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Exam Review

Health And Wellness - Chamberlain Uni Proctored Exam

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Total Questions : 60

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Question 1:

A nurse is educating a group of nursing students about Erikson's psychosocial theory. Which statement(s) by a student indicate effective learning has occurred? Select all that apply.

Answer and Explanation

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Question 2:

Which finding will likely prevent a 6-month-old infant from receiving an immunization?

Answer and Explanation

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Question 3:

Complete the following sentence by choosing from the list of options. A nurse is assessing an 82-year-old client's psychosocial well-being. The client

suggesting successful resolution of Erikson's

Answer and Explanation

Explanation

According to Erik Erikson's theory of psychosocial development, the final stage of the human life cycle focuses on evaluating one's personal legacy. Individuals reflect on their choices, relationships, and societal contributions to synthesize a coherent narrative of their existence. Achieving a positive outcome fosters the development of ego integrity and existential wisdom, whereas failing to reconcile past choices leads to profound existential dread and psychological fragmentation.

Rationale for correct answers:

Expresses pride in life accomplishments: This behavioral manifestation indicates the attainment of ego integrity. The client views their life as meaningful and successful, accepting both triumphs and disappointments without overwhelming resentment. This cognitive synthesis promotes psychological resilience and peaceful acceptance of mortality during late adulthood.

Integrity vs. Despair: This is the specific psychosocial developmental conflict encountered during late adulthood (age ≥65 years). Successful resolution relies on retrospective life review, allowing the individual to achieve a sense of fulfillment. It stands as the culminating developmental task before the end of life.

Rationale for incorrect answers:

Reports bitterness and regret: Expressing persistent bitterness and mourning lost opportunities signifies a failure to achieve ego integrity. This maladaptive cognitive state reflects the development of psychosocial despair, leaving the individual overwhelmed by the feeling that time is too short to alter their legacy.

Avoids discussing the past: Suppression or avoidance of biographical reflection often indicates unresolved emotional conflicts or underlying distress regarding past choices. Rather than demonstrating ego integrity, this defensive mechanism suggests a coping strategy to suppress intrusive regrets or unresolved grief.

Intimacy vs. Isolation: This developmental stage occurs during young adulthood (ages 18 to 40 years). The primary focus is forming deep, enduring, committed emotional and physical relationships with others. Resolving this stage prevents social alienation but is not the focus of late-life reflection.

Generativity vs. Stagnation: This conflict characterizes middle adulthood (ages 40 to 65 years). It centers on nurturing the next generation, establishing professional legacies, and contributing to community welfare. Failure results in personal impoverishment, which precedes but is distinct from the final late-life crisis.


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Question 4:

A nurse is educating a group of caregivers about Kohlberg's stages of moral development. Which statement describes the postconventional level of Kohlberg's theory?

Answer and Explanation

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Question 5:

Match the client scenario with Piaget's Cognitive Development Period.

Client Scenario

Colored their hair red to show school support but believes everyone will think it's weird.

Listens with a toy stethoscope and states "teddy bear your heartbeat sounds strong today."

Gazes at a spinning toy making music and flashing bright colors.

Walks to school and back home after school by themselves.

Answer and Explanation

Explanation

Cognitive development involves the progressive reorganization of mental processes resulting from biological maturation and environmental experience. Piaget's theory outlines four sequential periods characterized by distinct capacity milestones. The stages involve transitioning from basic sensorimotor reflexes to internalized symbolic thought, followed by systematic reversible mental operations, and culminating in advanced hypothetico-deductive reasoning.

Rationale:

Formal operational period. Adolescents demonstrate egocentrism by creating an imaginary audience, believing others are intensely focused on their appearance. This reflects abstract thinking capabilities emerging at ≥11 years of age. They possess advanced self-consciousness regarding personal peer evaluation.

Preoperational period. Toddlers aged 2 to 7 years exhibit animism, attributing life-like qualities and intentions to inanimate objects like toys. Their thinking is highly subjective, egocentric, and dominated by magical perceptions. They cannot perform complex operational tasks yet.

Sensorimotor period. Infants aged 0 to 2 years learn through sensory manipulation and motor actions within their immediate environment. The child relies entirely on external stimuli like lights and sounds to process information. This stage lacks mental representation capabilities.

Concrete operational period. Children aged 7 to 11 years master spatial reasoning and understand reversible operations, allowing independent navigation of familiar routes. They apply logical rules to physical, tangible objects and real-world scenarios. They still struggle with abstract concepts.


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Question 6:

A nurse is developing a community program aimed at adults in midlife. Which activity supports Erikson's concept of generativity?

Answer and Explanation

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Question 7:

A nurse is teaching parents about automobile safety for their infant. Which statement by the parents indicates correct understanding?

Answer and Explanation

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Question 8:

A school nurse is planning a health education lesson for elementary-aged students. Which teaching approach is appropriate for the development level of school-aged children?

Answer and Explanation

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Question 9:

What is a common psychological effect of adverse childhood experiences (ACES)?

Answer and Explanation

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Question 10:

A nurse is assessing the home of an 11-month-old infant for safety risks. Which observation requires intervention?

Answer and Explanation

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