exam 1 practice questions

Which stage of development is most unstable and challenging regarding development of personal identity? A. Adolescence B. Toddler hood C. Childhood D. Infancy

A- Adolescence is the stage in which one forms a sense of identity. This can be very challenging due to the drastic physical changes, increasing cognitive development and psychosocial challenges during these years. Pg 94-96

The nurse notes that a 6-month-old infant who weighed 7 pounds at birth now weighs 15 pounds. What is the nurse's evaluation of the infant's current weight? A. The infant's weight is appropriate for his age. B. The infant has been consuming more calories than needed. C. The infant needs weekly follow-up to assess weight. D. The infant should be hospitalized for failure to thrive.

A- The infant doubles their birth weight at 6-6 months of age. Pg 81

A father brings his 4-year-old to the doctor's office for a well-child visit. The father is embarrassed by his child's behavior during the visit. The father states that every time the child comes for an immunization she begins to cry and scream. An appropriate response to this father is: A. "All children have a major fear of needles; preschoolers often believe pain is a punishment." B. "Your child most likely had a traumatic experience at an early age." C. "Next time the mother should accompany the child for an immunization." D. "It is best to ignore this type of behavior as the child is seeking attention."

A- The preschooler is in Piaget stage of pre-operational thought. They often feel that they did something wrong that caused them to be sick or in p

Which nursing intervention is most appropriate in order to foster the development of trust in a hospitalized infant? A. Encourage the parents to room in and participate in care B. Place pictures of the child's family at the bedside C. Offer the infant a pacifier D. Play tapes of the mother's voice

A- The task of the first year of life is to establish trust in the people providing care (the parents). Page 69

The nurse providing anticipatory guidance education to the parents of a toddler shares that the most representative type of play usually seen in toddlers would be: A. Two children putting a puzzle together B. Two children sitting side by side, each playing with a toy truck C. A child who sits on the floor by himself, playing with blocks D. The child who dresses up like a fireman

B- Two toddler tend to play with similar objects side by, side, occasionally trading toys and words. Page 86

A mother of a 15-month-old brings her son to the clinic. While doing a nursing assessment, the mother makes the following comments. Which comment merits further investigation by the nurse? A. "My son cries sometimes when I leave him at his grandparent's house." B. "My son always takes his blanket with him." C. "My son is not crawling yet." D. "My son likes to eat mashed potatoes."

C- An infant is typically crawling by 8-10 months of age. Page 82

The nurse conducts developmental surveillance questionnaires at a community center for infants and young children. The nurse explains that the purpose of these screenings is to: A. Reverse degenerative processes that have occurred. B. Recognize early infection in order to prevent spread to individuals in close contact with the child. C. Recognize a disorder early so strategies can be developed to promote optimum development. D. Measure intelligence and readiness for school.

C- Developmental surveillance allows for early identification of of any developmental concerns and also helps the nurse promote optimal growth and development through anticipatory guidance. Pg 148

A 4-year-old scores three failures on a developmental screening test. Which statement is most accurate? A. The child is not as intelligent as expected for age and should be referred to a learning specialist. B. The child has a speech problem and should be referred to a speech therapist. C. The child is at risk for school problems and should be retested. D. The child should be referred for a further diagnostic developmental evaluation.

D- Failing multiple items on a developmental screening is of concern and the child should be referred for a diagnostic developmental evaluation. Every developmental screening tool has various pass/fail parameters. The guidelines for the screening used should be followed. pg 147-149

An inexperienced mother is playing with her 6-month-old in the playroom. The nurse has taught the mother about toys that are developmentally appropriate for the child. The nurse will know the teaching has been successful when the mother selects: A. Blocks. B. Tricycle. C. Puzzles. D. Rattles.

D- The 6 month old infant should be able to grasp rattles and other objects at will. Pg 81

The nurse is discussing STIs with a 17-year-old student. To correctly plan the teaching lesson, the nurse utilizes Piaget's theory to determine the adolescent's cognitive abilities. The educational plan should be based on the: A. Sensorimotor reactions. B. Limited cause and effect understanding. C. Concrete thinking. D. Mature abstract thinking.

D- The adolescent at this stage is able to discuss and reason abstract concepts. They also can think and act independently. pg 94-96