Question 1

The parents of a one-month-old infant are concerned that their baby seems different from their other child, and they ask the nurse if this is normal. The nurse informs them that it is normal for babies to have different temperaments and that according to the "temperament theory" of Chess and Thomas, one of the characteristics of the "slow-to-warm-up" child is that he:
A)Initially reacts to new situations by withdrawing.
B)Commonly has intense reactions to the environment.
C)Displays a predominately negative mood.
D)Shows a regularity in patterns of eating.

Accepted Answer

According to the "temperament theory" of Chess and Thomas, one of the characteristics of the "slow-to-warm-up" child is that they initially react to new situations by withdrawing. They may take time to observe and become comfortable before participating.

Question 2

While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, the nurse should suggest which types of toys? Standard Text: Select all that apply.
A)Soft toys that can be manipulated and mouthed
B)Toys with black-and-white patterns
C)Toys that can pop apart and go back together
D)Jack-in-the-box toys
E)Push-and-pull toys

Accepted Answer

C,D,E

Question 3

While trying to inform a five-year-old girl 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. The nurse's best response would be:
A)"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."
B)"Please stop talking about your puppy.I need to tell you about your CT scan."
C)"I'll come back when you are ready to talk with me more about your CT scan."
D)Ignore the child's responses and continue discussing the procedure.

Accepted Answer

The best response is to first acknowledge and show interest in what the child is saying, in this case, about her new puppy, before gently redirecting the conversation back to the topic of the CT scan. This approach respects the child's feelings and thoughts, making her more likely to be receptive to information about the procedure.

Question 4

Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most appropriate statement by the nurse would be:
A)"It is all right to cry.I know that this hurts.After we are done, you can go to the box and pick out your favorite sticker."
B)"We will give you your shot when your mommy comes back."
C)"This is medicine that will make you better.First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here.Then I will hold the needle like this and say 'one, two, three, go' and give you your shot.After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on.Are you ready?"
D)"This is a magic sword that will give you your medicine and make you all better."

Accepted Answer

The answer of Prior to giving an intramuscular injection to...

Question 5

The home health nurse is visiting a family at home when the toddler has an "accident" and has a bowel movement in his diaper. The mother becomes angry with the child and calls him a baby for messing himself. The nurse considers Erikson's theory and recognizes that the mother's behavior may have an effect on the child's:
A)Cognitive development.
B)Sense of independence.
C)Conscience.
D)Development of superego.

Accepted Answer

According to Erikson's theory of psychosocial development, toddlers are in the stage of autonomy versus shame and doubt. If the mother responds to the child's natural bodily functions with anger and criticism, the child may develop a sense of shame and doubt in their ability to take care of themselves, leading to a negative impact on their sense of independence. This stage is critical in the development of a toddler's self-esteem and self-efficacy, so it is important for caregivers to respond in a supportive and encouraging way. The mother's behavior may indirectly affect the child's conscience and development of superego (moral sense and values) in the long term, but for the immediate impact, the sense of independence is most relevant.

Question 6

While assessing the development of a nine-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:
A)Transductive reasoning
B)Conservation
C)Centration
D)Object permanence

Accepted Answer

The nurse is trying to determine whether the infant has developed object permanence, which is the understanding that objects continue to exist even when they are out of sight. At around nine months of age, infants begin to actively search for objects that are hidden from view, indicating that they have developed object permanence. Transductive reasoning involves making connections between events based on superficial similarities, whereas conservation and centration are concepts that typically develop at a later age.

Question 7

While being comforted in the emergency department, the six-year-old 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!" The nurse, realizing that the child is experiencing magical thinking, should respond by:
A)Asking the child if he would like to sit down and drink some water.
B)Sitting the child down in an empty room with markers and paper so that he can draw a picture.
C)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.
D)Calmly discussing the catheters, tubes, and equipment that the patient requires, and explaining to the sibling why the patient needs them.

Accepted Answer

It is important to reassure the child that accidents happen and that they are not responsible for the traumatic event. It is also helpful to acknowledge the child's feelings and provide validation for their emotions. Offering a safe and supportive space for the child to express their feelings can help them process the event and cope with their emotions. Options A, B, and D do not address the child's emotional concerns and may not be helpful in this situation.

Question 8

Two three-year-olds are playing in a hospital playroom together. One is working on a puzzle, while the other is stacking blocks. The mother of one of the children scolds them for not sharing their toys. The nurse counsels this mother that this is normal developmental behavior for this age, and the term for it is:
A)Cooperative play.
B)Solitary play.
C)Parallel play.
D)Associative play.

Accepted Answer

The term for this behavior is parallel play, which is when young children play side by side with similar toys or activities, but do not interact or share with each other. This is a normal developmental milestone for this age group and helps children learn to play independently while in the presence of others. Cooperative play and associative play involve more interaction and communication between children, and typically develop later in childhood. Solitary play is when a child plays alone and does not engage with others.

Question 9

A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regimen. The intervention by the nurse that would most likely improve compliance would be to:
A)Give the child a computer-animated game that presents information on the management of cystic fibrosis.
B)Set up a meeting with some older teens who have cystic fibrosis and have been managing their disease effectively.
C)Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
D)Discuss with the child's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.

Accepted Answer

Setting up a meeting with older teens who have effectively managed their cystic fibrosis would provide the 14-year-old with a sense of social support and motivation to comply with the medication regimen. It also allows for peer-to-peer education, which has been shown to be effective in promoting compliance. Providing a computer-animated game and discussing consequences with parents would not necessarily address the underlying reasons for noncompliance, and talking to the physician about risks may not be as effective in addressing the emotional factors that contribute to noncompliance.

Question 10

A 10-year-old child 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?
A)Playing sports with his older brother and the brother's friends.
B)Have his mother compliment him when he completes his homework.
C)Encourage the child to participate in boy scouts and earn badges.
D)Suggest to the mother that she allow the child to babysit his younger siblings.

Accepted Answer

Encouraging the child to participate in boy scouts and earn badges would provide opportunities for the child to develop skills and demonstrate competence, which would help build his self-esteem. Additionally, being part of a group and working towards a common goal can also help promote a sense of belonging and social connection. Playing sports with older children or babysitting younger siblings may not necessarily provide the same opportunities for skill-building and achievement, and may even lead to feelings of failure or inadequacy. Having his mother compliment him for completing his homework can be helpful, but it may not address the underlying issue of the child's self-worth and may not provide opportunities for skill-building and social connection.

Question 11

A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
A)Attachment
B)Assimilation
C)Resilience
D)Centration

Accepted Answer

Kangaroo care and encouraging parents to hold their baby are both ways to promote attachment between the infant and caregiver. This is an important aspect of the infant's psychosocial development.

Question 12

As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.
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

Infants (0-12 months) typically engage in solitary play directed by others, such as when a caregiver provides toys or activities for the infant. Toddlers (12-24 months) often engage in parallel play where they play beside but not with other children. Preschoolers (3-5 years) may engage in associative play where they play with others in loose groups, but there may be little organization or structure to their play. School-age children (6-12 years) typically engage in cooperative play where they can follow the rules of games and work together with others toward a common goal.

Question 13

The mother of a six-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. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children sometimes use called:
A)Repression.
B)Rationalization.
C)Fantasy.
D)Regression.

Accepted Answer

Regression is a defense mechanism in which a person retreats to an earlier stage of development. In this case, the six-year-old boy may be using thumb sucking as a way to cope with the stress of surgery, which is a common behavior for young children who are under stress or experiencing anxiety. The nurse should reassure the mother that this behavior is normal and temporary.

Question 14

A nurse is assessing language development in all the infants presenting at the physician's office for well-child visits. The nurse would want to evaluate the child further who is not able to verbalize the words "dada" and "mama" by the age of:
A)18 months.
B)8 months.
C)5 months.
D)12 months.

Accepted Answer

The answer of A nurse is assessing language development in...

Question 15

Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
A)Chronosystem.
B)Mesosystem.
C)Macrosystem.
D)Exosystem.

Accepted Answer

The exosystem includes environments that affect the child indirectly, and one of these environments is the parents' work environment. The nurse would assess how factors such as work schedules, job stress, and work-family balance may impact the child's development.

Quiz 5: Concepts of Growth and Development

While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, the nurse should suggest which types of toys? Standard Text: Select all that apply.

While trying to inform a five-year-old girl 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. The nurse's best response would be:

Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most appropriate statement by the nurse would be:

While assessing the development of a nine-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:

A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regimen. The intervention by the nurse that would most likely improve compliance would be to:

A 10-year-old child 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?

A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?

As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.

A nurse is assessing language development in all the infants presenting at the physician's office for well-child visits. The nurse would want to evaluate the child further who is not able to verbalize the words "dada" and "mama" by the age of:

Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's: