Deck 31: Growth and Development

Question 1

A 10-year-old client has been struggling with his self-esteem. Which activity would best help this child have a positive resolution of Erikson's industry versus inferiority stage?
1) Playing sports with his older brother and the brother's friends
2) Having his mother compliment him when he completes his homework
3) Encouraging the child to participate in Boy Scouts and earn badges
4) Suggesting to the mother that she allow the child to babysit his younger siblings

Answer 1

3

Question 2

While trying to inform a 5-year-old child about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. Which response by the nurse is age appropriate?
1) "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room."
2) Redirect the child by saying, "Please stop talking about your puppy. I need to tell you about your CT scan."
3) "I'll come back when you are ready to talk with me more about your CT scan."
4) Ignore the information regarding the puppy and state, "I need to teach you about going to the special room later today."

Answer 2

1

Question 3

Two 3-year-old clients are playing together in a hospital playroom. One is working on a puzzle, while the other is stacking blocks. Which type of play are these children participating in based on this scenario?
1) Cooperative play
2) Solitary play
3) Parallel play
4) Associative play

Answer 3

3

Question 4

The clinic administrator has suggested that the nurse teach all children newly diagnosed with diabetes in a single class to save nursing time. The children recently diagnosed range in age from 6 to
15) Which is the rationale for the nursing staff to continue with more than one group session?
1) Freud's theory of psychosexual development, which states that the 6-year-old child's sexual energy is at rest while the adolescent has developed mature sexuality.
2) Erikson's psychosocial theory, which discusses how children learn to relate to others.
3) Piaget's cognitive development theory, which says the 6-year-old child learns by concrete examples, while the 15-year-old adolescent can think abstractly.
4) Kohlberg's theory, which says the young children are conventional in their thinking and will want to learn to please others, while older children can internalize values and will learn for their own principles.

Question 5

The nurse is teaching new parents how to communicate with their infant. Which response by the parents indicates accurate understanding of the information presented?
1) "I will prop the bottle while my baby is in the carseat so that I can cook dinner."
2) "I will use a low-pitched voice while talking to my baby as this is most appropriate."
3) "I will unwrap my baby when she is upset to allow interaction with the environment."
4) "I will talk and sing to my baby while I am providing daily care, including diaper changes."

Question 6

The nurse is conducting a physical assessment for a pediatric client. Which part of Bronfenbrenner's ecologic theory of development is the nurse assessing when discussing the parents' work environment in relation to the client?
1) Chronosystem
2) Mesosystem
3) Macrosystem
4) Exosystem

Question 7

Which nursing actions are developmentally appropriate when caring for a hospitalized school-age child? Select all that apply.
1) Knocking on the school-age child's hospital room door prior to entering
2) Giving clear instructions about details of treatment
3) Providing brochures regarding sexuality
4) Offering medical equipment to play with prior to a procedure
5) Using toys for distraction during a painful procedure

Question 8

A nurse is assessing language development in all the pediatric clients presenting at the healthcare provider's office for well-child visits. At which age would the nurse further assess language development if the client is unable to verbalize the words "dada" and "mama"?
1) 3 months
2) 6 months
3) 8 months
4) 12 months

Question 9

The parents of a toddler are concerned that their child seems different from their other child, stating, "He just doesn't seem to like new people and wants us with him in these situations." Which response by the nurse is appropriate when using the temperament theory to respond to the toddler's parents?
1) "Your child seems to withdraw from new situations. This is typical with slow-to-warm-up children."
2) "Your child is having an intense reaction to the environment and new people and we will need to investigate this more closely."
3) "Difficult children often display a negative mood. Does your child often throw temper tantrums?"
4) "Slow-to-warm-up children are often diagnosed with autism spectrum disorder."

Question 10

An adolescent client diagnosed with cystic fibrosis suddenly becomes noncompliant with the medication regimen. Which nursing intervention would most likely improve compliance?
1) Give the client a computer-animated game that presents information on the management of cystic fibrosis.
2) Set up a meeting with other adolescents with the cystic fibrosis who have been managing their disease effectively.
3) Arrange for the primary healthcare provider to sit down and talk to the client about the risks related to noncompliance with medications.
4) Discuss with the client's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.

Question 11

The nurse is assessing a 6-month-old infant during a scheduled well-baby check-up. Which are expected findings for this infant? Select all that apply.
1) No head lag when pulled for sitting
2) Ability to turn from back to abdomen
3) Manipulates objects
4) Transfers objects from one hand to the other
5) A pincer grasp is noted.

Question 12

Two hospitalized pediatric clients are working on a puzzle together in the hospital playroom. Which type of play are the clients exhibiting?
1) Solitary play
2) Associative play
3) Parallel play
4) Cooperative play

Question 13

The mother of a 6-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. Which defense mechanism will the nurse include when responding to the mother?
1) Repression
2) Rationalization
3) Fantasy
4) Regression

Question 14

As children grow and develop, their style of play changes. Place the descriptions of play styles in order from infancy to school age.
1) Plays beside but not with other children
2) Plays games with other children and is able to follow the rules of the game
3) Plays alone with play directed by others
4) Plays with others in loose groups

Question 15

While assessing the development of a 9-month-old client, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which is the nurse assessing with this question to the parent?
1) Transductive reasoning
2) Conservation
3) Centration
4) Object permanence

Question 16

Which nursing actions are developmentally appropriate when providing care to a hospitalized toddler-age child? Select all that apply.
1) Using a crib mobile for distraction during a procedure
2) Having a potty-chair available
3) Allowing self-feeding opportunities
4) Showing equipment that will be used during the scheduled surgery
5) Assessing drawings to determine concerns

Question 17

The home health nurse is conducting a home visit for a family. The toddler-age child, who is potty training, has an "accident." The mother becomes angry with the child and calls him a baby for messing himself. Which is the nurse concerned with regarding the toddler's development, based on the mother's reaction?
1) The child's cognitive development
2) The child's sense of independence
3) The child's conscience
4) The child's superego

Question 18

The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
1) "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker."
2) "We will give you your shot when your mommy comes back."
3) "I will wipe your skin with a magic wipe and then hold the needle like this and say 'one, two, three, go' and give you your shot. Are you ready?"
4) "This is a magic sword that will give you your medicine and make you all better."

Question 19

The parents of a 12-month-old client ask the nurse for suggestions regarding age-appropriate toys for their child. Which toys are appropriate for the nurse to recommend for this client? Select all that apply.
1) Soft toys that can be mouthed
2) Toys with black-and-white patterns
3) Toys that can pop apart and go back together
4) Jack-in-the-box toys
5) Push-and-pull toys

Question 20

While being comforted in the emergency department, the 6-year-old male sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!" Which response by the nurse is most therapeutic?
1) Asking the child if he would like to sit down and drink some water
2) Sitting the child down in an empty room with markers and paper so that he can draw a picture
3) Reassuring the child that it is normal to get angry and say things that we do not mean, but that we have no control over whether an accident happens
4) Discussing the catheters, tubes, and equipment that the sibling requires, and explaining why they are needed

Question 21

Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine motor skills? Select all that apply.
1) Using scissors
2) Playing with clay
3) Riding a bicycle
4) Throwing a ball
5) Tying shoe laces

Question 22

The nurse provides education to the parents of a 7-month-old infant regarding play. Which parental responses indicate accurate understanding of the information presented? Select all that apply.
1) "I should offer my baby toys that are black and white."
2) "My baby will prefer stuffed animals during this stage of development."
3) "I should offer my baby a teething ring during this stage of development."
4) "My baby will want to interact with other people."
5) "I should offer my baby large blocks to stack while sitting on the floor."