual cost.
ANSWER: D
Prospective payment systems are part of the efforts of managed care organizations to
standardize and control costs of health care.
TOP: Delivery of health care KEY: Nursing Process Step:
NA MSC: NCLEX: NA
11. To conform to the national trend in health care, health-care agencies of the future
may need to depend on:
a. accountants to implement cost-saving measures.
b. legislators to set limits on health-care funding.

c. nurses to plan and implement self-care education programs.
d. insurance companies to provide more coverage for high-technology procedures.
ANSWER: C
The focus of health care has changed from treatment to prevention. Health-care
agencies may depend on self-care education to promote health and prevent
disease as an effective
cost-containment strategy. Nurses are ideally suited through education and experience
to develop and implement these programs.
TOP: Self-care KEY: Nursing Process Step: NA MSC: NCLEX: NA
12. Standards of practice are the foundations for:
a. plans of care.
b. insurance reimbursement.
c. licensure.
d. consumer protection laws.
ANSWER: D
Standards of practice, which have evolved over the years, have been used as the
foundation of laws relative to consumer protection.
TOP: Standards of care KEY: Nursing Process Step:
NA MSC: NCLEX: NA
13. The Health Insurance Portability and Accountability Act (HIPAA) provides for:
a.health insurance for emergeN
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b. confidentiality of medical information.
c. payment for home health care.
d. medical care for single mothers and their children.
ANSWER: B
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HIPAA provides for portability of health insurance, confidentiality of medical
information, and coverage for preexisting conditions
OBJ: 3 TOP: Health Insurance Portability and Accountability Act
(HIPAA) KEY: Nursing Process Step: NA MSC: NCLEX: NA
14. The Patient Protection and Affordable Care Act of 2010 caused controversy
because it mandated:
a. limited treatment for specified illnesses.
b. all recipients must have a picture identification card.
c. strict confidentiality of all medical records and medical communications.
d. health-care coverage for 32 million uninsured persons.
ANSWER: D
The Patient Protection and Affordable Care Act of 2010 mandated care to 32
million uninsured persons, which would be financed from Medicare
payroll taxes.

OBJ: 3 TOP: The Patient Protection and Affordable Care Act of
2010 KEY: Nursing Process Step: NA MSC: NCLEX: NA
MULTIPLE RESPONSE
15. The Omnibus Budget Reconciliation Act of 1981 provided money for the development
of:
(Select all that apply.)
a. treatment centers for drug dependency.
b. skilled nursing facilities.
c. nursing schools.
d. home health agencies.
e. day care centers.
ANSWER: B, D
The Omnibus Budget Reconciliation Act of 1981 provided money for the development of
various health-care projects such as nursing homes, skilled nursing facilities, and
home health agencies.
DIF: Cognitive Level: Comprehension REF: p. 21, Table 2-
1 OBJ: 1 TOP: Omnibus Budget Reconciliation
Act KEY: Nursing Process Step: NA MSC: NCLEX: NA
16. The Patient Bill of Rights ensures that all patients may: (Select all that apply.)
a. select their health-care provider.
b. be assured of having a private room.
c. take part in treatment decisions.
d. expect confidentiality. NURSINGTB.COM
e. utilize channels for complaint.
ANSWER: A, C, D, E
The Consumer Patient Bill of Rights assures patients that they may select their
provider, take part in treatment decisions, expect confidentiality, use resources for
complaint and appeal, be free from discrimination, and have access to emergency
services.
DIF: Cognitive Level: Application REF: p. 15-16 OBJ: 2
TOP: Patient Bill of Rights KEY: Nursing Process Step:
NA MSC: NCLEX: NA
17. Political action committees (PACs) can influence legislation by: (Select all that apply.)
a. providing lobbying.
b. selecting candidates to run for office.
c. creating an awareness of the need for new legislation.
d. introducing legislation themselves.
e. contributing money to legislators.
ANSWER: A, C, E
PACs can influence legislation by contributing money to legislators and by
providing lobbying services to create an awareness of the need for
legislation.
TOP: Political action committees (PACs) KEY: Nursing Process Step:
NA MSC: NCLEX: NA

COMPLETION
18. The nursing theorist that proposed a holistic view of health care in the
1960s was
.
ANSWER:
Martha Rogers
In the 1960s, Martha Rogers proposed a theory of holistic health care.
DIF: Cognitive Level: Knowledge REF: p.
24 OBJ: 6 TOP: Holistic health care KEY:
Nursing Process Step: NA MSC: NCLEX: NA
19. The plan of care is the tool that directs patient care for a health care
delivered by a
team.
ANSWER:
multidisciplinary
The plan of care allows for the communication among the various team
members to meet the individual patient’s health-care needs.
TOP: Plan of care KEY: Nursing Process Step: NA MSC: NCLEX: NA

Chapter 2: Government Influences on Health Care
Test Bank
MULTIPLE CHOICE
1. Changes in health-care delivery systems have been influenced primarily by:
a. institution of various systems to provide cost-effective health care.
b. governmental regulation of the cost of all health-care services.
c. the need to meet the health-care needs of an aging population.
d. development of medical technology that has reduced the incidence of illness.
ANSWER: A
Increasing health-care costs have led to initiation of health-care delivery systems
to contain cost while providing care. Cost control addressing national health
goals, entitlements, use of available sources, and identification of changing health-
care needs is the basic goal of these systems.
TOP: Health-care reform KEY: Nursing Process Step:
NA MSC: NCLEX: NA
2. The purpose of the state/national government program of Medicaid is to provide:
a. immunizations for preschool children.
b. prescription drugs at a lower cost.
c. medical care on the basis of need or poverty.
d. community clinics for women and children.
ANSWER: C
Medicaid is similar to a welfare program in which benefits are provided on the
basis of need or poverty.
DIF: Cognitive Level: Comprehension REF: p. 19, Box 2-3
OBJ: 3 TOP: Medicaid KEY: Nursing Process Step:
NA MSC: NCLEX: NA
3. A student is preparing a report on the history of the Women, Infants, and
Children (WIC) program would acquire the most useful information from:
a. Health, United States.
b. the Department of Health and Human Services.
c. the Federal Register.
d. the Centers for Disease Control and Prevention.
ANSWER: C
Federal legislation related to health care is recorded and published in the Federal Register.
TOP: Department of Health and Human Services KEY: Nursing Process Step:
NA MSC: NCLEX: NA
4. The Human Genome Project has the potential to reduce health-care costs by
assisting health- care providers to:

a. detect illnesses before they become chronic.
b. prevent chromosomal related illnesses.
c. identify the most effective drugs for specific diseases.
d. design low cost complementary and alternative medicine (CAM) remedies.
ANSWER: A
The Human Genome Project gives health-care providers the potential to detect
illnesses before they become chronic.
TOP: Human Genome Project KEY: Nursing Process Step:
NA MSC: NCLEX: NA
5. The Tax Equity Fiscal Responsibility Act of 1982 (TEFRA) established the development
of:
a. diagnosis-related groups (DRGs).
b. Medicaid access for the poor.
c. aid to families with dependent children.
d. maternal and child health services block grants.
ANSWER: A
TEFRA amended the Social Security Act to establish the development of DRGs in 1982.
OBJ: 2 TOP: Diagnosis-related groups KEY: Nursing Process Step:
NA MSC: NCLEX: NA
6. The scope of practice for nursing is stipulated by the:
a. American Nurses Association.
b. Board of Nurse Examiners.
c. Nursing Licensure Pact.
d. Nurse practice act.
ANSWER: D
Nurse practice acts of each state establish the scope of practice for nursing in that
state.
TOP: Nurse Practice Acts KEY: Nursing Process Step:
NA MSC: NCLEX: NA
7. The roles of the nurse have changed as a result of the national health-care focus on:
a. illness prevention and health maintenance.
b. increased accountability to professional codes and international standards of care.
c. treatment of disease or disability.
d. planning for nationalized health care.
ANSWER: A
Prevention and early intervention appear to be critical to reducing health-care costs
and are at the heart of the objectives of Healthy People 2020.
TOP: Illness prevention KEY: Nursing Process Step:
NA MSC: NCLEX: NA

8. An informed consent form requires that:
a. the patient is informed of all adverse problems of a procedure.
b. the nurse signs as a witness that the patient received the necessary information.
c. the nurse questions the patient to confirm that all aspects of
treatment are understood.
d. the nurse documents that the consent has been signed.
ANSWER: B
The nurse is required to sign the informed consent form as witness that the patient
received pertinent information. Extra documentation is not required.
TOP: Informed consent KEY: Nursing Process Step:
NA MSC: NCLEX: NA
9. A diagnosis-related group (DRG) is:
a. a standard used by health-care facilities to determine charges for
health-care services.
b. a medical condition classification system that determines what Medicare
will pay for health-care services.
c. the method that health-care agencies use to decide what health-care
services are needed for patients.
d. a system used by all insurance companies to determine what health-care
services will be covered.
ANSWER: B
DRGs are a government-mandated program that radically changed the face of health
care by establishing strict rules for reimbursement.
OBJ: 2 TOP: Policy setting KEY: Nursing Process Step:
NA MSC: NCLEX: NA
10. Prospective payment systems for health-care services:
a. reimburse only preapproved treatments.
b. pay only health-care providers under contract with the system to
provide the lowest-priced services.
c. require that health care be provided by preapproved health professionals.
d. provide payment based on flat predetermined rates regardless of actual cost.
ANSWER: D
Prospective payment systems are part of the efforts of managed care organizations
to standardize and control costs of health care.
TOP: Delivery of health care KEY: Nursing Process Step:
NA MSC: NCLEX: NA
11. To conform to the national trend in health care, health-care agencies of the future
may need to depend on:
a. accountants to implement cost-saving measures.
b. legislators to set limits on health-care funding.

c. nurses to plan and implement self-care education programs.
d. insurance companies to provide more coverage for high-technology procedures.
ANSWER: C
The focus of health care has changed from treatment to prevention. Health-care
agencies may depend on self-care education to promote health and prevent disease
as an effective cost- containment strategy. Nurses are ideally suited through
education and experience to develop and implement these programs.
TOP: Self-care KEY: Nursing Process Step: NA MSC: NCLEX: NA
12. Standards of practice are the foundations for:
a. plans of care.
b. insurance reimbursement.
c. licensure.
d. consumer protection laws.
ANSWER: D
Standards of practice, which have evolved over the years, have been used as the
foundation of laws relative to consumer protection.
TOP: Standards of care KEY: Nursing Process Step:
NA MSC: NCLEX: NA
13. The Health Insurance Portability and Accountability Act (HIPAA) provides for:
a. health insurance for emergency treatment.
b. confidentiality of medical information.
c. payment for home health care.
d. medical care for single mothers and their children.
ANSWER: B
HIPAA provides for portability of health insurance, confidentiality of medical
information, and coverage for preexisting conditions
OBJ: 3 TOP: Health Insurance Portability and Accountability Act
(HIPAA) KEY: Nursing Process Step: NA MSC: NCLEX: NA
14. The Patient Protection and Affordable Care Act of 2010 caused controversy
because it mandated:
a. limited treatment for specified illnesses.
b. all recipients must have a picture identification card.
c. strict confidentiality of all medical records and medical communications.
d. health-care coverage for 32 million uninsured persons.
ANSWER: D
The Patient Protection and Affordable Care Act of 2010 mandated care to 32
million uninsured persons, which would be financed from Medicare payroll taxes.

OBJ: 3 TOP: The Patient Protection and Affordable Care Act of
2010 KEY: Nursing Process Step: NA MSC: NCLEX: NA
MULTIPLE RESPONSE
15. The Omnibus Budget Reconciliation Act of 1981 provided money for the development
of:
a. treatment centers for drug dependency.
b. skilled nursing facilities.
c. nursing schools.
d. home health agencies.
e. day care centers.
ANSWER: B, D
The Omnibus Budget Reconciliation Act of 1981 provided money for the
development of various health-care projects such as nursing homes, skilled nursing
facilities, and home health agencies.
1 OBJ: 1 TOP: Omnibus Budget Reconciliation
Act KEY: Nursing Process Step: NA MSC: NCLEX: NA
16. The Patient Bill of Rights ensures that all patients may: (Select all that apply.)
a. select their health-care provider.
b. be assured of having a private room.
c. take part in treatment decisions.
d. expect confidentiality.
e. utilize channels for complaint.
ANSWER: A, C, D, E
The Consumer Patient Bill of Rights assures patients that they may select their
provider, take part in treatment decisions, expect confidentiality, use resources for
complaint and appeal, be free from discrimination, and have access to emergency
services.
TOP: Patient Bill of Rights KEY: Nursing Process Step:
NA MSC: NCLEX: NA
17. Political action committees (PACs) can influence legislation by: (Select all that apply.)
a. providing lobbying.
b. selecting candidates to run for office.
c. creating an awareness of the need for new legislation.
d. introducing legislation themselves.
e. contributing money to legislators.
ANSWER: A, C, E
PACs can influence legislation by contributing money to legislators and by
providing lobbying services to create an awareness of the need for legislation.
TOP: Political action committees (PACs) KEY: Nursing Process Step:
NA MSC: NCLEX: NA

COMPLETION
18. The nursing theorist that proposed a holistic view of health care in the 1960s was
.
ANSWER:
Martha Rogers
In the 1960s, Martha Rogers proposed a theory of holistic health care.
TOP: Holistic health care KEY: Nursing Process Step:
NA MSC: NCLEX: NA
19. The plan of care is the tool that directs patient care for a health care delivered by a
team.
ANSWER:
multidisciplinary
The plan of care allows for the communication among the various team members to
meet the
individual patient’s health-care needs.
TOP: Plan of care KEY: Nursing Process Step: NA MSC: NCLEX: NA

Chapter 3: Cultural Considerations in Health Care
Test Bank
MULTIPLE CHOICE
1. Cultural competence in health care is demonstrated by:
a. sensitivity to cultural differences.
b. discussing cultural differences.
c. being able to differentiate between cultures.
d. adapting care to meet cultural needs.
ANSWER: D
Cultural competence is the ability to adapt care so that it does not violate the
culture of the patient. Being aware and sensitive to cultural differences is not the
same thing as incorporating those skills into care.
TOP: Cultural competence KEY: Nursing Process Step:
Planning MSC: NCLEX: Psychosocial Integrity: coping and adaptation
2. The home health-care worker is aware that the development of initiative may be
delayed in a German family that practices a(n) parenting style.
a. laissez-faire
b. permissive
c. authoritarian
d. democratic
ANSWER: C
The authoritarian parenting style stresses obedience and conformity and may delay
the development of initiative in the school-age child.
4 TOP: Child rearing influence on development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
3. When caring for an 8-hour postpartum Chinese patient who adheres to the cultural
philosophy
that pregnancy is a “cold” condition, the health-care worker will remember to:
a. offer no fluids at all.
b. thoroughly chill all food and drink.
c. turn up the thermostat.
d. restrict all spicy foods from the diet.
ANSWER: C
The Chinese belief in “hot” and “cold” physical conditions requires that the
treatment modes offer the opposite in terms of intake. The “cold” pregnancy and
postpartum period will require a warmer room and warm food and drink.
TOP: Chinese culture KEY: Nursing Process Step:

4. The culturally competent health-care worker helping a Hmong family dress the
recently deceased family member will be careful to:
a. avoid looking at the deceased.
b. keep the deceased covered.
c. prevent metal from touching the deceased.
d. arrange bowls of food near the body.
ANSWER: C
The Hmong culture dresses the deceased but does not allow metal to touch the body.
3 TOP: Care of the deceased in Hmong culture
KEY: Nursing Process Step: Implementation
5. The health-care worker caring for a 3-month-old Korean child hospitalized for
dehydration
would ask the parents’ permission prior to:
a. exposing the child’s genitals.
b. assessing the fontanel.
c. hanging an IV medication.
d. offering the child a milk-based formula.
ANSWER: B
Asians believe the head is sacred and should not be touched or patted unless
required by medical protocol.
TOP: Asian culture KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity: coping and adaptation
6. In planning the information sent to the diet kitchen for a Hindu patient, the health-
care worker would make a note to prohibit:
a. the serving of milk and fruit together.
b. all meat dishes.
c. cheese in any form.
d. tea or coffee.
ANSWER: B
Hindus avoid all meat in their diet.
TOP: Hindu culture KEY: Nursing Process Step:
7. The Agency for Healthcare Research and Quality (AHRQ) promotes:
a. increased availability of interpreters in general hospitals.
b. culturally competent health care.
c. consistency in folk cures and alternative medical remedies.
d. a culturally diverse health staff.
ANSWER: B

The AHRQ promotes cultural competence in health care.
TOP: AHRQ KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. The health-care worker assesses a new patient for the use of alternative
therapies. Such remedies have become widely used because these protocols:
a. are recognized as being superior to traditional remedies.
b. require a large number of unusual prescription drugs.
c. have become very popular as they focus on health promotion.
d. must all be terminated when traditional medicine is used.
ANSWER: C
The desire to promote health and take control of one’s own body and health-care
decisions has been at the root of the popularity of CAM remedies. CAM can be used
alone or in conjunction with traditional medicine.
6 TOP: CAM KEY: Nursing Process Step: Implementation
9. The young, female health-care worker who is giving admission information to an
elderly Muslim man feels he is ignoring her because he:
a. does not value women.
b. looks at the floor rather than at her.
c. resists instruction from a younger person.
d. prefers to be instructed by a man.
ANSWER: B
Muslims feel eye contact is disrespectful and will look at the floor rather than eye-to-
eye. This cultural trait is frequently mistaken for a lack of attention.
TOP: Culturally sensitive instruction KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial Integrity: coping and adaptation
10. The culturally competent health-care worker will inquire if the Native American
patient would like to call his own folk healer, which is the:
a. spiritualist.
b. root doctor.
c. yerbo.
d. shaman.
ANSWER: D
Native Americans value the integration of their health care with the natural elements.
The shaman is the spiritual counselor of the Native American.
1 OBJ: 5 TOP: Native American

11. The use of silence in conversation can mean different things depending on the
culture. Silence indicates agreement in the culture.
a. Native American
b. Chinese
c. Japanese
d. Russian
ANSWER: D
Silence connotes agreement in the Russian culture, whereas silence connotes a
symbol of respect in the Native American, Chinese, and Japanese cultures.
TOP: Significance of silence KEY: Nursing Process Step:
Planning MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation
MULTIPLE RESPONSE
12. Culture affects broad areas of: (Select all that apply.)
a. food preferences.
b. socioeconomic status.
c. parenting styles.
d. health treatment.
e. discipline measures.
ANSWER: A, C, D, E
Culture influences food, parenting, discipline techniques, and health measures.
Socioeconomic status does not affect basic culture. A poverty-stricken Muslim has
the same cultural values as a wealthy Muslim.
DIF: Cognitive Level: Analysis REF: p. 27 OBJ:
1 TOP: Culture KEY: Nursing Process Step: Planning
MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation
13. Complementary and alternative medicine (CAM) modalities include: (Select all that
apply.)
a. acupuncture.
b. energy healing.
c. intravenous therapies.
d. physical therapy.
e. guided imagery.
ANSWER: A, B, E
CAM therapies include acupuncture, acupressure, energy healing, guided imagery,
aromatherapy, massage, biofeedback, and others.
TOP: CAM modalities KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation
COMPLETION
14. Deep feelings a person has about what is morally right are .

ANSWER:
values
Values are deep feelings a person holds about what is morally right or wrong, good or
bad.
2 TOP: Values KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation
15. To believe that all members of a culture behave in the same way is to practice
.
ANSWER:
cultural stereotyping
To treat all members of a particular culture as if they were identical is cultural
stereotyping.
TOP: Stereotyping KEY: Nursing Process Step: NA MSC: NCLEX: NA
16. Typically in the United States, the comfortable personal space is from 1.5 feet to
feet.
ANSWER:
4
four
The size of the personal space changes from culture to culture. In the United States,
the comfortable personal space is from 1.5 feet to 4 feet.
TOP: Personal space KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation

Chapter 4: The Influence of Family on Developing a Lifestyle
Test Bank
MULTIPLE CHOICE
1. The family can be defined as:
a. the coexistence of two or more humans.
b. a basic human social system.
c. a hierarchal partnership.
d. a group of persons who are related by blood.
ANSWER: B
The family has been defined as a basic human social system that involves
commitment and interaction among its members.
3 TOP: Family KEY: Nursing Process Step: Implementation
2. The health-care worker assesses ethnocentrism in a patient when the patient says:
a. “There is no culture that can claim superiority to any other.”
b. “A person’s culture is central to his adjustment to reality.”
c. “All cultures have something to teach us.”
d. “White Anglo-Saxons will always set the civilization standard.”
ANSWER: D
Ethnocentrism is the belief that one’s own culture is the standard of behavior and
is superior to other cultures.
TOP: Ethnocentrism KEY: Nursing Process Step:
Assessment MSC: NCLEX: Psychosocial Integrity: psychosocial adaptation
3. A Spanish-speaking 6-year-old who has started first grade in an English-
speaking school spends most of her time alone and seems helpless and unable
to function in this new environment. This situation as an indication of:
a. inadequate preparation for attending school.
b. school phobia.
c. culture shock.
d. discrimination.
ANSWER: C
Culture shock occurs when persons who are exposed to a sudden, drastic change
of cultural environment are unable to cope with the new situation.
TOP: Culture shock KEY: Nursing Process Step:
4. The family systems theory proposes that:
a. family functions are interconnected, so what happens to one family member affects

the entire family.
b. family is viewed as the sum of its individual members.
c. change in one family member cannot create a change in other family members.
d. individual family members are readily identifiable as the source of a problem.
ANSWER: A
Family systems theory is based on family interconnectedness, with the
understanding that what happens to one family member affects the entire
family. Everything is viewed in the context of family interactions.
TOP: Family systems theory KEY: Nursing Process Step:
Implementation MSC: NCLEX: NA
5. An example of a blended family is one made up of:
a. three unmarried couples and six minor children.
b. a paternal grandmother, parents, three minor children.
c. a husband, wife, one biological child, one adopted child.
d. a mother, her children, stepfather.
ANSWER: D
An example of a blended family is a mother or father, stepparent, children.
DIF: Cognitive Level: Application REF: p. 39, Table 4-
1 OBJ: 1 TOP: Family structures
6. When an Asian dinner guest startles his Western host by belching loudly to show
appreciation of the meal, this behavior is an example of:
a. cultural assimilation.
b. cultural sensitivity.
c. culture shock.
d. cultural relativism.
ANSWER: D
Cultural relativism is the concept that what is normal in one culture may not be
considered normal in another culture.
TOP: Cultural relativism KEY: Nursing Process Step:
NA MSC: NCLEX: NA
7. The health-care worker would advise parents who are in the process of divorce
to support their adolescent children by:
a. delegating more home responsibility to them.
b. discouraging discussion with a neutral party.
c. encouraging pursuit of own interests.
d. using adolescent as a confidant.
ANSWER: C

Adolescents need to be encouraged to pursue their own interests and not be
burdened with extra home responsibility. Discussion with a neutral party is helpful
to the adolescent. Parents should avoid using the adolescent as a confidant.
DIF: Cognitive Level: Application REF: p. 41, Table 4-2
OBJ: 4 TOP: Divorce KEY: Nursing Process Step:
8. A mother with a 6-month-old infant says, “I want to go back to work, but I don’t want
there to
be a problem since I’ll have less time to spend with the baby.” The best response
should be:
a. “I’m sure the baby will be fine if you get a good babysitter.”
b. “Let’s talk about child-care options that will be best for the baby.”
c. “You should stay home until the baby starts school.”
d. “You should go back to work so the baby will get used to being with others.”
ANSWER: B
Adequate child-care arrangements should be established prior to employment.
DIF: Cognitive Level: Application REF: p. 38, Box 4-
1 OBJ: 5 TOP: Child-care services
9. The home health-care worker assesses cultural assimilation when:
a. a Native American child living in Florida learns to cook traditional dishes.
b. a Muslim man living in Illinois performs ritual prayers daily at his workplace.
c. an Asian woman living in Texas wears blue jeans and boots.
d. a young Hindu woman living in Arkansas agrees to marry a man
chosen by her father.
ANSWER: C
Cultural assimilation occurs when a person of one culture adopts the practices of
another.
TOP: Cultural assimilation KEY: Nursing Process Step:
Assessment MSC: NCLEX: Health Promotion and Maintenance: growth and
development
10. Because age differences between siblings may affect family dynamics, there is more
affection and less rivalry and hostility between siblings whose ages differ by:
a. 5 or more years.
b. 4 years.
c. 3 years.
d. 2 or fewer years.
ANSWER: A
Children older than 4 years of age may feel protective of the newborn and feel less
competition for parental affection and approval.
TOP: Spacing of siblings KEY: Nursing Process Step:
development

11. The laissez-faire parenting style:
a. allows children to regulate their own activity; sees parenting role as
resource rather than role model.
b. establishes rules, regulations, and standards of conduct for children
that are to be followed without question.
c. respects each child’s individuality; directs child’s behavior by
emphasizing the reasons for the rules.
d. employs only one-way communication with the children.
ANSWER: A
The laissez-faire style offers complete freedom for all members, with no rules,
minimal discipline (if any), and no effort at impulse control.
TOP: Childrearing styles KEY: Nursing Process Step:
development
12. The health-care worker designing culturally competent care will employ interventions
that:
a. go beyond the awareness of similarities and differences to implementing
care that is sensitive.
b. recognize awareness of cultural similarities and differences.
c. will judge behavior first in relation to the context of the culture in which it occurs.
d. teach health beliefs of the dominant culture.
ANSWER: A
Culturally competent care shows respect and acceptance of another culture and
does not violate the culture of the patient.
TOP: Cultural competence KEY: Nursing Process Step:
development
13. Studies suggest that viewing violent television programs or playing violent video
games may cause:
a. visual disorders in preschool-age children.
b. sleep disorders in school-age children.
c. mental fatigue and irritability.
d. release of dopamine, which affects attention and learning.
ANSWER: D
Violent TV and video games may cause the release of dopamine, which has a
negative effect on attention and learning.
TOP: Electronic media KEY: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance: growth and
development
14. In the launching stage of the growth and development of a family unit, the focus of
the family will be on:
a. maintaining a stable home base as children mature.
b. establishing financial independence.
c. negotiating tasks related to childrearing and household maintenance.

d. maintaining own and/or couple functioning and interests in the face of
physiologic decline.
ANSWER: A
As children begin to mature, they need a stable home base as they begin to form an
adult relationship with their parents.
OBJ: 2 TOP: Developmental tasks of the family life
cycle KEY: Nursing Process Step: NA
15. Parents tell the school nurse that their second-grade child watches television about
4 hours a day. When discussing this issue with the parents, the nurse would best
advise the parent that:
a. if the programs are educational, the length of time spent watching
television is not important.
b. if the child is doing well in school, the length of time spent watching
television is not important.
c. parents need to supervise the amount and type of television programs their
children watch.
d. most children watch this much or more television without negative effects.
ANSWER: C
The best television viewing is family viewing, with parents selecting the
programs and sharing thoughts with the child about what they are watching.
Parents can point out the purpose of the program (entertainment, education),
distinguish between what is real and unreal, correlate consequences with
actions, and so on.
TOP: Electronic media and technology KEY: Nursing Process Step:
development
16. The culturally competent health-care worker is aware that when caring for
members of a culturally diverse population, care must focus on:
a. overcoming their own cultural barriers to avoid stereotyping.
b. the tendency to develop ethnocentricity.
c. unconsciously imposing one’s own culture on others.
d. confusing the values and beliefs of one culture with another.
ANSWER: A
Knowledge of cultural beliefs and behaviors can be used to determine the degree to
which a family or person shares commonalities with a particular culture, but care
must be taken not to assume that all members of a specific culture are alike and
share the same values and beliefs.
TOP: Cultural competency KEY: Nursing Process Step:
development
17. A distressed mother of a 2-year-old is at her “wit’s end” with the toddler’s desire to
do activities that may be dangerous. The health-care worker counsels the parent
that to assist the child with the development of autonomy, the parent should:
a. be vigilant and protective and remind the child to be careful.

b. discourage the child’s independence at this early age.
c. direct the child in quiet pursuits with close supervision.
d. allow independent activity in a safe environment.
ANSWER: D
The task of developing autonomy should be encouraged and allowed in a safe
environment. For instance, let the child climb on the slide, but be available without
constant caution to “be careful.”
4 OBJ: 7 TOP: Supporting autonomy
18. A child who has a brother or a sister in the family unit will have the support to
develop:
a. a sense of autonomy.
b. a sense of self.
c. concepts of social interaction.
d. a greater attention span.
ANSWER: C
The presence of a sibling provides support and gives early experience with the
development of social interaction. Siblings do not necessarily improve sense of self,
attention span, or autonomy.
5 TOP: Siblings KEY: Nursing Process Step: Assessment
19. Using family development theory of Duvall as a basis, the health-care worker
counsels a couple expecting their first baby that in addition to integrating the
child into the family unit, the couple should examine:
a. reestablishing their relationship with their best friends.
b. how they will help each other with household chores.
c. finding reliable child care.
d. developing hobbies for both the parents.
ANSWER: B
Families with new infants must integrate the newborn into the family unit and
expand roles and responsibilities as they remold their family unit.
OBJ: 2 TOP: Developmental tasks of the family life
cycle KEY: Nursing Process Step: Implementation
20. The Family Apgar scoring system to assess family function was created by:
a. Erik Erikson.
b. Robert Havighurst.
c. Gabriel Smilkstein.
d. Betty Neuman.

ANSWER: C
Gabriel Smilkstein created the Family Apgar scoring system in 1978 to help assess a
family’s
ability to adapt and resolve issues.
TOP: Family Apgar KEY: Nursing Process Step:
NA MSC: NCLEX: NA
21. Altered sleep patterns, disorganized eating patterns, and social isolation in a 13-
year-old who is very involved in social networking could be symptoms of:
a. regression.
b. Facebook depression.
c. anorexia nervosa.
d. loss of autonomy.
ANSWER: B
Facebook depression occurs in young persons who spend inordinate amounts of
time involved with social media and, as a result, exhibit typical signs of depression.
TOP: Facebook depression KEY: Nursing Process Step:
22. The Children’s Television Act of 1991 mandated that television networks:
a. provide at least 2 hours of educational programs each afternoon.
b. depict multiethnic characters in programs designed for young children.
c. censor the content of programs being aired during prime time.
d. avoid any religious references in their programming.
ANSWER: C
The Children’s Television Act of 1991 mandated that the content of programs shown
during prime time be appropriate for young viewers.
TOP: Children’s Television Act of 1991 KEY: Nursing Process Step:
NA MSC: NCLEX: NA
23. Robert Havighurst designed a developmental theory for the learning of
developmental tasks for persons of:
a. preschool age.
b. school age.
c. adolescent age.
d. late adulthood age.
ANSWER: D
Robert Havighurst described a sequence for learning developmental tasks for the
period of late adulthood.
TOP: Developmental theories KEY: Nursing Process Step:
NA MSC: NCLEX: NA

24. While talking with the upset and tearful family of a patient newly diagnosed with a
chronic illness, the health-care worker asks, “When something is bothering you,
what do you do?” This should be interpreted as:
a. part of assessing the family’s coping skills.
b. inappropriate, because the family is so upset.
c. a way to stop the family from crying.
d. comparing this crisis to similar situations with which the family has dealt.
ANSWER: A
The health-care worker needs to identify family strengths and coping skills so a
comprehensive plan of care can be developed and implemented by the health-care
team.
TOP: Chronic illness KEY: Nursing Process Step:
25. The health-care worker is alert for signs of after the entire family
was involved in a flood that swept their house away.
a. social isolation
b. posttraumatic stress
c. aggressive behavior
d. regression
ANSWER: B
Families who have been involved in a disaster can suffer from posttraumatic stress
syndrome. Their reaction should not be minimized, but carefully assessed.
TOP: Effects of disaster KEY: Nursing Process Step:
26. After the death of a child, what might the parents exhibit toward the surviving
children?
a. Increased anxiety
b. Insistence on greater self-reliance
c. Overprotectiveness
d. Indifference
ANSWER: C
Family members may exhibit overprotectiveness toward the surviving children,
depriving them of normal interaction with their peers.
TOP: Death of a sibling KEY: Nursing Process Step:
development
27. The health-care worker points out to the family of a hospitalized child evidence
that the facility supports family-centered health care by such practices as:
a. presenting the family with the completed plan of care.
b. nursing staff performing all care of the child.
c. rigid times for meal service.
d. expanded or totally open visiting hours.

ANSWER: D
Expanded or totally open visiting hours allow time for a family to be with their child.
Designing the plan of care without family input does not support family-centered
health care, nor does assuming every aspect of care.
TOP: Family-centered health care KEY: Nursing Process Step:
development
28. Selected video games with a flickering frequency on the screen can trigger:
a. seizures.
b. loss of visual acuity.
c. retinal damage.
d. eye strain.
ANSWER: A
A flickering frequency can trigger a seizure in a child who has photosensitivity
epilepsy.
TOP: Negative effects of video KEY: Nursing Process Step:
development
29. The parents of two children, ages 7 and 2, are concerned about the language
development of their 2-year-old. They tell the health-care worker that their older
child began talking in two- or three-word phrases by age 2, but their younger child
is still using mostly one-word sentences. The best response by the health-care
worker is:
a. “Your child should be evaluated as soon as possible for a language disorder.”
b. “First-born children generally have a larger vocabulary and better conversational
skills at an earlier age.”
c. “Your child will not begin to develop better language skills until she
enters preschool.”
d. “Make arrangements for your child to attend a day care center to improve
language
skills.”
ANSWER: B
Older siblings may help younger children grasp language skills, but first-born
children may have longer, more intense verbal interaction with parents, resulting in
a wider vocabulary and better conversational skills at an earlier age.
5 TOP: Effect of family on growth and development of the child
MULTIPLE RESPONSE
30. The changes that have occurred to the traditional nuclear family over the past
40 years include: (Select all that apply.)
a. decreased daily availability of the father.
b. dual-career parents.
c. larger families with young children.

d. increase in number of single-parent families.
e. expectation that children be more independent.
ANSWER: A, B, D, E
More families are dual-career families or single-parent families, which requires the
child to be more independent at an earlier age. There is often decreased daily time
with the father due to demands of the workplace. Families are smaller with fewer
young children.
TOP: Changes in family life KEY: Nursing Process Step:
development
31. To make an effective cultural assessment of a family that is dealing with a
child with a terminal illness, the health-care worker must consider: (Select
all that apply.)
a. socioeconomic status.
b. availability of other family members.
c. religious practices.
d. health beliefs.
e. significance of the disease.
ANSWER: A, C, D, E
The cultural assessment should include values, socioeconomic status, religious
practices, and health beliefs.
TOP: Cultural Assessment KEY: Nursing Process Step:
development
COMPLETION
32. The health-care worker uses as a basis for interventions for children the
developmental theory of the theorist that is based on the mastery of
developmental tasks at specific ages.
ANSWER:
Erik Erikson
Erik Erikson developed the growth and development theory in which particular life
skills are mastered at a particular age.
DIF: Cognitive Level: Comprehension REF: p. 46-47, Table
4-4 OBJ: 7 TOP: Developmental theory: Erikson
33. Families who have poor communication among members, who tend to be isolated
from the community, and who have inconsistent rules are labeled as .
ANSWER:
dysfunctional

Dysfunctional family styles often result in antisocial behaviors of family members,
where behavior of individuals may violate the rights of others. Even families labeled
as dysfunctional have certain strengths, so the role of health-care providers are to
refer the family to appropriate community resources to help family members regain
self-esteem and break the cycle of dysfunction in future generations.
DIF: Cognitive Level: Knowledge REF: p. 48-49 OBJ: 10
TOP: Childrearing styles KEY: Nursing Process Step:

Chapter 5: Theories of Development
Test Bank
MULTIPLE CHOICE
1. The theorist who proposed a psychosocial theory that human development occurs
as a result of interactions among the environment, culture, and the individual
was:
a. Erik Erikson.
b. Daniel Levinson.
c. Carl Jung.
d. Robert Keegan.
ANSWER: B
Daniel Levinson proposed that a person’s interactions with the environment and culture
form
the “fabric of life.”
TOP: Daniel Levinson KEY: Nursing Process Step:
NA MSC: NCLEX: NA
2. The characteristic common to all developmental models is that:
a. chronological age is the most important factor.
b. development is a continuous process throughout the lifespan.
c. development depends on physical growth.
d. developmental progress continues regardless of environment.
ANSWER: B
The study of growth and development begins with conception and continues
throughout the lifespan. Developmental theories are designed to explain the
occurrence of specific behaviors and to suggest relationships of behavior to other
developing skills.
TOP: Developmental theories KEY: Nursing Process Step:
development
3. When the health-care worker praises a child for eating all of the meal and expresses
disappointment when the child does not eat, the health-care worker is following the
behavioral theory of:
a. Skinner.
b. Erikson.
c. Freud.
d. Havighurst.
ANSWER: A
Skinner attributed learning to operant conditioning, which involves the use of
rewards or punishment for certain behaviors. Reinforcing positive behavior with a
reward will eventually lead to regular practice of that behavior.
2 TOP: Selected theories of development (Skinner)

4. The function of Freud’s defense mechanism is to:
a. foster learning, growth, and adaptation.
b. inflate the self-image.
c. resolve interpersonal conflicts.
d. relieve anxiety.
ANSWER: D
Freud described defense mechanisms that protect the ego by hiding unpleasant
feelings or memories from a person’s awareness and serve as a defense against
anxiety. Defense mechanisms may provide time for the person to develop or
mobilize coping strategies to deal with the situation.
TOP: Defense mechanisms KEY: Nursing Process Step:
development
5. A school-age child who is helping his father wash the car is told by his father that
he is leaving “streaks all over the windows.” The child feels his father thinks he’s
stupid for not being able to wash windows correctly. This incorporation of “being
stupid” into the child’s self-concept illustrates an example of:
a. moral reasoning (Kohlberg).
b. information processing (Piaget).
c. looking-glass self (Cooley and Mead).
d. imitation of behavior (Bandura and Mischel).
ANSWER: C
Cooley and Mead’s theory of development of self-image includes a combination of
imagining how we portray ourselves to others and imagining how others evaluate
us to form a self concept.
TOP: Looking-glass self KEY: Nursing Process Step:
NA MSC: NCLEX: NA
6. A 73-year-old man scheduled for surgery tells the health-care worker that if things
do not go well during surgery, he has lived a full life and has no regrets. The
health-care worker recognizes that this statement is consistent with:
a. the changes and redirected goals characteristic of Levinson’s
theory of late adulthood.
b. achievement of the developmental task of integrity described by Erikson.
c. the wisdom and judgment that maintains self-esteem in Peck’s
theory of development.
d. unsuccessful achievement of earlier developmental tasks described by Havighurst.
ANSWER: B
A sense of a life well lived and an acceptance of death are characteristic of
Erikson’s task of ego-integrity.
TOP: Ego-integrity KEY: Nursing Process Step: Assessment

7. When the driver who is stopped for speeding tells the officer that he was
rushing to an important appointment, this is an example of the defense
mechanism of:
a. identification.
b. rationalization.
c. sublimation.
d. repression.
ANSWER: B
Developing a plausible excuse to explain problematic behavior is considered
rationalization.
DIF: Cognitive Level: Application REF: p. 59, Box 5-1
OBJ: 7 TOP: Defense mechanism KEY: Nursing Process Step:
NA MSC: NCLEX: NA
8. To promote a sense of industry in a hospitalized school-age child, the health-
care worker should:
a. encourage the child to read a book.
b. ask the parents of the child to bring a favorite toy from home.
c. encourage the child to telephone friends and family members.
d. ask the child to help pick up all the stuffed toys in the playroom.
ANSWER: D
Erikson’s stage of industry in the school-age child involves developing a sense
of achievement.
2 OBJ: 7 TOP: Erikson’s stages
9. According to the theory of Lawrence Kohlberg, the health-care worker can anticipate
that the moral development of a 2-year-old will follow the preconventional pattern
by:
a. obeying rules to avoid punishment.
b. conforming to rules to gain reward.
c. following rules to be thought of as “good.”
d. desiring to do the “right” thing.
ANSWER: A
Rationale The preconventional pattern of behavior would lead the toddler to obey
rules to avoid punishment.
7 OBJ: 7 TOP: Moral development
10. The behavior most characteristic of the concrete operations stage of cognitive
development is:
a. progression from reflex activity to imitative behavior.
b. inability to put oneself in another’s place.
c. thought processes become increasingly logical and coherent.

d. ability to think in abstract terms and draw logical conclusions.
ANSWER: C
According to Piaget, during the concrete operations stage of development,
there is understanding of more than one piece of information at a time.
There is a realistic understanding of the world, and thought processes
become more logical.
4 OBJ: 5 TOP: Concrete operations
11. Behavior modification is basically designed to:
a. probe the unconscious motives of behavior.
b. alter current behavior patterns.
c. produce basic changes in personality.
d. relieve conflicts in behavior.
ANSWER: B
Behavior modification is based on Skinner’s operant conditioning method of
learning. Reinforcing positive behavior with a reward will eventually lead to
regular practice of that behavior.
TOP: Behavior modification KEY: Nursing Process Step:
NA MSC: NCLEX: NA
12. According to the language/culture developmental theory of Lev Vygotsky,
preschool-age children guide their own behavior by the use of:
a. avoidance of punishment.
b. imitating older children.
c. relying on their autonomy.
d. inner language.
ANSWER: D
The theory of Vygotsky proposes that children as young as 4 years old can guide
their own behavior by heeding an inner language.
OBJ: 2 TOP: Inner language KEY: Nursing Process Step:
NA MSC: NCLEX: NA
13. A woman whose husband retired 6 months ago says that he is “driving me
crazy” and is “underfoot all the time.” These complaints indicate that the wife
is in the retirement developmental stage of:
a. honeymoon.
b. terminal.
c. disenchantment.
d. freedom.
ANSWER: C

Robert Atchley described the disenchantment stage of retirement as a time when
new priorities are developed as a result of boredom.
8 OBJ: 9 TOP: Disenchantment stage
14. The best advice to parents who want to encourage autonomy in their toddler would be
to:
a. provide opportunities for the toddler to play with other children.
b. help the toddler learn right from wrong.
c. help the toddler to complete tasks.
d. encourage the toddler to do things for himself.
ANSWER: D
This is the “me do” stage of development. Encouraging independence in the toddler
will foster a sense of confidence, autonomy, and well-being.
2 OBJ: 3 TOP: Supporting autonomy
15. Maslow’s hierarchy of needs states that basic physiological needs must be met
before the individual can reach full potential. An example of a physiological
need being met is:
a. the need to be well thought of by oneself as well as by others.
b. obtaining prenatal care early in pregnancy.
c. drinking eight glasses of water a day and following a well-balanced diet.
d. building an extra room for an elder onto a small house.
ANSWER: C
Examples of Maslow’s basic physiological needs are air, water, food, elimination, and
rest.
TOP: Theories of development KEY: Nursing Process Step:
development
16. According to Kohlberg, children develop moral reasoning as they mature. Which
action is most characteristic of a school-age child’s stage of moral
development?
a. Rules are obeyed to avoid punishment.
b. Rules are followed to gain recognition.
c. Behavior that pleases others is considered good.
d. Showing respect for authority is important behavior.
ANSWER: B
During the school childhood stage of development, the child seeks to conform to
rules to gain recognition.
OBJ: 2 TOP: School-age moral development
(Kohlberg) KEY: Nursing Process Step: NA MSC: NCLEX: NA

17. When the father of a 12-year-old says, “I must find some way to get my son to become
serious
about school. He just seems to want to play all the time.” The parent is in the
stage of parenting behaviors described by Erik Erikson.
a. parental image
b. authority
c. integrative
d. independent
ANSWER: C
The need a parent feels to motivate the child who is experiencing early independence
is part of
Erik Erikson’s stages of parenting, Stage 3: Integrative.
3 OBJ: 9 TOP: Integrative stage of parenting
18. A 10-year-old child has demonstrated exceptional spelling ability in several school
and community contests and is recognized in his school by teachers and peers for
his ability. He believes he can win the state championship. This situation is
representative of the concept of:
a. latency; achievement of skills (Freud).
b. mastery of environment; match between ideal and actual self (Rogers).
c. initiative; following rules (Erikson).
d. academic recognition; value of the less aggressive child (Bronfenbrenner).
ANSWER: B
Rogers believed that mastery of environment helped form the self concept and that
a person has an idea of the type of person he or she would like to be. If the ideal
self shares much in common with the actual self, that person will achieve full
potential.
TOP: Mastery (Rogers) KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and
development
MULTIPLE RESPONSE
19. Psychodynamic developmental theories focus on resolution or development of:
a. thinking/reasoning skills.
b. love/attachment.
c. personality traits.
d. cultural adjustment.
e. psychological challenges.
ANSWER: C, E
Psychodynamic theories focus on the development of personality traits and the
resolution of psychological challenges.
TOP: Psychodynamic theories KEY: Nursing Process Step:
development

20. What are major characteristic(s) of a self-actualized person? (Select all that apply.)
a. Understands reality
b. Makes judgments based on evidence
c. Is reliant on significant others
d. Is creative
e. Has values that are constantly changing
ANSWER: A, B, D
The self-actualized person understands reality, uses evidence for judgments, is self-
reliant and creative, and has a sound set of values.
TOP: Self actualization KEY: Nursing Process Step:
development
COMPLETION
21. The school nurse recognizes the defense mechanism of when the 7-year-
old first grader throws his crayons on the floor after he has been reprimanded by
the teacher for boisterous behavior.
ANSWER:
displacement
Displacement is the defense mechanism in which an individual expresses feelings
(usually anger) he has about one person again another person or object.
DIF: Cognitive Level: Application REF: p. 59, Box 5-
1 OBJ: 7 TOP: Defense mechanism:
Displacement KEY: Nursing Process Step: Assessment
22. According to Piaget, children typically solve problems by trial and error during the
stage of development.
ANSWER:
sensorimotor
Piaget’s theory involves sensory and motor interactions with the environment,
leading to information processing. This information processing is believed to be the
basis of problem- solving and critical thinking skills.
4 OBJ: 5 TOP: Cognitive theories

Chapter 6: Prenatal Influences on Healthy Development
Test Bank
MULTIPLE CHOICE
1. The Human Genome Project is credited with the development of significant
research on the subject of:
a. analysis of chemicals that make up RNA.
b. prevention of birth defects.
c. ethical use of stem cells.
d. gene mapping.
ANSWER: D
The Human Genome Project was involved in gene mapping, which determined the
make-up of all human genes.
TOP: The Genome Project KEY: Nursing Process Step:
Implementation MSC: NCLEX: NA
2. The ELSI program has been developed for the purpose of:
a. promoting fund raising for the study of gene therapy.
b. publishing up-to-date information on the progress of gene therapy.
c. evaluating the ethical, legal, and social implications of gene therapy.
d. educating the general public about the benefits of gene therapy.
ANSWER: C
The ELSI program’s purpose is to evaluate the ethical, legal, and social implications
of gene therapy.
TOP: ELSI program KEY: Nursing Process Step:
NA MSC: NCLEX: NA
3. The newlywed couple most appropriately referred to genetic counseling would be the:
a. Jewish couple who feel they must have a male child.
b. Caucasian couple who both have family histories of schizophrenia.
c. mixed cultural couple of a Japanese wife and American husband.
d. African Americans, one of whom has sickle cell trait.
ANSWER: D
Counseling is a significant consideration for persons with sickle cell trait who
need information about the probability of passing the disease on to the next
generation.
TOP: Genetic counseling KEY: Nursing Process Step: Assessment
4. A woman who is 14 weeks pregnant says that she has abstained from alcohol
during her first trimester and would like to know if it is now safe to have a drink
with dinner. The health-care worker’s best response would be:

a. “As you are in your second trimester, there is no problem with having one drink
with dinner.”
b. “One drink every night is too much. One drink three times a week should be fine.”
c. “Because no one knows how much or how little alcohol it takes to cause fetal
problems, it is recommended that you abstain throughout your pregnancy.”
d. “Because you are in your second trimester, you can drink as much as you like.”
ANSWER: C
Maternal ingestion of substances such as alcohol can interfere with cell growth
in the developing fetus.
DIF: Cognitive Level: Analysis REF: p. 80 OBJ:
3 TOP: Teratogens KEY: Nursing Process Step: Intervention
5. The home health-care worker visiting a pregnant woman in her second trimester
observes the patient doing chores and performing errands. Because of a threat to
the fetus, the woman should refrain from:
a. walking a mile to the grocery store.
b. sweeping the floor with a broom.
c. using bleach when doing the wash.
d. emptying and cleaning the cat box.
ANSWER: D
Contact with cat litter boxes poses a threat of contracting toxoplasmosis.
TOP: Toxoplasmosis KEY: Nursing Process Step:
Intervention
6. According to parental role development theory, the reality of the pregnancy
occurs for the couple when:
a. the mother is aware that she has missed her period.
b. the pregnancy is confirmed in the first trimester.
c. movement is felt in the second trimester.
d. actual plans for the birth are made in the third trimester.
ANSWER: C
According to the parental role development theory, the reality of the pregnancy
and the introduction of a new baby into a family unit usually occurs in the
second trimester when movement is felt and ultrasound pictures are taken.
TOP: Parental role development KEY: Nursing Process Step:
NA MSC: NCLEX: NA
7. The difference between a nurse midwife and a doula is that a doula is a:
a. registered nurse with advanced training in labor and delivery.
b. registered nurse with advanced practice education.
c. specially trained coach that stays with the mother during labor and delivery.
d. medical doctor with advanced education in women’s health.

ANSWER: C
A doula is a person who will act as a coach during labor and delivery. This person
is not necessarily a nurse.
TOP: Doula KEY: Nursing Process Step: NA MSC: NCLEX: NA
8. A new mother of a baby girl who has a 2 1/2-year-old son at home says, “I don’t know
how
I’ll ever manage both children when I get home.” The most informative response
would be:
a. “Your son is a big brother now and will love his new sister.”
b. “You might consider letting your son stay with his grandparents for several weeks
to allow him to adjust to the new baby.”
c. “Make sure your husband bonds with your son while you are busy with your new
daughter.”
d. “You may see babyish behavior in your son, which is a typical reaction.”
ANSWER: D
Sibling rivalry is the competition between siblings for parental love and attention.
Toddlers may regress and be angry at the birth of a new sister or brother.
10 TOP: Regression KEY: Nursing Process Step:
Implementation
9. The health-care worker observes several interactions between a postpartum
woman and her newborn. The behavior that would be assessed as maladaptive is:
a. seldom making eye contact with the baby.
b. reading a magazine while the baby sleeps.
c. cuddling the baby close to her chest.
d. telling visitors how well the baby is feeding.
ANSWER: A
Bonding is the term often used to describe the emotional relationship that begins
to develop between parent and newborn in the first few hours or days after birth.
Touch and visual interaction are critical factors in facilitating this process.
8 TOP: Bonding KEY: Nursing Process Step: Assessment
10. A 15-year-old mother seems to ignore her newborn. A strategy that the health-care
worker can use to facilitate mother–infant attachment in this mother is to:
a. tell the mother that she must pay attention to her baby.
b. show the mother how the baby initiates interaction in face-to-face encounters.
c. demonstrate for the mother different positions for holding her baby while feeding.
d. arrange for the mother to watch a video on parent–infant interaction.
ANSWER: B
Facilitating the mother’s appreciation of the newborn’s reaction to her in a face-to-
face encounter can stimulate bonding.

TOP: Stimulation of bonding KEY: Nursing Process Step:
11. “Taking hold” is occurring when the new mother:
a. requests help with ambulation and perineal care.
b. shows interest in learning more about infant care.
c. sleeps most of the time when the baby is not present.
d. is very excited and talkative about the birth experience.
ANSWER: B
According to Reva Rubin, the “taking hold” phase is introduced when the mother
begins to initiate care of the newborn and is most receptive to teaching at this
stage.
2 OBJ: 8 TOP: Transition to motherhood
12. During a telephone follow-up conversation 5 days postpartum, the woman tells the
health-care worker, “I don’t know what’s wrong with me. I love my baby, but I seem
to be crying all the time!” The woman is most likely experiencing:
a. taking-in.
b. letting go.
c. postpartum blues.
d. attachment.
ANSWER: C
During the transition to motherhood, mood swings are common. Conflicting feelings
of happiness and depression are called postpartum blues, and the symptoms are
generally self- limiting.
TOP: Postpartum blues KEY: Nursing Process Step:
13. The home health-care worker can help a father in his transition to parenthood by:
a. pointing out that the infant recognizes his voice.
b. asking him what child care arrangements have been made.
c. teaching him to tape the baby’s diaper a different way.
d. reminding him that he must be ready to help with household chores.
ANSWER: A
Fathers develop an intense focus on the newborn, called engrossment. An
outstanding response to this is one of strong attraction to the newborn, leading to
the development of strong bonds with the infant over time. Subsequently, fathers
often reevaluate their relationship with their own parents.
TOP: Fathers or significant others KEY: Nursing Process Step:
development
14. The mother asks how much her baby will sleep every day. The best response is:

a. “He will only wake up to be fed, and you should not bother him between
feedings.”
b. “A newborn sleeps about 17 hours a day with periods of wakefulness gradually
increasing.”
c. “He will probably follow your same sleep and wake patterns, so you can expect
him to be awake soon.”
d. “You should try to limit day sleep to about 3 hours so he will sleep through the
night.”
ANSWER: B
Neonates sleep 15 to 20 hours a day in the first 3 to 4 weeks of life. By 4 weeks,
some infants stay awake from one feeding to the next.
TOP: Neonatal sleep patterns KEY: Nursing Process Step:
development
15. Parents of a newborn ask about the baby’s vision and specifically want to know
what visual stimuli they should provide for the newborn. The most appropriate
response is:
a. “Babies can see very little until about age 3 months.”
b. “It is important to shield the baby’s eyes. You should ask your physician what
visual stimulation to offer your child.”
c. “The baby’s eyes are immature and must be protected. Any visual stimuli should
not contain bright or strong colors.”
d. “Newborns have good near vision. A brightly colored mobile to hang over the crib
is a good choice for your baby.”
ANSWER: D
The newborn can both see and hear. A musical mobile would capture the baby’s
attention via hearing and vision.
TOP: Visual stimuli KEY: Nursing Process Step:
development
16. Characteristics of dizygotic twins include their being:
a. of the same sex.
b. formed from the same single ovum and sperm.
c. always carried to full term.
d. similar to each other as any sibling.
ANSWER: D
Dizygotic twins (fraternal) occur when two ova are released and both ova are
fertilized by two different sperm. The two embryos are not necessarily of the same
sex and will resemble each other no more than any other siblings. Many twins are
born prematurely as the uterus becomes overdistended.
TOP: Dizygotic twins KEY: Nursing Process Step:
development

17. A young, newly pregnant woman who led a sedentary life prior to pregnancy asks
what sort of exercise would be beneficial. Helpful suggestions would be to engage in
regular:
a. aggressive exercise at a gym.
b. jogging.
c. lifting free weights.
d. swimming.
ANSWER: D
Swimming is a good light exercise program to recommend to a previously sedentary
pregnant woman.
5 TOP: Exercise KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: physiological adaptation
18. Warnings that are appropriate to an exercising pregnant woman in her second
trimester of pregnancy would include:
a. limiting water while exercising to prevent hypertension.
b. avoiding exercises that require the supine position.
c. performing exaggerated range-of-motion exercises.
d. exercising strenuously to supply extra heat and blood to the placenta.
ANSWER: B
Exercising should be moderated so that no supine positions are assumed after the
second trimester to avoid cord compression. While exercising, adequate hydration
should be maintained. Excessive heat increases the oxygen needs of the fetus and
should be avoided.
5 TOP: Exercise KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: reduction of risk
19. The pH of the female reproductive tract and estrogen level have an effect on
fertilization in that they:
a. soften the ovum to enhance fertilization.
b. can trap defective sperm.
c. determine the sex of the fetus.
d. affect the speed of the ova and sperm entering the fallopian tube.
ANSWER: D
Vaginal pH and the estrogen level of the female enhance the speed of the movement
of the sperm and the ova into the fallopian tube where fertilization occurs.
TOP: Fetal development KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and
development
20. The young pregnant woman with type 2 diabetes mellitus should get at least minutes
of exercise a day to control weight and blood glucose.
a. 10
b. 15
c. 30
d. 60

ANSWER: C
Thirty minutes per day of light exercise will help control weight and control glucose
levels.
TOP: Exercise during pregnancy KEY: Nursing Process Step:
Implementation MSC: NCLEX: Physiological Integrity: physiological adaptation
21. Development of neural tube defects seems to be more common in the fetuses of
pregnant women whose diet is low in:
a. iron.
b. vitamin D.
c. folic acid.
d. essential amino acids.
ANSWER: C
Research has shown a higher incidence of neural tube defects in fetuses of women
with folic acid deficiency. In 1992 the U.S. Public Health Service recommended that
all women of childbearing years consume 0.4 mg of folic acid daily.
TOP: Folic acid KEY: Nursing Process Step: NA MSC: NCLEX: NA
22. The term fetus refers to an embryo that is weeks old.
a. 2
b. 3
c. 6
d. 9
ANSWER: D
From the 9th week of life, the embryo is called a fetus.
TOP: Fetus KEY: Nursing Process Step: NA MSC: NCLEX: NA
23. The Moro (startle) reflex, which is present at birth, disappears normally at the age
of:
a. 3 months.
b. 4 months.
c. 5 months.
d. 6 months.
ANSWER: A
The Moro (startle) reflex disappears 1 to 3 months after birth.
OBJ: NA TOP: Reflexes KEY: Nursing Process Step:
NA MSC: NCLEX: NA
24. Good prenatal nutrition is stressed to an expectant mother because poor nutrition
could
increase the baby’s risk of in later life.
a. diabetes
b. kidney failure
c. respiratory disorders

IF YOU WANT THIS TEST BANK OR SOLUTION
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IF YOU WANT THIS TEST BANK OR SOLUTION
MANUAL EMAIL ME
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RECEIVE ALL CHAPTERS IN PDF FORMAT

TEST BANK For Growth and Development Across the Lifespan, 3rd Edition By Gloria Leifer; Eve Fleck, Verified Chapters 1 - 16, Complete Newest Version.pdf

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