TLE 9 3rd Quarter Exam

Test 1. Select all that apply

1. A client becomes angry and aggressive towards a caregiver after speaking on the phone with his
son. The caregiver learns that the son cant visit as expected. Which interventions might the
caregiver use to help the client deal with his displacement anger?
a. Explore the clients unmet needs
b. Avoid the client until he apologizes
c. Suggest that the client direct his anger at his son
d. Invite the client to a quiet place to talk
e. Assist the client in identifying alternate ways of approaching the problem
2. Which of the following interventions would be appropriate for rape victim?
a. Admit the client to the treatment area right away
b. Encourage the client to undergo an examination immediately in order to get it behind her
c. Assure the client that shes safe in the examination room
d. Touch the client early on so that she knows that you are supportive
e. Allow a third party to be present if the client requests it
f. Ask what questions to determine the type of assault
3. A caregiver is engaging in a therapeutic relationship with a client. Which of the following
describe this?
a. identify and meet the needs of the client and nurse
b. help the client explore different problem-solving techniques
c. encourage the practice of new coping skills
d. give advice to the client
e. exchanging information with the client
f. discuss the clients feelings with her family
4. A caregiver has developed a relationship with a client who has an addiction problem. Which
actions would indicate that the therapeutic interaction is in the working phase?
a. The client discusses how the addiction has contributed to the family distress
b. The client reluctantly shares the family history of addiction
c. The client verbalizes difficulty identifying persona strengths
d. The client discusses the financial problems related to addiction
e. The client expresses uncertainty about meeting with the caregiver
f. The client acknowledges the addictions effects on his children
5. A recent diagnosis of cancer has caused a client severe anxiety. Which of the following
interventions should you include in the plan of care?
a. Maintain a calm, nonthreatening environment
b. Explain relevant aspects of chemotherapy
c. Encourage the client to verbalize her concerns regarding the diagnosis
d. Encourage the client to deep-breathing exercises and other relaxation techniques during
periods of increased stress
e. Provide distractions for the client during periods of stress
f. Teach the stages of grieving to client

6. You interviews the family of a client hospitalized with severe depression and suicidal ideation.
What family assessment information is essential in formulating an effective plan of care?
a. Physical pain
b. Personal responsibilities
c. Employment skills
d. Communication patterns
e. Role expectations
f. Current family stressors
7. A client has just been diagnosed with terminal cancer and is being transferred to home hospice
care. The clients daughter tells the caregiver, I dont know what to say to my mother if she
asks me if shes going to die. Which of the following responses by the caregiver would be
appropriate?
a. Tell your mother not to worry. She still has some time left.
b. Lets talk about your mothers illness and how it will progress.
c. You sound like you have some questions about your mother dying. Lets talk about that.
d. Dont worry, hospice will take care of your mother.
e. Tell me how youre feeling about your mother dying.
8. A 26-year-old client with chronic renal failure was recently told by his physician that he is poor
candidate for a transplant because of chronic uncontrolled diabetes mellitus. Now the client
tells the caregiver, I want to go off dialysis. Id rather not live than be on this treatment for the
rest of my life. Which of the following responses is appropriate?
a. Take a seat next to the client and sit quietly to reflect on what he said.
b. Say to the client, we all have days when we dont feel like going on.
c. Leave the room to allow the client privacy to collect his thoughts.
d. Say to the client, Youre feeling upset about the news you got about the transplant.
e. Say to the client, the treatments are only 3 days a week. You can live with that.
9. A caregiver is caring for a client whose cultural back-ground is different from her own. Which of
the following actions are appropriate for the caregiver to take?
a. Consider that nonverbal cues, such as eye contact, may have different meaning in different
cultures.
b. Respect the clients cultural beliefs
c. Ask the client if he has cultural or religious requirements that should be considered in his
care.
d. Explain the caregivers beliefs so that the client will understand the differences.
e. Understand that all cultures experience pain in the same way.
10. A caregiver is assessing a newly admitted client. In the family assessment, whom should the
caregiver consider to be part of the clients family?

Test II. Multiple Choice

Direction: Read each question thoroughly and carefully. Then, choose the best answer.
Situation: Health Promotion and Care of Normal Growing and developing Infants
1. According to Erikson, infancy is the age for developing which psychosocial task?

2.

3.

4.

5.

6.

7.

8.

a. Sense of initiative versus guilt

b. Sense of trust versus mistrust
c. Sense of identity versus role diffusion
d. Sense of industry
2-month-old infant is assessed for developmental milestones. Which is advance of the age?
a. Closed posterior fontanel
b. Holds a slim rattle briefly
c. Exhibits social smile
d. Rolls from back to side
Which of the following is the most important characteristic of toys of infants?
a. Small
b. Washable
c. Brightly-colored
d. Enhances development
The caregiver assesses an 8-month-old infant. Which of the following does the caregiver expect
to note in this infant?
a. Refined thumb-to-finger coordination
b. Fears strangers
c. Uses the word Ma
d. Stands with support
At which is the infant able to follow simple commands such as Wave bye-bye
a. Between 8 to 9 months
b. Between 4 and 5 months
c. Between 12 and 15 months
d. Between 11 and 12 months
The clinic caregiver evaluates a 7-months-old infant for eruption of primary teeth and finds a
normal eruption schedule. At his stage, how many primary teeth are expected?
a. A pair of upper central incisors
b. A pair of lower central incisors
c. A pair of molars
d. Two pairs of incisors
During a well-child visit, the caregiver weighs Baby James, 6 month old and identifies he is
growing normally because his present weight, compared to his birth weight has:
a. Tripled
b. Quadrupled
c. Doubled
d. Decreased
When the mother asked the caregiver as to the reason(s) of the loss in weight of her 7-day-old
infant, which of the following is least likely to be included in the caregivers response?
a. Decrease in maternal hormones
b. Passage of urine and stools
c. Inadequate oral intake
d. Presence of sepsis

9. Jane has finished with her mothers class on well-child care and prevention of diseases and
injuries in children. She opens the session for an open forum. To promote bonding between the
newborn and the mother, which of the following measures is most appropriate to implement?
a. Involve parents in the care of newborn
b. Encourage and support breastfeeding
c. Advise the mother to breastfeed every 2 hours
d. Encourage the mother to hold the newborn during bottlefeeding
10. A mother asks the caregiver if there is still a need to submit her son for immunization even iif he
already receives ample antibiotics from her breast milk. The caregivers response should be
based on the knowledge that:
a. Breastfeeding provides the best milk for infants
b. Breastfeeding provides all the protection needed by the infant, such that there is no need
for immunization
c. Breastfeeding can only provide the baby antibodies that the mother herself has so the baby
still needs to be immunized
d. Breastfeeding provides active immunity against all childhood diseases
11. Food allergy is one of the problems in infant feeding. Which of these food items is considered
the most allergic food?
a. Fruits
b. Vegetables
c. Meats
d. Milk
12. The clinic caregiver instructs the mother on the instruction of solid foods to her baby. Which of
the following is the correct sequence of introducing solids?
a. Vegetables, fruit, cereal, meat, fish
b. Fruit, meat, cereal, vegetables, fish
c. Cereal, fruit, vegetable, meat, fish
d. Cereal, meat, fruit, vegetable, fish
13. The following are feeding problems in infancy. Which is the most common?
a. Colic
b. Diarrhea
c. Vomiting
d. Aspiration
14. To prevent vomiting in infants, one measure is avoiding them. What is the gastric capacity of a
4-mont-old infant?
a. 45-60 ml
b. 160 180 ml
c. 210 -220 ml
d. 90 100 ml
15. To stimulate the senses of infants and provide early mental feeding is to meet the needs of this
cognitive stage of infancy. According to Piaget, which of stage is this?
a. Preoperational stage
b. Sensorimotor
c. Concrete operations stage

16.
a.
b.
c.
d.
17.

18.

19.

20.

d. Formal operations stage

At 12 months, the following developmental milestones can be demonstrated by the child,
except_______
Standing without support
Walking with assistance
Having 4-5 words in his vocabulary
Closing of the bregma
The caregiver explains to a group of mothers the differences between breast milk and cows
milk. Which is incorrect?
a. Cows milk is richer in protein and minerals that breast milk
b. Breast milk has more calories per ounce than cows milk
c. Breast milk contains antibodies that protect the child against childhood diseases
d. Breast milk has more sugar than cows milk
The most significant person to the infant is the _______
a. Parents
b. Mother
c. Father
d. Basic family
In order to foster the development of sense of trust in infants, which of the following measures
is most important?
a. The mother should always be at home
b. The infant should be fed whenever he cries
c. The infants needs should be met consistently
d. All of the above
According to Sigmund Freud, the father of modern psychiatry, the age of infancy corresponds to
the _______
1. Oral stage
2. Id stage
3. Stage for development of the self
4. Pleasure stage
a. 1,2,3
b. 2,3,4
c. 1,2,4
d. 1 and 2 only

Situation: Upon returning to the cubicle, a caregiver notices the watchers of other patients in the unit
gathered around Luis, a 5-year-old child with recurrent seizures (epilepsy), on the floor having an
episode.
21. The best immediate response of the caregiver would be to _____
a. Hold the childs arms down
b. Move the child back to his bed
c. Cradle the childs head in her lap
d. Place something in the childs mouth

22. The following statements concerning epilepsy are true, with the exception of:
a. The causes of the most cases of epilepsy remain unknown
b. There is still a stigma connected with the term epilepsy
c. The nursing diagnosis high-risk for injury is the priority in the care of children with epilepsy
d. All cases of epilepsy can be controlled by medications
Situation: Mrs. Go tells a caregiver, My 1-1/2 year-old child recently passed several stools that are
large, pale, and diarrheic and have a foul odor.
23. Based on this information, the caregiver should suspect that the child has developed_______
a. Biliary atresia
b. Intrussusceptions
c. Celiac disease
d. Hirschsprungs disease
24. If Pete gets admitted because of celiac crisis, which of the following actions should be done to
reverse the crisis?
a. Strictly monitor I and O
b. Implement IV therapy promptly
c. Avoid gluten-rich foods
d. Prevent infection
25. To caregiver is reinforcing the teaching on how to prevent celiac crisis to the parents of a child
with celiac disease. The foods are high in gluten and should be avoided include_____
a. Rice cake
b. Corn flakes
c. Breaded chicken and gravy
d. Rice cereals
Situation: Health Promotion and Care of Normal Growing and Developing Toddlers
26. Which of these is leading cause of delay in achieving toilet training?
a. Chronic illness
b. Starting early with toilet training
c. Congenital defect
d. Las attitude of the mother towards toilet training
27. According to Erikson, 2-year-old peter is in which stage of psychosocial development?
a. Anal
b. Autonomy
c. Pre-conceptual
d. All of the above
28. In explaining to parents about parallel play in toddlers, which should be excluded by the
caregiver?
a. It is normal for toddlers not to share
b. Parents need not encourage their toddlers to share during parallel play
c. Parallel play is when two toddlers are seated together or side by side, each playing with his
toy
d. Parents should encourage toddlers to cooperate and share at play

29. The caregiver notices this characteristic as quite delayed in a 2-year-old chid:
a. Walks alone
b. Cruises
c. Runs fairly well
d. Climbs stairs
30. Which advice will you give a mother who expresses concern over her childs negativism?
a. Ignore the childs behaviour, as this trait is normal in the stage
b. Give simple choices he can choose from
c. Be strict so he will learn the virtue of obedience early
d. Bring the child to the paediatrician for evaluation