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?

Accepted Answer

The use of a car seat is not optional after a child grows out of the infant stage. Children should transition to appropriate child safety seats and booster seats as they grow, according to guidelines based on their age, weight, and height. This ensures continued protection in a vehicle.

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?

Accepted Answer

According to Fowler's stages of faith development, the Individuating-Reflexive stage typically occurs in late adolescence and young adulthood. This stage is characterized by individuals beginning to critically examine their own beliefs and values, often leading to the development of a personal belief system that may differ from their parents'. This matches the client's statement about developing their own spiritual beliefs.

Question 3

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

Accepted Answer

Piaget's concrete operational stage, which typically occurs between ages 7 and 11, is characterized by the development of logical thought about concrete events. This includes understanding the concept of conservation (knowing that quantity doesn't change despite the shape of the container) and the ability to classify objects according to several features. A child no longer believing that an adult dressed in a mouse suit is a giant mouse exemplifies this stage because it shows the child's ability to differentiate between appearances and reality, a key aspect of concrete operational thought.

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?

Accepted Answer

Removing the toddler to a quiet place away from the situation can help calm them down by reducing sensory overload and distractions, allowing them to regain control of their emotions in a less stimulating environment. This approach is often more effective and supportive than punitive or reward-based strategies.

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?

Accepted Answer

A lack of oxygen during the birth process is a biological factor that can contribute to developmental delays.

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?

Accepted Answer

Fowler's Intuitive-Projective stage is typical of children ages 2-7, characterized by imitation of religious behaviors seen in significant adults, like parents, without a deep understanding of the beliefs behind those behaviors. This stage involves fantasy and reality often being interwoven in the child's mind.

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?

Accepted Answer

Asking the child to choose between chocolate or vanilla pudding promotes autonomy by allowing the toddler to make decisions about personal preferences, fostering a sense of independence and control.

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?

Accepted Answer

This behavior is an example of psychosocial development, as children are exploring roles and identities, learning to interact with others, and understanding social roles through pretend play and role-playing.

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?

Accepted Answer

Annual physical examinations and screenings are recommended for adults, even when they feel healthy, to monitor their health status and prevent potential health issues.

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?

Accepted Answer

Children between the ages of 5 and 12 years are expected to gain about 4.5 to 6.5 pounds per year. This range is considered normal and reflects healthy growth and development during these years.

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?

Accepted Answer

The nurse is describing the rooting reflex, which is a natural instinct in newborns that helps them find the breast for feeding. When the baby's cheek is gently touched, they naturally turn their head toward the touch and open their mouth to latch on and feed.

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?

Accepted Answer

The answer of Which client statement indicates to the nurse...

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?

Accepted Answer

At 8 years of age, a child is considered to be in the school-age stage of development, which typically ranges from about 6 to 12 years.

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?

Accepted Answer

The client's statement reflects a concern for universal ethical principles and a desire to fight for justice and human rights, which aligns with the Postconventional level of Lawrence Kohlberg's moral development theory. This level is characterized by an individual's ability to think beyond local rules and laws, considering universal moral principles.

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?

Accepted Answer

The answer of The mother of a 1-year-old child asks...

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?

Accepted Answer

The greatest safety risk for preschoolers and school-age children is not choking, but rather injuries from accidents such as falls, motor vehicle accidents, or drowning. Choking is a more significant risk in younger children, such as infants and toddlers.

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?

Accepted Answer

The infant is in the sensorimotor stage of cognitive development, according to Jean Piaget's theory. This stage (from birth to about 2 years of age) involves the infant learning about the world through sensory experiences and manipulating objects, which often includes putting things in the mouth to explore them.

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?

Accepted Answer

These changes are related to physical development, as they involve the body's natural growth processes during puberty.

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?

Accepted Answer

The presence of multiple unexplained bruises, old fractures that were never treated, and a fearful attitude toward the nurse are classic indicators of potential abuse by a caregiver. These signs suggest that the client may have been physically harmed by someone in a caregiving role.

Question 20

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

Accepted Answer

Saying "My injections don't hurt" is inappropriate because it is not truthful. Injections can cause discomfort, and it's important for healthcare professionals to provide honest and accurate information to patients, including children, to build trust and manage expectations.

Quiz 9: Growth and Development Throughout the Life Span