Deck 4: Developmental Assessment

Question 1

An inability to achieve the physical and psychosocial skills for a particular developmental stage results in

A) possible delays or incomplete mastery of subsequent developmental skills.
B) the inability to progress to the next developmental stage.
C) chronic physical and psychological illnesses.
D) lowered life expectancy.

Answer 1

possible delays or incomplete mastery of subsequent developmental skills.

Question 2

According to Erikson,the core conflict of the eighth and last stage of development is

A) intimacy versus isolation.
B) ego integrity versus despair.
C) generativity versus stagnation.
D) universal moral principles versus societal norms.

Answer 2

ego integrity versus despair.

Question 3

An infant's ability to recognize his own name generally occurs at which age?

A) 2 to 4 months
B) 4 to 6 months
C) 6 to 8 months
D) 8 to 10 months

Answer 3

6 to 8 months

Question 4

Although younger infants may babble and imitate speech sounds,such as "dada," in general most infants are able to say "mama," "dada," and one other word by which age?

A) 6 to 8 months
B) 8 to 10 months
C) 10 to 12 months
D) 12 to 15 months

Question 5

Successful completion of a life review,a key developmental task of adults in late adulthood (70 years to death),results in

A) acceptance of one's life choices, successes, and failures.
B) a sense of hopelessness.
C) fear of death.
D) signs and symptoms of depression.

Question 6

The Denver II screening tool is useful in assessing children between the ages of

A) birth to 3 years.
B) 1 month to 6 years.
C) 3 to 6 years.
D) 6 to 10 years.

Question 7

One-month-old infants are generally able to

A) follow objects in their line of vision.
B) turn their heads to hear voices or sounds.
C) vocalize in response to their mother's voice.
D) coo, babble, and squeal.

Question 8

According to Freud,the major conflict of children between the ages of 6 and 12 years is

A) identifying with the same-sex parent.
B) resolving the Oedipus-Electra complex.
C) developing self-assurance and self-esteem.
D) establishing meaningful relationships with peers.

Question 9

By the age of 15 months,most children are able to

A) feed themselves with a cup and spoon.
B) walk up stairs while holding on.
C) point to body parts when asked.
D) say 10 or more words.

Question 10

By 6 years of age,most preschool children are able to

A) put models together.
B) jump rope and throw a ball overhand.
C) ride a two-wheeler (bicycle).
D) read 100-page books.

Question 11

The motor skills of 3-month-old infants typically include the ability to

A) put objects in their mouth.
B) turn from back to stomach.
C) look at and play with their fingers.
D) hold the foot and put it in the mouth.

Question 12

The primary socializing agents of children age 6 to 12 shift from their parents to

A) same-sex peers in school and the neighborhood.
B) siblings.
C) pop stars and teen idols.
D) grandparents, aunts, and uncles.

Question 13

Readiness for toilet training is usually evident at which age?

A) 10 to 12 months
B) 12 to 14 months
C) 14 to 18 months
D) 18 to 24 months

Question 14

Adults continue to maintain their interest in current political trends and issues as well as maintain affiliations with social,religious,professional,civic,and political organizations during which period?

A) young adulthood
B) early middle adulthood
C) late middle adulthood
D) late adulthood

Question 15

Development of an individual's moral reasoning and associated behaviors was addressed by which theorist?

A) Erikson
B) Freud
C) Kohlberg
D) Piaget

Question 16

A stressful life event commonly faced by adults in the early middle-adult years includes

A) facing an "empty nest" as children move away.
B) being diagnosed with a chronic health problem such as cancer.
C) adjusting to the possible or actual death of parents and /or life partner.
D) reviewing the experiences, relationships, and events of one's life and accepting one's life and accompanying life choices and outcomes in their entirety (a life review).

Question 17

Which life event or transition is reported to be particularly stressful to toddlers?

A) having more than five siblings
B) personal injury or illness
C) both parents working outside the home
D) illness or death of a cousin

Question 18

The ages and stages developmental theories are based on which premise?

A) Development occurs in response to specific life events and transitions that require adaptive, coping behavior and involve changes in one's life patterns.
B) People experience much the same sequential physical, cognitive, socioemotional, and moral changes during the same age periods or developmental states.
C) Human behavior is motivated by internal psychodynamic forces and external factors such as cultural orientation, socioeconomic status, and the number and intensity of life events.
D) Development occurs as a result of stress associated with life events or transitions that serve as an impetus for growth.

Question 19

Developmental tasks of the preschool child (3 to 6 years)include developing

A) a sense of initiative and purpose.
B) a sense of basic trust.
C) the ability to tolerate delayed gratification.
D) the ability to tolerate separation from parents.

Question 20

The developmental tasks of school-age children include building self-esteem and

A) obtaining a place in a peer group.
B) identifying sex role and functions.
C) developing a conscience.
D) developing skill in relating to people from different backgrounds.

Question 21

Based on Erikson's stages of psychosocial development,which of the following is a priority to communicate to parents of an infant to assist them in meeting the basic needs of infancy?

A) Talk with the infant during times of dressing, bathing, and feeding.
B) Provide mobiles for the infant's crib to stimulate cognitive growth.
C) Respond to the infant's smile by talking, cooing, smiling back, and playing.
D) Attend to the infant's need for comfort, security, food, warmth, and predictability.

Question 22

The developmental tasks of a 20-year-old young adult would include which of the following? Select all that apply.

A) Commit to a life partner
B) Form an intimate affiliation with another
C) Establish friendships and social groups
D) Set up and manage one's own household
E) Manage life stresses accompanying change
F) Begin to plan for personal, financial, and social aspects of retirement

Question 23

A nurse plans to offer an infant a pacifier during the period he is NPO.The rationale for this intervention is based on which theorist?

A) Erikson
B) Piaget
C) Kohlberg
D) Freud

Question 24

The idea that the final stages of cognitive development are characterized by thinking in abstract,logical,analytical,and creative ways was developed by ____________________.

Question 25

A mother expresses concern because her infant is walking sideways while holding on to furniture.Which of the following is the most appropriate statement the nurse should make to this mother?

A) "Infants start walking sideways while holding on to furniture before walking or standing alone."
B) "You may want to consider a neurological evaluation to rule out a pathological cause for this behavior."
C) "You can break the baby of this habit if you hold his hands while he walks."
D) "You need to make an appointment with your pediatrician and have this problem checked out."

Question 26

The screening tool used to evaluate life activities as a function of overall well-being and an indicator of areas needing intervention for a child is the:

A) NGAGED (Now, Growth, and Development, Activities of Daily Living, General Health, Environment, and Documentation).
B) Stress Scale for Children.
C) Functional Activities Questionnaire.
D) Washington Guide to Promoting Development in the Young Child.

Question 27

A nurse is planning activities to foster psychosocial development for children of different ages.Which activity is appropriate for the specified child's age?

A) Play board games with a school-age child.
B) Play video games with a toddler.
C) Put together a 500-piece jigsaw puzzle with a preschooler.
D) Watch educational TV shows with an infant.

Question 28

A mother is comparing her child with the neighbor's child who is the same age.The mother is concerned that her child does not have as advanced language skills as the neighbor's child.The nurse assesses the child and determines the language skills are within the range of normal.This nurse would advise the mother that

A) speech develops more rapidly in children with siblings.
B) some children's talents lie in areas other than language skills.
C) the child needs to have a battery of psychological tests.
D) the development of language skills varies greatly in children.

Question 29

Which self-administered assessment tool for adults provides the basis for anticipatory guidance and counseling on stress and coping skills?

A) Everyday Hassles Scale
B) Life Experiences Survey
C) Recent Life Changes Questionnaire
D) Stress Audit

Question 30

Which of the following tools are appropriate to use with adolescents? Select all that apply.

A) Beck Anxiety Inventory
B) Sense of Coherence (SOC) Scale
C) Everyday Hassles Scale (EHS)
D) Early Language Milestones Scale (ELM Scale-2)
E) Folstein Mini-Mental State Examination (MMSE)
F) HEADSS (Home, Education, Activities, Drugs, Sex, and Suicide) Adolescent Risk Profile

Question 31

The spouse of a 77-year-old patient expresses concern about the patient and states,"His mind seems to be going.He can't remember where he puts things." Which of the following assessment tools would you administer to obtain further data on his cognitive functions?

A) Beck Depression Inventory (BDI)
B) Folstein Mini Mental State Examination (MMSE)
C) Life Experiences Survey
D) Recent Life Changes Questionnaire

Question 32

Which assessment tool may be used by a parent to identify children who need a more complete screening?

A) Brazelton Neonatal Behavioral Assessment Scale (BNBAS)
B) Carey Infant and Child Temperament Questionnaires
C) Revised Prescreening Developmental Questionnaire (R-PDQ)
D) Washington Guide to Promoting Development in the Young Child

Question 33

If a 10-month-old has insufficiently achieved the developmental task of standing alone,the child may not be able to

A) pull self to a standing position.
B) walk alone well.
C) bounce when held in a standing position.
D) crawl using the arms to pull the body along the floor.

Question 34

A pediatric nurse is caring for a hospitalized preschooler who is in traction.The nurse determines that the most appropriate play activity for the child is which of the following?

A) finger painting
B) reading from a large picture book
C) hand sewing a picture
D) listening to music

Question 35

A nurse working in a facility for patients 70 years and older,would anticipate that the patients would be completing which developmental tasks for their age group? Select all that apply.

A) Work on life review.
B) Prepare for inevitability of own death.
C) Establish affiliation with younger age groups.
D) Maintain and develop new activities that help retain functional capacities.
E) Accept and adjust to changing, possibly restricted circumstances-social, financial, and lifestyle.
F) Maintain and develop activities that contribute to a continuing sense of usefulness
And self-worth and enhanced self-image

Question 36

A nurse at a well-baby clinic is assessing the language and communication developmental milestones of a 2-month-old infant.Which of the following begins to occur in the infant at this developmental age?

A) use of gestures
B) babbling sounds
C) cooing sounds
D) increased interest in sounds

Question 37

The nurse is working with an adolescent client in the hospital.The adolescent requests that the parents bring some books about puns to the hospital.He frequently uses puns in conversation and is highly critical about the hospital rules,his parents,and many aspects of the world.The parents ask the nurse why their child is acting so differently in adolescence compared to when he was younger.The best answer by the nurse is

A) "This is your child's way of dealing with the stress of hospitalization."
B) "Your child has developed the ability to use abstract thinking."
C) "Perhaps some psychological tests might help determine if this is normal."
D) "Setting limits in regard to critical statements often helps stop this behavior."

Question 38

A nurse would expect the language development of an 18-month-old toddler to include which of the following? Select all that apply.

A) Says 10 or more words
B) Verbalize toilet needs
C) Uses pronouns appropriately
D) Knows name of one color
E) Knows first and last name
F) Points to objects or body parts when asked

Question 39

Parents of a 10-month-old ask how they can foster psychosocial development for their child.An appropriate activity the nurse could recommend is to

A) play a music box.
B) place a black and white mobile in the crib.
C) play peek-a-boo.
D) give the child a rattle.

Question 40

A nursing instructor asks a student," What are some of the skills developed by the time a child reaches 18-months-old?" Which of the following would indicate to the instructor that further teaching is needed? Select all that apply.

A) Runs, falling often
B) Can kick a ball
C) Can jump in place
D) Can ride a tricycle
E) Throws a ball
F) Can walk upstairs holding on

Question 41

At the age of ___________________ to ___________________ months,an infant can usually stand alone and walk while holding on to objects.

Question 42

One of the major tasks of infancy is ___________________,which requires children to give up the breast or bottle,a major source of gratification.

Question 43

Between the ages of ___________________ to ___________________ years,the individual learns the rules and norms of a widening social,religious,and cultural environment and adopts moral standards for behavior.

Question 44

Most people develop analytical thinking at age ___________________ to ___________________ years.