N 106-109

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ndarlenebeck
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291455
Filename:
N 106-109
Updated:
2014-12-14 18:12:55
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Developmental
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Developmental
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Developmental
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  1. Which of the following car safety devices shoud be used for a child:
    A) seat belt
    B) rear-facing convertible seat
    C) front-facing convertible seat
    D) booster seat
    D) booster seat
    (this multiple choice question has been scrambled)
  2. A nurse assesses the vital signs of a 12 month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/min.  Based on this finding, which action is appropriate?
    A) administer oxygen
    B) notify the physician
    C) document the findings
    D) reassess the respiratory rate in 15 minutes
    C) document the findings
    (this multiple choice question has been scrambled)
  3. A nurse provides instructions to the parents of an infant regarding car travel and safety seats.  Which of the following is the appropriate information related to the safety of the infant?
    A) restrain in a car seat in the front seat in a semireclined, forward-facing position
    B) restrain in a car seat in the back seat in a semireclined, forward-facing position
    C) restrain in a car seat in the back seat in a semireclined, rear-facing position
    D) restrain in a car seat in the front seat in a semireclined, rear-facing position
    C) restrain in a car seat in the back seat in a semireclined, rear-facing postion
    (this multiple choice question has been scrambled)
  4. A nurse is evaluation the developmental level of a 2 year old. Which of the following does the nurse expect to observe in this child?
    A) use a fork to eat
    B) use a cup to drink
    C) pours own milk into a cup
    D) uses a knife for cutting food
    B) use a cup to dring
    (this multiple choice question has been scrambled)
  5. A nurse is monitoring a 3 month old infant for signs of increased intracranial pressure.  On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat.  Based on this finding, which nursing action is appropriate?
    A) document the findings
    B) increase oral fluids
    C) notify the physician
    D) elevate the head of the bed to 90 degrees
    A) document the findings
    (this multiple choice question has been scrambled)
  6. The parents of a 2 year old arrive at a hospital to visit their child.  The child is in the playroom when the parents arrive.  When the parents enter the playroom, the child des not readily approach the parents.  The nurse interprets his behavior as indicating that:
    A) this is a normal pattern
    B) the child has adjusted to the hospital setting
    C) the child is withdrawn
    D) the child is self-centered
    A) this a normal pattern
    (this multiple choice question has been scrambled)
  7. A mother of a 3 year old asks a clinic nurse about appropriate and safe toys for the child.  The nurse tells the mother that the most appropriate toy for a 3 year old is which of the following?
    A) a farm set
    B) a wagon
    C) a golf set
    D) a jack set with marbles
    B) a wagon
    (this multiple choice question has been scrambled)
  8. A clinic nurse provides information to the mother of a toddler regarding toilet training.  Which statement by the mother indicates a need for further information regarding the toilet training?
    A)"The child will not be ready to toilet train until the age of about 18 to 24 months."
    B) "The ability of the child to remove clothing is a sign of physical readiness."
    C) "Bladder control usually is achieved before control."
    D) "The child should not be forced to sit on the potty for long periods."
    C) "Bladder control usually is achieved before control."
    (this multiple choice question has been scrambled)
  9. A mother arrives at a clinic with her toddler and tells a nurse that she has a difficult time getting the child to go to bed at night. Which of the following is appropriate for the nurse to suggest to the mother?
    A) Allow the child to set bedtime limits.
    B) Avoid a nap during the day
    C) Inform the child of bedtime a few minutes before it is time for bed.
    D) Allow the child to have temper tantrums
    C) Inform the child of bedtime a few minutes before it is time for bed.
    (this multiple choice question has been scrambled)
  10. The mother of a 3 year old is concerned because her child still is insisting on a bottle at nap time and at bedtime.  Which of the following is the appropriate suggestion to the mother?
    A) allow the bottle if it contains juice
    B) do not allow the child to have the bottle
    C) allow the bottle if it contains water
    D) allow the bottle during naps but not at bedtime
    C) allow the bottle if it contains water
    (this multiple choice question has been scrambled)
  11. A nurse is preparing to care for a 5 year old who has been placed in traction following a fracture of the femur.  The nurse plans care, knowing that which of the following is the most appropriate activity for this child?
    A) crayons and a color book
    B) a sport video
    C) a radio
    D) large picture books
    A) crayons and a color book
    (this multiple choice question has been scrambled)
  12. The mother of a 16 year old tells a nurse that she is concerned because the child sleeps about 8 hours every night and until noontime every weekend.  The appropriate nursing response is which of the following?
    A)" Adolescents need that amount of sleep every night."
    B) "The child should not be staying up so late at night."
    C) "If the child eats properly, that should not be happening."
    D) "The child probably is anemic and should eat more foods containing iron."
    A) "Adolescents need that amount of sleep every night."
    (this multiple choice question has been scrambled)
  13. A 4 year old child diagnosed with leukemia is hospitalized for chemotherapy.  The child is fearful of the hospitalization.  Which nursing intervention would be most appropriate to alleviate the child's tears?
    A) Encourage the child's parents to stay with the child.
    B) Advise the family to visit only during the scheduled visiting hours.
    C) Encourage play with other children of the same age.
    D) Provide a private room, allowing the child to bring the favorite toys from home
    A) Encourage the child's parents to stay with the child.
    (this multiple choice question has been scrambled)
  14. A 16 year old is admitted to the hospital for acute appendicitis and an appendectomy is performed.  Which nursing intervention is appropriate to facilitate normal growth and development postoperatively?
    A) Allow the family to bring in the child's favorite computer games
    B) Allow the child to interact with others in his or her same age group.
    C) Encourage the child to rest and read
    D) Encourage the parents to room in with the child
    B) Allow the child to interact with others in his or her same age group.
    (this multiple choice question has been scrambled)
  15. A clinic nurse assesses the communication patterns of a 5 month old infant.  The nurse determines that determines that the infant is demonstrating the highest level of developmental achievement expected in the infant:
    A) Uses simple words such as "mama"
    B) Links syllables together
    C) Uses monosyllabic babbling
    D) Coos when comforted
    C) Uses monosyllabic babbling
    (this multiple choice question has been scrambled)
  16. A nurse prepares to administer digoxin (Lanoxin) to a 3 year old child with a diagnosis of congestive heart failure and notes that the apical rate is 110 beats/min.  Based on this finding, which nursing action is appropriate?
    A) Recheck the apical rate in 15 minutes
    B) Notify the physician
    C) Administer the digoxin
    D) Hold the medication
    C) Administer the digoxin
    (this multiple choice question has been scrambled)
  17. A 2 year old child is treated in the emergency room for a burn to the chest and abdomen.  The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter.  The nurse reviews safety principles with the parents before discharge.  Which statement by the parents indicates an understanding of measures to provide safety in the home?
    A) "We will be sure that the children stay in their rooms when we work in the kitchen."
    B) "We will install a safety gate as soon as we get home so the children cannot get into the kitchen."
    C) "We will be sure not to leave hot liquids unattended."
    D) "I guess my children need to understand what the word hot means."
    C) "We will be sure not to leave hot liquids unattended."
    (this multiple choice question has been scrambled)
  18. A mother of a 4 year old expresses concern because her hospitalized child has begun thumb sucking.  The mother states that this behavior began 2 days after hospital admission.  The appropriate nursing response is which of the following?
    A) "The doctor will need to notified."
    B) "A 4 year old is too old for this type of behavior."
    C) "Your child is acting like a baby."
    D) "It is best to ignore the behavior."
    D) "It is best to ignore the behavior."
    (this multiple choice question has been scrambled)
  19. Which interventions are appropriate for the care of an infant?  Select all that apply.
    a) Provide swaddling
    b) Talk in a loud voice
    c) Provide the infant with a bottle of juice at nap time
    d) Hang mobiles with black and white contrast designs
    e) Caress the infant while bathing or during diaper changes
    f) Allow the infant to cry for at least 10 minutes before responding
    • a) Provide swaddling
    • d) Hang mobiles with black and white contrast designs
    • e) Caress the infant while bathing or during diaper changes
  20. A nurse who wants to apply a theory that relates to moral development should read more from the work of:
    A) Erikson
    B) Kohberg
    C) Gould
    D) Freud
    B) Kohberg
    (this multiple choice question has been scrambled)
  21. The nurse using Erikson's theory to assess a 20 year old client's developmental status expects to find which of the following behaviors?
    A) Enjoys participating in the community
    B) Applying self to learning skills
    C) Overcoming a sense of guilt or frustration
    D) Coping with physical and social losses
    A) Enjoys participation in the community
    (this multiple choice question has been scrambled)
  22. The nurse recognized that Freud's theory approached development by looking at:
    A) Moral reasoning
    B) Psychosexual aspects
    C) Cognitive development
    D) Logical maturity
    B) Psychosexual aspects
    (this multiple choice question has been scrambled)
  23. According to Piaget, a preschool child (3 to 5 years old) who comes to the clinic is expected by the nurse to exhibit which of the following behaviors?
    A) Thinking with the use of symbols and images
    B) Exploration of the environment
    C) Cooperation and sharing with others
    D) For-reaching problem-solving
    A) Thinking with the use of symbols and images
    (this multiple choice question has been scrambled)
  24. For an older adult client, an example of a common behavioral task or critical event is:
    A) Finding a congenial social group
    B) Adjusting to decreasing physical strength
    C)Selecting a mate
    D) Rearing children
    B) Adjusting to decreasing physical strength
    (this multiple choice question has been scrambled)
  25. The nurse working in an adult medical clinic wishes to learn more about a developmental theory that focuses on the adult years.  The nurse investigates different possibilities and selects the theory proposed by:
    A) Piaget
    B) Chess and Thomas
    C) Gould
    D) Freud
    C) Gould
    (this multiple choice question has been scrambled)
  26. The nurse recognizes that which one of the following statements about growth and development is corrects?
    A) Growth refers to qualitative events.
    B) Cognitive theories focus on emotional development.
    C) development ends with adolescence.
    D) Developmental tasks are age-related achievements.
    D) Developmental tasks are age-related achievements
    (this multiple choice question has been scrambled)
  27. In Kohlberg's Moral Development theory, an individual who reaches level II (conventional thought) is expected to exhibit:
    A) Personal internalization of other's expectations
    B) Reasoning based on personal gain
    C) Self-chosen ethical principles, universality and impartiality
    D) Absolute obedience to authority
    A)Personal internalization of authority
    (this multiple choice question has been scrambled)
  28. According to Piaget, the infant is in the first period of development, which is characterized by:
    A) Preoperational thought
    B) Identity versus role confusion
    C) Sensorimotor intelligence
    D)Concrete operations
    C) Sensorimotor intelligence
    (this multiple choice question has been scrambled)
  29. A child's understanding of the concept of ice becoming water, Piaget's stage of cognitive development, is seen in:
    A) Sensorimotor
    B) Preoperational
    C) Concrete operations
    D) Formal operations
    C) Concrete operations
    (this multiple choice question has been scrambled)
  30. The nurse in a pediatric health care setting is using Kohlberg's developmental theory.  A child is evaluated as having reached level I, the preconventional level, if the child:
    A) Runs for school council in order to change policies
    B) Cleans the blackboards after school for the teacher
    C) Stay away from peer groups that harass other children
    D) Makes sure that he or she is not later for school
    D) Makes sure that he or she is not late for school
    (this multiple choice question has been scrambled)
  31. In applying Gould's developmental theory, the nurse anticipates that a client will have a greater concern for one's health within the following theme and age-group:
    A) Second theme (early 30s)
    B) Fourth theme (40s)
    C) First theme (20s)
    D) Fifth theme (50s)
    D) Fifth theme (50s)
    (this multiple choice question has been scrambled)
  32. The nurse is working with a new mother who will require surgery. The follow-up treatment will interfere with bonding.  In applying Freud's theory, the nurse recognizes that the stage of development that may be affected is the:
    A) Latent stage
    B) Oral stage
    C) Anal stage
    D) Phallic stage
    B) Oral stage
    (this multiple choice question has been scrambled)
  33. In accordance with Erikson's theory, it is expected by the nurse that a middle-aged adult client will be involved in the process of:
    a) Developing a sense of identity
    b) Searching for meaning in life
    c) Enhancing one's capability to love others
    d) Enhancing one's capability to love others
  34. The primary purpose for the nurse to understand human growth and development is to be best able to:
    A)Identify deviations from normal
    B) Enhance nurse-client communication
    C) Select effective nursing interventions
    D) Be sensitive to age-appropriate needs
    A) Identify deviations from normal
    (this multiple choice question has been scrambled)
  35. Which of the following should the nurse consider first when assessing the cognitive ability of an older adult?
    A) Recent immigration of the US
    B) A life-long bachelor
    C) History of a chronic disease process
    D) Orphaned at age 12
    A) Recent immigration of the US
    (this multiple choice question has been scrambled)
  36. A nurse caring for a 78 year old client recently diagnosed with pneumonia will find Erikson's psychosocial development theory most helpful in determining:
    A) Which needs the client will typically develop
    B) How the client and his family will adjust to the stressors
    C) How the client will respond to the respiratory problem
    D) Which coping mechanisms the client will likely use
    C) How the client will respond to the respiratory problem
    (this multiple choice question has been scrambled)
  37. As described by Freud, the nurse recognized that a young adult best shows a well-developed superego when he:
    A) Arrange for a cab ride home after consuming alcohol
    B) Has 10% of his salary automatically transferred to savings
    C) Returns a lost wallet to a stranger who dropped it
    D) Tells a friend that he'll help him stop smoking
    A) Arrange for a cab ride home after consuming alcohol
    (this multiple choice question has been scrambled)
  38. A nurse is preparing to discharge an 11 month old child after a hospitalization for a viral infection.  The nurse uses anticipatory guidance most effectively when:
    A) Encouraging the patient to limit visitors for 14 days
    B) Providing the parents with written discharge instructions
    C) Informing the parents that the child may cry when taken to daycare
    D) Arranging the follow-u[ pediatrician appointment for the parents
    C) Informing the parents that the child may cry when taken to daycare
    (this multiple choice question has been scrambled)
  39. Which of the following situations/statements best depicts Gould's fourth theme of adult development?
    A) "I think you can do anything if only you have your health and good friends."
    B) "As much as I'd love to open my own shop, I just can't take that kind of chance."
    C) "When I made that decision, I didn't expect it to turn out like it did."
    D) "I have to take the opportunity to be my own boss and not rely on others."
    B) "As much as I'd love to open my own shop, I just can't take that kind of chance."
    (this multiple choice question has been scrambled)
  40. The nurse is caring for an older adult client who has reported symptoms suggestive of depression.  Which of the following questions asked by the nurse is most therapeutic in assessing the client's perception of the impact depression has had on her life?
    A) "How does being depressed make you feel?"
    B) "What makes you think that you are depressed?"
    C) "Were you happy before becoming depressed?"
    D) "What does it means to be depressed?"
    D) "What does it means to be depressed?"
    (this multiple choice question has been scrambled)
  41. You are caring for a 6 year old who is scheduled for outpatient surgery.  Piaget's theory of cognitive development suggests that the nurse can help the child cope with the stressors of this hospital experience best by:
    A) Using play as a means of familiarizing the child with the events he will experience
    B) Providing the child with a coloring book that shows the events he will be experiencing
    C) Arranging for the parents to be with the child until the anesthetic takes affect
    D) Explaining the entire process with the child using age-appropriate language
    A) Using play as a means of familiarizing the child using age-appropriate language
    (this multiple choice question has been scrambled)
  42. Which of the following nursing responses is most therapeutic when made in response to a parent's concern about her 3 year old child's tendency to "break the rules"?
    A) "Just keep reminding her of the rules."
    B) "Add on age appropriate punishment for breaking the rules."
    C) "She will begin to understand that concept in a year or so?"
    D) "Daycare will help her learn to play fair."
    C) "She will begin to understand that concept in a year or so?
    (this multiple choice question has been scrambled)
  43. To help a comatose patient's family make a moral decision regarding the termination of life support, you must first:
    A) Determine whether the client had expressed any written or oral wishes regarding the issue
    B) Provide the family with information regarding the process of terminating life support
    C) Refrain from expressing his/her personal beliefs concerning the life support issue
    D) Facilitate the family's decision-making process by providing them with a quiet, private space for discussion
    C) Refrain from expressing his/her personal beliefs concerning the life support issue
    (this multiple choice question has been scrambled)
  44. Which of the following best describes a nurse thinking at stage 5 of Kohlberg's Moral Developmental Theory?
    A) "The client has a right to decide whether or not to proceed with the treatment plan."
    B) "It won't be fair to expect to get every weekend and holiday off, so I'll certainly work my share."
    C) "If you don't keep client information confidential you could be terminated immediately."
    D) "The hospital's policies and procedures are excellent tools for making client oriented decisions."
    A) "The client has a right to decide whether or not to proceed with the treatment plan."
    (this multiple choice question has been scrambled)
  45. Which of the following clients statements made by an older adult best reflects an understanding of the decrease in physical strength and stamina in this developmental stage?
    A) "You get older you can't do as much, that's life."
    B) " I have to ask my son for help with the yard work."
    C) "I know I'm not as young as I use to be."
    D) "I just hire help with jobs I can't do myself."
    D) "I just hire help with jobs I can't do myself."
    (this multiple choice question has been scrambled)
  46. A child gains weight and becomes taller each year. What is this process called?
    A) orderly
    B) development
    C) progression
    D) growth
    D) growth
    (this multiple choice question has been scrambled)
  47. All humans learn from both formal and informal experiences.  What orderly pattern of changes results in part from learning?
    A) maturity
    B) development
    C) growth
    D) aging
    B) development
    (this multiple choice question has been scrambled)
  48. As the fetus develop, certain growth and development trends are regular and predictable.  The first trend is cephalocaudal growth.  What does this mean?
    A) both sides of the body develop equally
    B) legs and feet develop first
    C) head and brain develop first
    D) gross motor skills are learned last
    C) head and brain develop first
    (this multiple choice question has been scrambled)
  49. Many different factors affect growth and development. For example, why does Mary have blonde hair and blue eyes while John has brown hair and green eyes?
    A) prenatal influences
    B) genetic inheritance
    C) maternal nutrition
    D) childhood illnesses
    B) genetic inheritance
    (this multiple choice question has been scrambled)
  50. according to Freud, what is the name given to the part of the mind that represents one's conscience?
    A) Id
    B) superego
    C) ego
    D) unconscious mind
    A) Id
    (this multiple choice question has been scrambled)
  51. The mother of a 6 month old infant asks the nurse at a community health center what she should do about her baby, who always wants to put everything in his mouth.  What would be an appropriate response by the nurse, based on Freud's theory?
    A) "Babies at this age explore and enjoy their world with their mouths."
    B) "I don't know if that is normal or not, but I will check on it."
    C)"There must be something wrong...your baby should not be doing that."
    D) "This usually does not happen until babies are 2 years old."
    A) "Babies at this age explore and enjoy their world with their mouths."
    (this multiple choice question has been scrambled)
  52. Based on Piaget's theory of cognitive development, what type of activities would a nurse recommend to parents of children in the preoperational stage?
    A) organized sports
    B) play activities
    C) toilet training
    D) church lessons
    B) play training
    (this multiple choice question has been scrambled)
  53. According to Erikson, normal adolescent behavior includes trying on new roles and possibly even rebelling. What is the purpose of this behavior in adolescents?
    A) to establish a sense of security
    B) to gain autonomy
    C) to establish a sense of identity
    D) to avoid inferiority
    C) to avoid inferiority
    (this multiple choice question has been scrambled)
  54. Using Erikson's theory, which of the following activities would the nurse use to provide a sense of fulfillment and purpose in later adulthood?
    A) reminiscing about life events
    B) trying on new and different roles
    C) making a commitment to others
    D) becoming involved within the community
    A) reminiscing about life events
    (this multiple choice question has been scrambled)
  55. Based on Havighurst's theory, which is one of the developmental tasks of middle adulthood?
    A) affiliating with one's age group
    B) achieving personal independence
    C) adjusting to physical changes
    D) taking on civic responsibility
    C) adjusting to physical changes
    (this multiple choice question has been scrambled)
  56. Gould's theory of transformation in adults included which developmental phase for those ages 50 to 60?
    A) challenging false assumptions
    B) questioning self and values
    C) accepting life is neither simple nor controllable
    D) having increased self-approval and acceptance
    D) having increased self-approval and acceptance
    (this multiple choice question has been scrambled)
  57. Levinson and associates based their theory on individual life structure, patterned at any point in time by the interaction of three components.  Which one of the following is not a component of this theory?"
    A) social and cultural aspects
    B) degree of wellness
    C) self
    D) individualized set of roles
    B) degree of wellness
    (this multiple choice question has been scrambled)
  58. A school-aged child always follows the rules and obeys traffic lights when crossing the street.  Based on Kohlberg's theory, what type of development is being demonstrated?
    A) cognitive
    B) intellectual
    C) moral
    D) psychosocial
    C) moral
    (this multiple choice question has been scrambled)
  59. In contrast to Kohlberg, Gilligan developed a theory of moral development specifically for women.  What is the central theme of Gilligan's theory?
    A) response and care
    B) individual life structure
    C) adult transformation
    D) rights and justice
    A) response and care
    (this multiple choice question has been scrambled)
  60. According to Fowler's theory, who or what initiates the development of faith in the infant?
    A) siblings
    B) primary caregivers
    C) daycare activities
    D) church attendance
    B) primary caregivers
    (this multiple choice question has been scrambled)
  61. A nurse wants to teach children about oral health. Based on Piaget's theory, to what age group would it be most appropriate to teach this topic?
    A) high school age
    B) third and fourth graders
    C) junior high school age
    D) preschools
    B) junior high school age
    (this multiple choice question has been scrambled)
  62. Using Erikson's theory, a nurse asks a young adult questions about family, friends and support systems.  Why is this important during assessments of adolescents?
    A) without peer acceptance, feelings of inferiority may result
    B) overprotection by parents may result in feelings of shame and doubt
    C) fear of commitments may lead to loneliness and isolation
    D) restrictions on new experiences may lead to feeling of guilt
    C) fear of commitments may lead to loneliness and isolation
    (this multiple choice question has been scrambled)
  63. During a health history, a middle-aged man tells the nurse.  "I will always take care of my children because my parents took care of me."  Based on Kohlberg's theory, what level of moral development is the man demonstrating?
    A) preconventional
    B) conventional
    C) postconventional
    D) goodness
    B) conventional
    (this multiple choice question has been scrambled)
  64. A 2 year old child is hospitalized for a surgical procedure.  Although previously all fluids were taken from a cup, the toddler wants a bottle to suck on.  The nurse recognizes this behavior as what?
    A) totally unacceptable
    B) normal regression
    C) proof that the child is sick
    D) abnormal behavior
    B) normal regression
    (this multiple choice question has been scrambled)
  65. Which of the following is an important role for the nurse when incorporating principles and theories of growth and development?
    A) initiate interventions to meet specific outcomes of care
    B) provide physical care to meet comfort needs of children
    C) initiate activities that involve passive interactions with others
    D) provide developmentally challenging environments and experiences
    D) provide developmentally challenging environments and experiences
    (this multiple choice question has been scrambled)
  66. Which of the following statements is correct related to developmental concepts?
    A) The majority of developmental transitions take place during early childhood.
    B) Older adults do not experience developmental transitions.
    C) Developmental transitions occur throughout life.
    D) Developmental transitions occur mainly during early childhood
    C) Developmental transitions occur throughout life.
    (this multiple choice question has been scrambled)
  67. When explaining the concept of growth to a parent, the nurse should state:
    A) "Growth stops when we are young adults."
    B) "We continue to grow in various ways throughout life."
    C) "How much we grow is based on gender."
    D) "Growth means adding height and weight to your body."
    B) "We continue to grow in various ways throughout life."
    (this multiple choice question has been scrambled)
  68. The nurse in a well-baby clinic is assessing a 12 month old child.  At birth, the child weighed 7 lb 3 oz.  During this visit. the child weighs 21lb 10 oz.  The nurse evaluates the child's weight as indicating that:
    A) The infant is gaining weight faster than anticipated and is at risk for childhood obesity
    B) The infant is at the expected weight for his or her age.
    C) The infant is having a growth spurt
    D) The infant is malnourished
    B) The infant is at the expected weight for his or her weight
    (this multiple choice question has been scrambled)
  69. The school nurse has been asked to order growth charts.  Which of the flowing growth charts for use in assessing children in grades 1 to 5 should he or she select?
    A) Height and weight chart
    B) Any of the charts because they are all equivalent
    C) Body mass index for age chart and growth chart
    D) Generic body mass index chart
    C) Body mass index for age chart and growth chart
    (this multiple choice question has been scrambled)
  70. A mother comes to the pediatric clinic and says to the nurse. "I am worried about my 11 month old baby because he is not crawling yet and his brother crawled when he was 11 months old.  Is something wrong?"  Which statement should the nurse make?
    A) "This may be something to worry about.  I'll have the doctor examine him."
    B) "Don't worry; he'll crawl soon enough."
    C) "All babies reach developmental milestones at different rates."
    D) "It is highly unusual for siblings not to reach developmental milestone at same time. I'll ask the doctor to assess him."
    C) "All babies reach developmental milestones at different rates."
    (this multiple choice question has been scrambled)
  71. Which of the following statements describes Erikson's theory of development?
    A) An individual may revert to an earlier stage of development in certain situations.
    B) The main premise of the theory is that individuals are interdependent beings.
    C)  A healthy personality is defined by the lack of pathology.
    D) Stages of development advance based on psychosocial factor.
    A) An individual may revert to an earlier stage of development in certain situations.
    (this multiple choice question has been scrambled)
  72. According to Piaget's theory of cognitive development:
    A) Culture plays a major role in cognitive development
    B) A child greatest task is to make sense of the world around him or her
    C) Learning precedes developmemt
    D) Cognitive function continues to become refined throughout life
    B) a child greatest task is to make sense of the world around him or her
    (this multiple choice question has been scrambled)
  73. Which of the following statements summarizes Vygotsky's theory of development?
    A) Learning is an individual activity
    B) Social and cultural influences are not major factors in cognitive development.
    C) All children develop cognitively at the same rate.
    D) Experience creates learning
    D) Experience creates learning
    (this multiple choice question has been scrambled)
  74. Kohlberg's theory of moral development is based on:
    A) Piaget's theory of cognitive development
    B) Gilligan's theory or moral development
    C) Vygotsky's theory of cognitive development
    D) Erikson's theory of psychosocial development
    A) Piaget's theory of cognitive development
    (this multiple choice question has been scrambled)
  75. Gilligan's theory of moral development is:
    A) Based on a sense of absolute right and wrong
    B) Based on the premise that women view situations in terms of rules
    C) Gender-specific
    D) Dependent on one's stage of cognitive development
    C) Gender-specific
    (this multiple choice question has been scrambled)
  76. A high school sophomore engages in risky behavior in order to fit in with his peers.  According to Erikson's theory of human development, this student is dealing with the developmental conflict of:
    A) Initiative versus guilt
    B) Industry versus inferiority
    C) Intimacy versus isolation
    D) Identity versus role confusion
    D) Identity versus role confusion
    (this multiple choice question has been scrambled)
  77. According to Kohlberg, the child who is focused on peer approval and avoidance of "not fitting in" is in which stage of moral development?
    A) Conventional
    B) Preoperational
    C) Pre-conventional
    D) Post-conventional
    A) Conventional
    (this multiple choice question has been scrambled)
  78. The nurse is caring for a client who donated a kidney to a stranger in need.  The client who donated the kidney is in which stage of Gilligan's stages of moral development?
    A) Mid-conventional
    B) Pre-conventional
    C) Post-conventional
    D) Conventional
    D) Conventional
    (this multiple choice question has been scrambled)
  79. Nursing interventions appropriate for the nursing diagnosis of chronic sorrow related is missed opportunities include:
    A) Encouraging the client to discuss his or her fears.
    B) Assuring the client that he or she will be able to cope with the illness.
    C) Contact a support group rep so the client knows that others have coped with the same health deviation.
    D) Sharing a personal story with the client to demonstrate empathy
    A) Encouraging the client to discuss his or her fears.
    (this multiple choice question has been scrambled)
  80. When teaching parents of a toddler about nutrition, the nurse should make which statement?
    A) "Grapes are a good snack choice because they help toddlers meet their daily fruit requirements."
    B) "Raisins are a good finger food because they provide fiber."
    C) "A small piece of chewing gum will help strengthen jaw muscle; just be sure he or she does not swallow it."
    D) "Hot dogs are not a safe food choice because they may cause choking."
    D) "Hot dogs are not a safe food choice because they may cause choking."
    (this multiple choice question has been scrambled)
  81. The nurse conducting a parenting class is asked how to select a good day care center for an 18 month old.  The nurse should state:
    A) "Human interaction increases a toddler's verbal skills, so select, a day care that values adult to toddler interaction."
    B) "Day care centers that schedule age-appropriate educational videos increase verbal ability."
    C) "Learning to understand the meaning of words is increased when toddlers are exposed to educational DVD, so select a day care center that has an extensive library of age-appropriate, educational DVDs."
    D) "There really is no difference in the quality of day care centers based on whether or not videos or DVD's are used for educational purposes."
    A) "Human interaction increased a toddler's verbal skills, so select a day care that values adult to toddler interaction."
    (this multiple choice question has been scrambled)
  82. Which of the following items will affect a child's growth? Select all that apply.
    a) Fetal exposure to teratogenic medications
    b) Availability of a well-balanced diet
    c) Living in a war zone
    d) Height/weight of relatives
    a, b, c, and d
  83. The school nurse conduction on in-service program for teachers stresses that according to Piaget's theory at cognitive development, a 9 year old child can be expected to do which of the following?  Select all that apply:
    a) Use abstract thought to discuss a story
    b) Make moral decisions concerning right or wrong actions.
    c) Listen to a peer's point of view about a playground situation.
    d) Be influenced by his or her friends.
    • c) Listen to a peer's point of view about a playground situation.
    • d) Be influenced by his or her friends.
  84. The school nurse is conduction a screening using the revised CDC growth charts and BMI for age charts.  Which of the following children should the school nurse be concerned about?  Select all that apply:
    a) a 7 year old male with a high BMI
    b) A 9 year old female with a low BMI
    c) an 11 year old male with a BMI within range
    d) A 13 year old female with a moderately high BMI
    A, B, and D
  85. The newest CDC growth charts take into consideration which of the following data points?  Select all that apply:
    a) Method of feeding (breast or formula)
    b) Gender
    c) Racial and ethnic factors
    d) Chronological age
    e) Selected health deviations such as sickle cell anemia
    A, B, C, D, and E
  86. A nurse is plotting the height and weight of children during a school assessment clinic.  Monitoring these patterns is assessing which aspect of child's health?
    A) Bone size
    B) Development
    C) Health
    D) Growth
    D) Growth
    (this multiple choice question has been scrambled)
  87. A parent brings a 16 month old child to the clinic for a sell child checkup.  During the assessment, the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position.  The child is lagging is which of the following processes?
    A) Development
    B) Behavior
    C) Height
    D) Growth
    A) Development
    (this multiple choice question has been scrambled)
  88. A child is starting school and is being screened for certain developmental milestones.  How the child interacts with other children is most influenced by which of the following factors?
    A) Physical characteristics
    B) Culture
    C) Temperament
    D) Environment
    C) Temperament
    (this multiple choice question has been scrambled)
  89. A parent brings a child to the clinic with concerns about the child's inability to sit alone.  The nurse explains that development is based on in-born timetables and the child will be able to meet this milestone at a specific time.  The nurse is basing this information on which theory of growth and development?
    A) Task theory
    B) Maturational theory
    C) Havighurst's
    D) Psychosocial theory
    B) Maturational theory
    (this multiple choice question has been scrambled)
  90. A toddler shows fear and begins to cry when her parent leaves her at day care.  According to Havighurst, which developmental task would this child be exhibiting?
    A) Learning to get along with age-mates
    B) Learning to relate emotionally
    C) Achieving personal independence
    D) Building wholesome attitudes toward oneself
    B) Learning to relate emotionally
    (this multiple choice question has been scrambled)
  91. Which of the following developmental tasks are of Havighurst's early adulthood age period?  (Select all that apply)
    a) Taking on civic responsibility
    b) Developing adult leisure-time activities
    c) Getting started in an occupation
    d) Relating oneself to one's spouse as a person
    e) Managing a home
    • a) Taking on civic responsibility
    • c) Getting started in an occupation
    • e) Managing a home
  92. A parent questions the nurse about her 5 year old who has begun to masturbate and questions the parents about sexual differences among the child's peer mates.  The nurse, familiar with Freud's stages of development, responds by saying:
    A) "This behavior is a normal part of your child's development."
    B) "All children are curious, but make sure the child knows that this behavior might be offensive to others."
    C) "Let's make sue to ask your physician at the next appointment."
    D) "You should probably consult a child psychologist if you're this concerned."
    A) "This behavior is a normal part of your child's development."
    (this multiple choice question has been scrambled)
  93. A young adult has never lived away from his parents.  He has difficulty making decisions and feels unable to make decisions on his own.  According to Freud's theory of development, this person should be fixated at which stage of development?
    A) Anal
    B) Latency
    C) Phallic
    D) Genital
    D) Genital
    (this multiple choice question has been scrambled)
  94. A client is being seen in the mental health clinic for antisocial behavior.  According to Erikson's stages of development, this client is dealing with which task of development?
    A) Identity versus role confusion
    B) Industry versus inferiority
    C) Intimacy versus isolation
    D) Initiative versus guilt
    A) Identity versus role confusion
    (this multiple choice question has been scrambled)
  95. A client who has a terminal diagnosis has been using her time to help family members deal with her impending death.  Among her activities, she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies.  According to Peck, this client is working through which of the following developmental tasks?
    A) Body transcendence versus body preoccupation
    B) Ego differentiation versus work-role preoccupation
    C) Integrity versus despair
    D) Ego transcendence versus ego preoccupation
    D) Ego transcendence versus ego preoccupation
    (this multiple choice question has been scrambled)
  96. A college age client is seeing the nurse at the student health office.  His statement indicate that he is struggling with feelings of independence, then feelings of dependence on his family again.  The nurse recognizes this as which stage of development, according to Roger Gould?
    A) Stage 2
    B) Stage 4
    C) Stage 3
    D) Stage 5
    A) stage 2
    (this multiple choice question has been scrambled)
  97. A parent brings his child into the clinic for a well child screening.  He makes a statement to the nurse that the child is learning new words faster than he can write them in the baby book.  According to Piaget, this child is in which of the following phases?
    A) Formal operation phase
    B) Concrete operation phase
    C) Preconceptual phase
    D) Intuitive thought phase
    C) Preconceptual phase
    (this multiple choice question has been scrambled)
  98. A 20 month old child is a client on the pediatric unit of a hospital.  The nurse notices that this child is lagging in stage 6 of Piaget's phases of cognitive development.  Which activity would indicate that this child is struggling at this stage?
    A) The child does not cooperate with some of the treatments.
    B) The child wants the same toy to sleep with during naptime and bedtime.
    C) The child merely watches as the other children pretend-play.
    D) The child cries when the parents leave the unit.
    C) The child merely watches as the other children pretend-play.
    (this multiple choice question has been scrambled)
  99. A nurse who is exploring the behavior of children and how they interpret right from wrong or bad from good would best be served by studying which of the following theorists?
    A) Skinner
    B) Piaget
    C) Kholberg
    D) Vygotsky
    C) Kholberg
    (this multiple choice question has been scrambled)
  100. A nurse educator believes that teaching students without caring about them is an exercise in futility.  This educator also believes that in meeting the students needs, educators must also work to take care of themselves and care for their own needs.  The educator's ideals represent which of Gilligan's stages?
    A) Stage 2
    B) Stage 4
    C) Stage 3
    D) Stage 1
    C) Stage 3
    (this multiple choice question has been scrambled)
  101. A nurse educator is working with students and assisting them in addressing their clients' spiritual needs.  The educator understands that most traditional, second year college students are aware of their own spiritual development or working to develop their own system of spirituality.  Fowler describes this stage as which of the following?
    A) Intuitive-projective
    B) Universalizing
    C) Mythic-lyrical
    D) Individuating-reflexive
    D) Individuating- reflexive
    (this multiple choice question has been scrambled)
  102. A client with an acute, serious illness has been hospitalized.  Entering the room, the nurse observes the client praying.  The client states to the nurse: "I don't know how people manage to get through difficult times without their faith.  It's where I get my strength."  The nurse correctly associates this belief with which theorist?
    A) Gilligan
    B) Westerhoff
    C) Fowler
    D) Kohlberg
    B) Westerhoff
    (this multiple choice question has been scrambled)
  103. Westerhoff's spiritual theory describes four stages of development.  Put these in order of when they occur in the life cycle:
    a) Owned faith
    b) Affiliative faith
    c) Experienced faith
    d) Searching faith
    • d) Searching faith
    • b) Affiliative faith
    • a) Owned faith
    • c) Experienced faith
  104. A nurse is working with a school age client who is learning how to use a peak flow meter to monitor his asthma.  The child has been frustrated at first, but now is able to give the reason to use the meter on a daily basis.  Remembering the growth and development characteristics of the adolescent, which of the following is an appropriate response by the nurse?
    A) "Maybe you could make a game out of the daily use of your meter."
    B) "You should feel very proud for understanding and using your meter."
    C) "Think of using the meter as one of your daily chores."
    D) "It's too bad if you don't want to use the meter, it's just something you'll have to do."
    B) "You should feel very proud for understanding and using your meter."
    (this multiple choice question has been scrambled)
  105. A nurse is working with the residents of an assisted living complex.  When planning care for the old-old stage, the nurse realized that it will be important to:
    A) Provide as much care to the residents as possible.
    B) Allow as much independence for the residents as possible.
    C) Maintain peer interactions and social groups.
    D) Make sure to provide safety measures as needed.
    B) Allow as much independence for the residents as possible.
    (this multiple choice question has been scrambled)
  106. A community health nurse is planning adult health education classes.  According to Erikson's stages of development, the nurse must address which task with this age group?
    A) Identity versus role confusion
    B) Identity versus inferiority
    C) Generativity versus stagnation
    D) Intimacy versus isolation
    C) Generativity versus stagnation
    (this multiple choice question has been scrambled)
  107. A parent brings her baby in for a well-child checkup.  Which of the following would the nurse identify as an indicator or positive resolution of the central task of this age?  The child:
    A) Does not play with other children.
    B) Becomes willful when disciplined.
    C) Shows mistrust when strangers approach
    D) Does not cry when the parent allows the nurse to hold the child.
    D) Does not cry when the parent allows the nurse to hold the child.
    (this multiple choice question has been scrambled)
  108. A parent tells the nurse that his child is quite creative and learning how to pretend with "almost anything in the house."  According to Piaget, this child is descriptive of which stage/phase?
    A) Tertiary circular reaction: Stage 5
    B) Preconceptual phase
    C) Inventions of new means: Stage 6
    D) Concrete operations phase
    C) Inventions of new means: Stage 6
    (this multiple choice question has been scrambled)

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