Question 1

The nurse is interviewing the parents of an infant. One parent states, "I was not raised in a family of faith, and I don't know how to give that to my child." Using James Fowler's Spiritual Development Theory, which information does the nurse provide?

Accepted Answer

Fowler's theory suggests that faith development progresses through stages that are closely linked to cognitive development, indicating that as a person's ability to think and understand the world evolves, so too does their capacity for faith.

Question 2

According to Erikson, which behavior demonstrates an important psychosocial task for a toddler to exhibit?

Accepted Answer

Erikson's theory of psychosocial development states that toddlers are in the stage of "Autonomy vs. Shame and Doubt," where they learn to assert their independence. Acting defiantly, such as refusing to hold a parent's hand, is a demonstration of this autonomy.

Question 3

The nurse in a pediatric clinic is performing a developmental assessment on a toddler who is a regular client. Over a period of months, the nurse notices the toddler's inability to walk without holding on to something and poor pincer grasp. The parent states, "There is nothing wrong with my child. We just need to give him more time." Which developmental principle does the nurse convey to the parent using Havighurst's Developmental Task Theory?

Accepted Answer

Havighurst's Developmental Task Theory emphasizes that successful completion of developmental tasks leads to happiness and success with later tasks, while failure leads to unhappiness in the individual, disapproval by society, and difficulty with later tasks. The toddler's inability to walk without assistance and poor pincer grasp could indicate developmental delays that, if not addressed, may lead to difficulties mastering future developmental tasks.

Question 4

The nurse teaches the parent of a preschool-age child about expected development. Which comment by the parent indicates understanding of the information?

Accepted Answer

The answer of The nurse teaches the parent of a...

Question 5

The nurse is presenting material to a class of 9- to 11-year-old children. Which is the most important topic for the nurse to present for this age group?

Accepted Answer

Children aged 9 to 11 are at a developmental stage where they are becoming more independent and may engage in activities that require safety precautions, such as riding bikes or being passengers in vehicles. Teaching them about the use of seat belts and safety equipment is crucial for preventing injuries.

Question 6

A mother watches the nurse perform an assessment on her newborn and asks the nurse why the nurse is doing things like stroking the bottom of the newborn's feet. Which response by the nurse is correct?

Accepted Answer

The nurse is likely performing a test to evaluate the newborn's reflex responses, such as the Babinski reflex, which is a normal reflex response in infants. This involves stroking the bottom of the foot to see if the toes fan out, indicating normal neurological development.

Question 7

Which action is an example of a school-aged child meeting a psychosocial development task?

Accepted Answer

The answer of Which action is an example of a...

Question 8

Which behavior by the parent does the nurse recognize as having the most impact on an infant developing trust?

Accepted Answer

Responding promptly to an infant's crying is crucial for developing trust. It shows the infant that their needs are understood and met, which is foundational for establishing a sense of security and trust in their caregivers and environment.

Question 9

The nurse is performing physical assessment on a female client who is in her early 50s. Which comment made by the client is a cue indicating the need for further assessment for a problem?

Accepted Answer

The answer of The nurse is performing physical assessment on...

Question 10

A parent brings a toddler to the clinic for well-child care. Which is most important for the nurse to assess?

Accepted Answer

Childproofing the home is crucial for preventing accidents and ensuring the safety of a toddler. This aspect directly impacts the child's well-being and safety, making it the most important factor to assess during a well-child visit.

Question 11

The nurse conducts a class on health promotion for a group of young male adults. Which comment indicates to the nurse the teaching is effective?

Accepted Answer

Testicular self-exams are recommended for young male adults to detect testicular cancer early. The other options (colon cancer screening, prostate checks, and breast self-exams) are generally recommended at later ages or under specific circumstances not typical for young male adults.

Question 12

The nurse is interviewing a middle-aged adult. Which comment by the client does the nurse recognize as being representative of Erikson's theory of psychosocial development?

Accepted Answer

Erikson's theory of psychosocial development for middle-aged adults focuses on the stage of generativity vs. stagnation. In this stage, adults take pride in their accomplishments and contributions to society, which is reflected in choice C.

Question 13

A 38-year-old client comes into the clinic for a health examination. The nurse is aware of the psychosocial development tasks and common health problems for this age group. Which question is most important for the nurse to ask?

Accepted Answer

At the age of 38, individuals are in the middle of Erikson's psychosocial stage of generativity vs. stagnation, where they focus on career, family, and future generations. Mental health, including depression, is a significant concern in this age group due to the pressures and responsibilities they face. Asking about episodes of feeling depressed can help identify mental health issues early, allowing for timely intervention.

Question 14

A parent comes to the clinic with a 1-week-old infant for a newborn checkup. The parent tells the nurse, "My baby looks yellow to me." Which is the nurse's best response?

Accepted Answer

The yellow color in newborns is typically due to physiological jaundice, which results from the breakdown of fetal red blood cells and the immature liver's inability to process bilirubin efficiently.

Question 15

A parent brings a 5-year-old male child to the healthcare clinic for a regular health visit prior to kindergarten admission. Which comment by the parent indicates the need for follow-up questions by the nurse?

Accepted Answer

The comment "He is not a good child like my firstborn." indicates a potential negative comparison between siblings, which could affect the child's self-esteem and emotional well-being, warranting further exploration by the nurse.

Question 16

Which consideration does the nurse recognize as being a typical priority for an adolescent?

Accepted Answer

Adolescents often prioritize social acceptance and peer relationships, making being picked for a sports team a typical priority.

Question 17

A parent brings an 8-month-old infant to the healthcare clinic for a well-child appointment. Which consideration does the nurse use to compare the child's physical development with age-appropriate norms?

Accepted Answer

At 8 months old, a key developmental milestone is the ability to sit up without support. Walking while holding onto furniture (cruising) and crawling on hands and knees typically occur closer to 9 months or later, and picking up food with fingers (pincer grasp) develops around 9-10 months.

Question 18

The nurse works in a pediatric emergency department. During the nurse's shift, a 6-year-old child arrives with a parent. The nurse notices bruises on the child, and the parent avoids answering any questions about them. Which is the most appropriate action by the nurse?

Accepted Answer

The answer of The nurse works in a pediatric emergency...

Question 19

The nurse is providing prenatal counseling for a couple who is trying to become pregnant. The priority for the nurse is to include which information?

Accepted Answer

Healthy eating habits before and during pregnancy are crucial for the health of both the mother and the developing fetus. Proper nutrition supports fetal growth and development and can help prevent pregnancy complications.

Question 20

The nurse is instructing a group of parents about common adolescent behavior. Which comment by a parent indicates an urgent need for further discussion?

Accepted Answer

The comment about not needing to worry about alcohol simply because it's not kept in the house indicates a misunderstanding of adolescent behavior and risks. Adolescents can access alcohol in many ways outside the home, and parents need to discuss alcohol use and its dangers with their children, not just rely on absence in the home to prevent its use.

Quiz 9: Life Span: Infancy Through Middle Adulthood