CH 24 Life span development EAQ

Which response is appropriate to give to the mother of an 8-year-old child who expresses concern that her child is more focused on friends than anything else?

"At this age, children develop their own personalities."

Which advice would be the most appropriate for the nurse to offer a patient with concerns related to prostate disease?

"A blood test and examination can be used to diagnose prostate problems."

The nurse is teaching an infant's parents to take precautionary measures against accidents and injury to the infant. Which instructions would the nurse give to the parents to ensure safety? Select all that apply.

"Do not give the infant popcorn and hard candies." "Avoid placing pillows near the infant while he or she is sleeping." "Keep the sides of the crib up and set the mattress at its lowest position."

The nurse is teaching various health-promotion strategies to a group of elderly people in a community. What information does the nurse include in the teaching plan? Select all that apply.

"Drink 1500 mL of fluids per day." "Get an influenza vaccination once a year." "Remove excess furniture from your home." "Social contact is beneficial."

Which information given by the nurse would best help an elderly patient adjust to age-related changes associated with the heart?

"Engage in daily exercise, rest, and a decreased-sodium diet."

A parent of a preschooler is concerned about the child's behavior. Which statements by the parent would indicate to the nurse that instructions on setting limits on behavior were effective? Select all that apply.

"I will explain acceptable behavior." "I should reinforce positive behavior." "I must stay calm when arguing with the child."

Which statement by a mother indicates a need for further teaching regarding feeding her toddler?

"I will try several new foods at the first feeding."

Which instructions does the nurse give to the parents of a 7-month-old infant about good oral hygiene to prevent tooth decay in the infant? Select all that apply.

"Massage the infant's gums and wipe them slowly." "Use fluoride toothpaste if the water contains no fluorine." "Start brushing as soon as the child's teeth start to appear."

Which statement by a newborn's parent allows the nurse to conclude that the newborn is sufficiently breast-fed? Select all that apply.

"My baby passes seedy stools about three times a day." "My baby passes urine frequently and wets six diapers a day."

A mother of a 5-year-old child complains to the school nurse, "My child is behaving very stubbornly these days and does not follow my instructions." The nurse explains to the mother Piaget's stages of development in children. Which statement by the mother indicates a better understanding?

"My child has age-appropriate behavior."

A patient with a visual impairment is accompanied to the clinic by a family member who inquires about what can be done at home to help the patient function. Which advice would be appropriate for the nurse to give?

"Place essential items in the direct visual path."

The parents inform the nurse, "Our child has bad dreams and wakes up in the night crying." Which suggestion would the nurse give to the parents to improve the sleep patterns in the child? Select all that apply.

"Read stories to the child at night." "Play soothing music in the child's room." "Bathe the child with warm water before sleep."

Which suggestion would the nurse give to the parents of a toddler regarding the selection of a day-care center? Select all that apply.

"Select one that separates children by age group." "Select one that has ample space for the children to play." "Select one that has proper educational structures for the children."

Which information does the nurse provide to a group of mothers regarding toddler diet requirements?

"Serve at least one serving of meat a day."

A young mother comes to the clinic with her 2-month-old daughter. While taking vital signs, the nurse finds that the baby's heart rate is 120 beats/min. Which response by the nurse is appropriate when the mother expresses concern about the fast heart rate?

"This is a normal heart rate for a 2-month-old baby."

A nurse is assessing a toddler on evening rounds. The mother is upset and explains to the nurse that the toddler consistently has temper tantrums. What should the nurse teach the parent about the behavior?

"Unless the child or others may be harmed, ignore the negative behavior."

Which suggestion would the nurse provide to an elderly patient with pain and stiffness in the joints? Select all that apply.

"Walk on a regular basis." "Avoid walking on sloped surfaces" "Use a walking stick while walking."

A patient on a neurologic unit is experiencing a decrease in taste and distortion of smell. Which intervention by the nurse during meals can assist the patient with the neurologic deficits?

Have dietary staff prepare foods that are very attractive and colorful.

The mother of a 2-year-old is concerned that her child is not eating enough at each meal. Which advice would the nurse provide when the mother asks how much this child should consume at each meal?

2 tablespoons of each solid food

A student nurse has been assigned to the pediatric clinic. During the assessment, which set of data should the nurse expect to be considered normal when measuring the preschooler's vital signs?

Heart rate 80, respiratory rate 23, blood pressure 110/70

Which observation by the nurse indicates that a 4-year-old child has good cognitive development, using Piaget's method?

Identifies pictures in a chart

Which assessment finding is consistent with benign prostatic hypertrophy?

Impaired urinary flow

A healthy infant weighed 3 kg at the time of birth. Approximately how much would the infant weigh at 5 months?

6 kg or 11.5 pounds

Which interaction would be of concern if witnessed by the nurse on the pediatric unit?

A baby's bottle is propped on a pillow during feeding.

Which behavior indicates a patient has successfully completed the developmental task of late adulthood?

Accepting illness and preparing a will

An older patient comes to the clinic for a routine visit and states he engages in daily exercise and attends field trips at the local adult day-care center. Which life theory explains the patient's lifestyle behavior?

Activity

A parent reports to the nurse, "My child gets upset and won't eat his dinner when he loses in school games." Which stage of Erikson's theory would the nurse correlate the child's activity with?

Industry versus inferiority

Which advice would the nurse give to a patient complaining of vaginal discomfort caused by dryness during intercourse?

Apply a liberal amount of lubricant.

Which behaviors would the nurse anticipate in an elderly patient who has presbycusis?

Asking the nurse to speak louder

A frustrated father asks the nurse what can be done for a child who is independent, wants to do things his own way, and is constantly using the word "no." According to Erikson's stages of psychosocial development, which stage would the nurse explain the child is experiencing?

Autonomy versus shame and doubt

The nurse would monitor for changes in which area in a patient who has been prescribed hormone replacement therapy (HRT)? Select all that apply.

Breast Blood pressure

Which assessment indicates a toddler child has achieved age-appropriate development according to Erikson's theory of psychosocial development?

Can say a four-word sentence

A nurse is caring for an 88-year-old patient with extremely fragile skin. What interventions would the nurse place on the nursing care plan to provide the best protection for the skin?

Change positions frequently

During a home visit, the nurse observes a child and concludes that the family pattern is autocratic. Which observation led the nurse to this conclusion?

Child needs to follow the parents' strict rules.

Which advice would the nurse give to the mother of a toddler who inquires about methods to promote healthy sleeping patterns?

Enjoy quiet activities such as a story and establish a bedtime ritual.

While caring for a patient, a nurse learns that the patient lives in the same house as the patient's grandparents. Which type of family is this considered?

Extended

According to Piaget, during the adolescent stage of growth and development, an individual's cognitive function reaches maturity. Which stage is this considered?

Formal operational thought

Which food item would the nurse remove from a 10-month-old's plate to increase patient safety?

Grapes

Which instruction would the nurse give an elderly patient diagnosed with presbyopia?

Keep bright-colored objects in your home.

While teaching a group of older adults at the senior center, the nurse includes which health-promoting instructions? Select all that apply.

Eat a low-cholesterol diet. Have regular medical checkups. Take medications as prescribed by the health care provider.

While the nurse is talking with an older adult resident in a long-term care facility, the resident reminisces about life, family, and career accomplishments. Based on Erickson's stages, the nurse knows this resident is in which stage of development?

Ego integrity versus despair

The family member of an elderly patient living alone is concerned about safety. During family teaching, which point would the nurse focus on to prevent accidents from occurring?

Knowledge and recognition of factors that can cause accidents

Which points would the nurse include while teaching student nurses about the biological theories of aging?

Lipofuscin is a pigmented material that promotes aging in individuals.

Which intervention should the nurse implement to assist an elderly patient who is experiencing joint stiffness to feel more comfortable?

Perform range-of-motion exercises.

A patient is scheduled to retire within the next year. Which action, if taken by the patient, will lead to positive outcomes related to the psychological adjustment during the retirement phase?

Planning and discussing hopes and expectations for the retirement period

Which assessment finding suggests an infant's parents have given the infant excess water?

Poor weight gain

Which feeding activity would be advisable to ensure an infant does not develop bottle-mouth syndrome?

Providing only water in the bottle during a bedtime feeding

An elderly patient is lying in the room crying. When questioned, the patient admits to being frustrated about having to live alone, the loss of a spouse, and not being able to see the grandchildren. Which stage of development is this patient experiencing?

Senescence stage

A mother tells the nurse that her 3-year-old son has been acting out against others and throwing temper tantrums. Which instruction is the most important to provide this mother?

Set limits on the child's behavior.

A graduate nurse is caring for a patient with difficulty hearing. Which action would facilitate patient-nurse interaction?

Talking slowly in a low tone

Which observation would cause the greatest concern to the nurse when observing a parent placing her 6-month-old infant in the crib?

The baby is placed on the abdomen.

The nurse is observing the behavior of schoolchildren from an extended democratic family. The nurse finds that one child clings to the parent every morning before school. Which understanding could the nurse attain from the child's behavior?

The child is under increased stress.

Which condition would be a factor in placing a child in foster care rather than with his or her nuclear family?

The child's parents are extremely economically unstable.

While reviewing the medical record of a patient, the nurse finds that the patient's height has decreased compared to the previous year's report. If this reading is appropriate for the patient's age, which age group would the patient most likely belong to?

The elderly

Which statement accurately explains the pattern of chromosomal fusion for a male zygote?

The male sperm's Y chromosome fuses with the female ova's X chromosome.

Why would the nurse inform the parents of a 2-month-old infant, "Babies should always sleep on their backs"?

To prevent sudden death of the infant.

Providing only water in the bottle during a bedtime feeding

To promote oral hygiene

The nurse would advise parents of a 6-month-old infant to start feeding the child which type of food?

infant cereal

During a home visit, the nurse is assessing a toddler's toys. Which aspects of the toys does the nurse suspect could hurt the toddler? Select all that apply

long strings baloons detachsble parts

Which condition are women at the highest risk for because of the gradual physical changes that occur during middle adulthood (ages 40 to 65)?

osteoporosis

The nurse asks an infant's mother to reduce the frequency of feeding. What symptoms would the nurse have observed in the infant?

passes watery stools.

Why would the nurse advise the mother of an infant to avoid giving milk in the nighttime bottle?

to promote oral hygiene

Which individuals are at greatest risk for abusing their children? Select all that apply

very strict no self-control abused as a child

A community health nurse is planning a health fair, including an information booth to educate the adolescent population. Which essential topics would the nurse include as part of the discussion? Select all that apply.

water safety drug education accident prevention