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?

Accepted Answer

Encouraging the child to participate in Boy Scouts and earn badges would provide the child with a sense of competence and accomplishment, helping to build his self-esteem. Playing sports with older children or the suggestion to babysit younger siblings may actually worsen the child's self-esteem if he is not successful in those endeavors. While compliments from the mother are helpful, they do not provide the same opportunities for skill building and achievement as participating in an organized activity such as Boy Scouts.

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?

Accepted Answer

Acknowledge and validate the child's excitement about the new puppy as this will help build rapport and trust. Then, gently redirect the conversation back to the CT scan. Using a friendly tone and positive reinforcement can help alleviate the child's fears and ensure cooperation during the procedure. It is important to avoid ignoring or dismissing the child's interests as this may cause anxiety or resistance.

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?

Accepted Answer

The children are engaging in parallel play, which is a common type of play among toddlers where they play alongside each other without actively engaging or interacting with one another. One child is working on a puzzle while the other is stacking blocks, so they are engaged in separate activities but in close proximity. Cooperative play involves children working together towards a common goal, while associative play involves children playing together with shared materials but without a structured goal. Solitary play involves playing alone and not interacting with others.

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?

Accepted Answer

Piaget's cognitive development theory suggests that children at different ages have different ways of learning and processing information. A 6-year-old child learns best through concrete examples, while an adolescent who is 15 years old can think abstractly. Therefore, it would be more effective to have separate group sessions for children of different ages to ensure that the teaching methods used are appropriate for their cognitive development stage.

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?

Accepted Answer

Talking and singing to the baby during daily care activities, such as diaper changes, helps promote communication and language development. The other options do not promote effective communication with the infant and may even pose safety risks (A) or overstimulation (C). A high-pitched voice is actually more appropriate for infant communication (B).

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?

Accepted Answer

The exosystem in Bronfenbrenner's ecological theory of development refers to the settings that indirectly influence the child, such as the parents' work environment. While the child may not directly interact with these settings, they can have a significant impact on the child's development through their effect on the child's immediate environment.

Question 7

Which nursing actions are developmentally appropriate when caring for a hospitalized school-age child? Select all that apply.

Accepted Answer

The answer of Which nursing actions are developmentally appropriate when...

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"?

Accepted Answer

By 12 months, an infant should be able to say "dada" and "mama" or something similar with specific meaning. If they are unable to do so, the nurse should further assess their language development.

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?

Accepted Answer

The nurse's response indicates that the child's behavior is within the range of what is considered typical for a slow-to-warm-up temperament. This is an appropriate and reassuring response for the parents. The other answer choices either over-pathologize or over-simplify the situation.

Question 10

An adolescent client diagnosed with cystic fibrosis suddenly becomes noncompliant with the medication regimen. Which nursing intervention would most likely improve compliance?

Accepted Answer

Peer support can be a powerful motivator for adolescents, and meeting with others who are successfully managing their cystic fibrosis can help the client regain motivation to comply with their medication regimen. A computer game or a lecture from the primary healthcare provider may not be as effective in encouraging compliance. Threatening to take away privileges may also not be the most effective approach and could create further resentment or resistance from the client.

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.

Accepted Answer

The answer of The nurse is assessing a 6-month-old infant...

Question 12

Two hospitalized pediatric clients are working on a puzzle together in the hospital playroom. Which type of play are the clients exhibiting?

Accepted Answer

Cooperative play involves children working together towards a common goal, such as completing a puzzle, which is what the pediatric clients are doing.

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?

Accepted Answer

Regression is a defense mechanism where a person returns to an earlier stage of development in response to stress or anxiety. In this case, the child has reverted back to thumb-sucking as a form of comfort following surgery, which may have been stressful or anxiety-provoking for him.

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.
A) Plays beside but not with other children
B) Plays games with other children and is able to follow the rules of the game
C) Plays alone with play directed by others
D) Plays with others in loose groups

Accepted Answer

The answer of As children grow and develop, their style...

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?

Accepted Answer

The nurse is assessing for object permanence, which is the understanding that objects continue to exist even when they cannot be seen. This typically develops around 8-9 months of age, and the ability to actively search for toys that are out of sight is a sign of this development. Transductive reasoning, conservation, and centration are all cognitive developments that occur later in childhood.

Question 16

Which nursing actions are developmentally appropriate when providing care to a hospitalized toddler-age child? Select all that apply.

Accepted Answer

Having a potty-chair available is appropriate for a toddler-age child who may be undergoing toilet training. Allowing self-feeding opportunities is also appropriate as it promotes their autonomy and independence. Using a crib mobile may not be developmentally appropriate for a toddler as they may be more interested in exploring their environment. Showing equipment that will be used during a scheduled surgery may cause anxiety for a toddler and is not developmentally appropriate. Assessing drawings may also not be effective as toddlers may not have the ability to express their concerns through drawings.

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?

Accepted Answer

The mother's reaction may impact the child's sense of independence while potty training. The child may feel shame and may not want to continue with the process, leading to delays and setbacks in development.

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?

Accepted Answer

CExplanation: Choice A is appropriate because it acknowledges the child's feelings and offers a reward after the procedure, which can be comforting and provide a distraction. Choice C is also appropriate as it explains the procedure in simple terms that the child can understand, sets expectations, and involves the child in the process, which can help reduce anxiety. Choices B and D are not appropriate because they either delay the procedure unnecessarily or provide misleading information that could confuse the child.

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.

Accepted Answer

The answer of The parents of a 12-month-old client ask...

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?

Accepted Answer

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 is the most therapeutic response. This validates the child's feelings and helps to alleviate any guilt or self-blame the child may be experiencing. Choice A may be helpful in calming the child, but does not address the underlying issue. Choice B may be a helpful activity later on, but does not address the immediate emotional distress. Choice D is not relevant to the child's emotional need for reassurance and validation.

Quiz 31: Growth and Development