EVOLVE NIVEL III QUESTIONS AND ANSWERS A VERY RELIABLE STUDY GUIDE- DOWNLOAD TO BOOST YOUR SCORES
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Course
Nursing
Institution
Nursing
EVOLVE NIVEL III
Health Promotion and Maintenance
1.A client who is suspected of having tetanus asks a nurse about immunizations against tetanus. Before
responding, what should the nurse consider about the benefits of tetanus antitoxin?
It stimulates plasma cells directly.
A high titer of anti...
1.A client who is suspected of having tetanus asks a nurse about immunizations against tetanus. Before
responding, what should the nurse consider about the benefits of tetanus antitoxin?
It stimulates plasma cells directly.
A high titer of antibodies is generated.
It provides immediate active immunity.
A long-lasting passive immunity is produced.
Tetanus antitoxin provides antibodies, which confer immediate passive immunity. Antitoxin does not
stimulate production of antibodies. It provides passive, not active, immunity. Passive immunity, by
definition, is not long-lasting.
2. A nurse is determining whether a 5-year-old child is displaying appropriate behaviors for this age. What
developmental findings does the nurse expect? Select all that apply.
Enjoys imitative play
Engages in ritualistic games
Makes up rules for a new game
Asks for a pacifier when uncomfortable
Plays near others quietly but not with them
Imitating adults by playing adult roles in society is at its peak in children 5 years of age; activities are
strongly identified with same-sex parent. A 5-year-old is able to negotiate and use make-believe to play.
These children are able to follow some rules but may cheat to win. Older children in the middle
,childhood years need conformity and rituals, whether they play games or amass collections. Rules to
games are fixed, unvarying, and rigid. Knowing the rules means belonging. The use of a pacifier for oral
satisfaction is typical of infants. Parallel play occurs in children ages 2 to 3 years.
3. What is the most appropriate communication strategy for the nurse working with adolescents in a
clinic in a large city health center?
Relating on a peer level
Using typical teenage language
Establishing a relationship over time
Having discussions in concrete terms
Several meetings with an adolescent provide an opportunity to develop trust and establish a
relationship. Relating on a peer level is unrealistic because the nurse is not an adolescent’s peer. Using
teenage language is not necessary and may even impede the establishment of a relationship. It is not
necessary to use concrete terms, because the adolescent is capable of abstract thought.
,4. The nurse is examining different statements that represent the stages of psychosexual development,
according to Sigmund Freud’s psychoanalytical model of personality development. Which statement
indicates that the individual is aged between 6 to 12 years?
The individual focuses on educational and social accomplishments.
The individual tries to resolve prior sexual conflicts that have resurfaced.
The individual realizes that the parent is something separate from the self.
The individual fantasizes about the parent of the opposite sex as the first love interest.
According to Sigmund Freud’s psychoanalytical model of personality development, an individual reaches
the latency stage between 6 to 12 years of age. At this stage, the sexual urges of the oedipal stage are
repressed and the individual channels them into socially acceptable productive activities. Therefore, the
child focuses on educational and social accomplishments. When an individual reaches the genital stage,
prior sexual conflicts resurface. He or she tries to resolve them in order to be able to begin an adult
mature relationship. At the oral stage, which begins from birth and continues till 12 to 18 months, the
infant is able to realize that the parent is something separate from the self. An individual between 3 to 6
years old is in the phallic or oedipal stage. At this stage, the child fantasizes about the parent of the
opposite sex as the first love interest.
Which of these features would the nurse state are exhibited by a preschooler?
Temper tantrums
Attempts to control situations
Synchronization of moral skills
Eagerness for formal education
Learn to function independently
Preschoolers refine the mastery of their bodies to function independently and eagerly await the
beginning of formal education.When parents try to control the behavior of a toddler, it leads to temper
tantrums and negative behavior. Toddlers get to know their abilities to control situations and seem
pleased with it. School-aged children and adolescents refine and synchronize physical, psychosocial,
cognitive, and moral skills to become accepted members of society.
What important teaching strategies should the nurse take into consideration to bring a change in the
client’s lifestyle? Select all that apply.
Use written resources at an appropriate reading level.
Practice active listening, and ask the client how he or she prefers to learn.
Refrain from including family member in efforts to bring a change in the client’s lifestyle.
Provide timelines for modification of eating and exercise lifestyle habits without consulting with the
client.
, Start with identifying what information the client knows regarding health risks related to poor lifestyle
choices.
To bring a change in the client’s lifestyle, the nurse should use written resources at an appropriate
reading level. The nurse should practice active listening and ask the client how he or she prefers to learn.
The nurse should start by identifying what information the client knows regarding health risks related to
poor lifestyle choices. The nurse should include family members to help bring changes in the client’s
lifestyle. The nurse should provide timelines for modification of eating and exercise lifestyle habits after
consulting with the client.
6.A parent expresses concern that the adolescent child is not ingesting enough calcium because of an
allergy to milk. What alternative foods or liquids should the nurse suggest? Select all that apply.
Cottage cheese
Green leafy vegetables
Black or baked beans
Yogurt
Oranges
Salmon and sardines
Green leafy vegetables, black and baked beans, oranges, and salmon and sardines are all good sources of
calcium even though they do not contain milk or milk products. Cottage cheese and yogurt both contain
milk and therefore must be eliminated.
9.A client asks a nurse about the most common problem associated with the use of an intrauterine
device (IUD). What answer should the nurse provide?
Perforation of the uterus
Spontaneous device expulsion
Discomfort associated with coitus
Development of vaginal infections
The IUD may cause irritability of the myometrium, inducing contraction of the uterus and expulsion of
the device. Perforation of the uterus is a rare, rather than a common, occurrence. Clients do not report
discomfort during coitus when an IUD is in place. Increased incidence of vaginal infections is not
reported with the use of an IUD.
10.A couple interested in family planning asks the nurse about the cervical mucus method of family
planning. The nurse explains that with this method the couple must avoid intercourse when and a few
days after the cervical mucus is what?
Clear and thick
Yellow and thin
Cloudy and viscid
Clear and stretchable
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