Deck 9: Growth and Development Throughout the Life Span

Question 1

The nurse reinforces education about motor vehicle safety to a young couple who is about to start a family.Which client statement indicates the need for additional teaching?

A)"Motor vehicle accidents are a cause of injury and death among toddlers."
B)"Vigilance must be used when driving in areas where toddlers may be playing."
C)"I always look for small children when I am backing up or pulling into a driveway."
D)"The use of a car seat becomes optional once the child grows out of the infant stage."

Answer 1

"The use of a car seat becomes optional once the child grows out of the infant stage."

Question 2

The nurse gathers data from a client who will be headed off to college in the fall.The client states, "I am developing my own spiritual beliefs that are different from my parents." According to Fowler, which stage of spiritual development does the nurse document in the client's medical record?

A)Universalizing
B)Undifferentiated
C)Individuating-reflexive
D)Paradoxical-consolidative

Answer 2

Individuating-reflexive

Question 3

Which scenario does the nurse identify as exemplifying the transition to concrete operational thought as explained by Piaget?

A)A child becoming more secure about the limits of acceptable behavior.
B)A child becoming interested in politics, environmental issues, and social justice.
C)A child no longer believing that an adult dressed in a mouse suit is a giant mouse.
D)A child becoming upset when a babysitter arrives as this means the parents are leaving for the evening.

Answer 3

A child no longer believing that an adult dressed in a mouse suit is a giant mouse.

Question 4

Which action is best from the nurse when providing care to a toddler who throws a "temper tantrum" during a well-child visit?

A)Scolding the toddler in a stern tone of voice
B)Meeting the needs and wants of the toddler immediately
C)Removing the toddler to a quiet place away from the situation
D)Offering the toddler some ice cream as a reward for calming down

Question 5

The nurse gathers data for a pediatric client who is experiencing a developmental delay.Which question does the nurse ask to determine if the delay is due to biological factors?

A)"Did your child experience a lack of oxygen during the birth process?"
B)"Was your child exposed to any chemicals, such as lead?"
C)"Does your child eat a balanced diet?"
D)"Has your child experienced abuse?"

Question 6

The nurse gathers data for a child who imitates the parents' behaviors about religion.Based on Fowler's Stages of Spiritual Development, which stage does the nurse document in the child's medical record?

A)Undifferentiated
B)Mythic-literal
C)Intuitive-projective
D)Synthetic-conventional

Question 7

The nurse provides care to a toddler-aged client who is hospitalized.Which intervention does the nurse implement to promote the toddler's autonomy?

A)Playing peek-a-boo with the child
B)Telling the parent to dress the child
C)Chastising the child because the shoes are on the wrong feet
D)Asking the child to choose between chocolate or vanilla pudding

Question 8

Children in preschool often learn from pretending, role-playing, and exploring the identities of adults in various positions, such as nurses, doctors, teachers, police officers, firefighters, and others who serve as role models.A nurse identifies this as an example of which type of behavior?

A)Moral development
B)Physical development
C)Cognitive development
D)Psychosocial development

Question 9

A young adult brags to a nurse stating, "I never get sick and have not needed to see a doctor in years." Which frequency does the nurse recommend for the client to receive physical examinations and screenings even when feeling healthy?

A)Every year
B)Every 5 years
C)Every 6 months
D)Every other year

Question 10

The mother of a 9-year-old boy is concerned that her son is gaining weight too quickly for his age.Which is the range of weight gain that is expected during the ages of 5 and 12 years that the nurse shares with this mother?

A)2 to 4 pounds per year.
B)4.5 to 6.5 pounds per year.
C)7.5 to 10 pounds per year.
D)9.5 to 12 pounds per year.

Question 11

A nurse instructs a postpartum client who wishes to breastfeed to gently touch the newborn's cheek that is closest to the breast to cause the baby to turn toward the breast and open the mouth to find milk.Which reflex is the nurse describing the client to elicit?

A)Moro reflex
B)Rooting reflex
C)Sucking reflex
D)Babinski reflex

Question 12

Which client statement indicates to the nurse the need for further instruction regarding expected age-related changes that occur during the older adult stage of development?

A)"There will be a decrease in bone density."
B)"Blood flow and oxygen use in the brain will decrease."
C)"Bladder capacity will decrease because of loss of muscle tone."
D)"Men and women will no longer have a need for sexual intimacy."

Question 13

The nurse gathers data for a child who is 8 years of age during a well-child visit.Which stage of development does the nurse document for this child in the medical record?

A)Toddler
B)Preschooler
C)School-ager
D)Adolescent

Question 14

A nurse is caring for a client who has been attending a local university to earn a law degree.The client states, "I want to earn my degree so that I can fight for justice and human rights for people throughout the world." The nurse recognizes that the client is in which stage of Lawrence Kohlberg's moral development theory?

A)Conventional morality
B)Preoperational morality
C)Preconventional morality
D)Postconventional morality

Question 15

The mother of a 1-year-old child asks a nurse how much her child should weigh.At birth, the child weighed 7 pounds and 8 ounces.Based on this information, the nurse tells the mother the child should be which weight?

A)21.5 pounds
B)22.5 pounds
C)23.5 pounds
D)24.5 pounds

Question 16

The nurse provides safety education to the parents of preschooler and school-age children.Which parental statement indicates to the nurse the need for additional teaching regarding the safety needs of these children?

A)"My child's greatest safety risk is choking at this stage of development."
B)"My children are aware of what to do if a stranger approaches at the bus stop."
C)"I will be sure that my child's caregiver is knowledgeable about playground safety."
D)"I will enroll my children in swimming lessons as water safety is important at this age."

Question 17

The nurse observes an infant picking up items and immediately placing the items in the mouth.When documenting this observation, the nurse identifies that the infant is encouraging cognitive development through which concept?

A)Egocentric experiences
B)Sensorimotor experiences
C)Formal operational thinking
D)Concrete operational thought

Question 18

During adolescence, girls develop breasts and boys develop facial hair.The nurse documents these findings as a normal stage of which type of development?

A)Moral
B)Physical
C)Cognitive
D)Psychosocial

Question 19

The nurse provides care to an older adult client who displays a fearful attitude toward the nurse when care is provided.The client has multiple unexplained bruises, and several old fractures appear on the x-ray that were never treated.Which does the nurse suspect based on the current data?

A)The client may have dementia.
B)The client may have been injured on the job.
C)The client may be suffering from poor balance.
D)The client may have been abused by a caregiver.

Question 20

Which statement is inappropriate for the nurse to say prior to administering an intramuscular analgesic medication to a school-age child?

A)"My injections don't hurt."
B)"This will only hurt for a little while."
C)"This will feel like a prick and will hurt a little."
D)"This medication will help take your pain away."

Question 21

Which actions by the nurse are age-appropriate when providing care to a hospitalized adolescent? Select all that apply.

A)Talking down to the adolescent
B)Treating the adolescent with respect
C)Encourage the adolescent's peers to visit
D)Insisting that the adolescent's parent be present during examinations and procedures
E)Assuming that the adolescent has no knowledge of the current illness necessitating hospitalization

Question 22

Which information does the nurse include in a teaching session for the school-age child regarding the prevention of accidents and injuries during this stage of development? Select all that apply.

A)Water safety
B)Sports safety
C)Firearm safety
D)Experimentation safety
E)Escape from abduction

Question 23

Which patterns does the nurse include when providing an in-service to newly hired staff regarding growth? Select all that apply.

A)Orderly
B)Predictable
C)Disorganized
D)Proximodistal
E)Cephalocaudal

Question 24

Which is the priority when providing care to the pediatric client?

A)Safety
B)Morality
C)Physical development
D)Cognitive development

Question 25

The nurse plans to reinforce education for an adolescent client.Which topics does the nurse include during the session? Select all that apply.

A)Firearms
B)Water safety
C)Birth control
D)Internet safety
E)Sexually transmitted infections