EXAM 3 420. Development PrepU

The mother of a 4-year-old reports using time-outs as a means for disciplining the child. Which statement by the mother would require the nurse to provide additional teaching?

"I usually have him in time-out for about 10 minutes." Should not be longer than a minute.

During an extended stay in a hospital the nurse has observed a 5-year-old having several temper tantrums. How should the nurse address this behavior with the parents?

"Is it common for your child to throw temper tantrums at home? We have observed this behavior several times here." Typically temper tantrums are few or absent in occurrence by the time the child is of preschool age.

The nurse is discussing home safety with the parents of a 10-year-old client. Which statement by the client's parents most concerns the nurse?

"Our child swims alone before we get home from work."

A 15-year-old female adolescent tells the nurse she would like to get a tattoo. What response by the nurse is most appropriate?

"Tattoos are invasive and there is the potential for disease with their application."

A mother brings her child into the clinic for follow up after beginning treatment for attention deficit hyperactivity Disorder (ADHD). One of the outcomes was for the child to complete homework within a 1-hour time interval. The mother reports that it still takes 1 1/2 hours but that is dramatically reduced from the 3 hours or more before beginning treatment. What is the best response for the nurse to make to the child?

"You have done a great job by focusing on your homework and doing it in much less time. Do you think by your next visit that you can get it down to an hour?"

A young couple expecting their first child comes to the clinic concerned that their baby will be born with Down syndrome. The nurse informs the couple that the incidence of Down syndrome is highest in women older than what age?

35 years

Several staff members are taking a break in the unit's conference room when one of them states, "I dread getting old and having to retire. I don't want to just sit on the porch in my rocking chair." The statement reflects which of the following?

Ageism

Patient should be cautioned to avoid which when taking skeletal muscle relaxants?

Alcohol

When caring for a child newly diagnosed with special needs, which nursing action is priority?

Answering the caregiver's questions.

Parents of a preschooler with cerebral palsy ask the nurse what the surgeon plans to implant in their child's body to control spasticity. What is the nurse's answer?

Baclofen pump. A baclofen pump can be placed surgically to deliver continuous medication intrathecally.

Which behavior by a 3-year-old child does not validate Erikson's developmental task for preschoolers?

Compares his soccer abilities with his peers. Comparing athletic abilities is seen in Erikson's next stage of Industry vs. Inferiority,

The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction?

Developing a trusting relationship with the nurse.

Which adverse effects would a nurse most likely assess in a client who is receiving a centrally acting skeletal muscle relaxant? (Select all that apply.)

Dry mouth Drowsiness Insomnia Constipation

The mother of a child with special needs states, "I should have stopped drinking soda when I was pregnant. Maybe if I had, everything would be OK." What is the nurse's interpretation of this remark?

Feelings of guilt are being expressed. The mother is wondering if something she did during her pregnancy caused the child's disability.

An adolescent is being observed for attention deficit hyperactivity disorder (ADHD). Which circumstance would demonstrate evidence to support this diagnosis?

Forgets to turn in homework, does not follow directions, cannot stay in assigned seat in class, and is always talking excessively and inappropriately.

When the nurse observes physical indicators of illness in the older population, that nurse should be aware of which of the following principles?

Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults.

A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg ) and grown 2.5 in (6.25 cm) since the chld's last visit a year ago. How should the nurse respond to this mother's concerns?

Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about. Normally, a toddler's growth is 5 to 10 pounds per year and about 3 inches in height.

Which characteristic is true of cerebral palsy?

It appears at birth or during the first 2 years of life. "Cerebral palsy is a condition that doesn't get worse."

A nurse is educating the parents of an infant about possible health problems during infancy. Which of the following health problems during infancy is most serious?

SIDS

The school nurse is reviewing the chart of a 12-year-old student who has had excessive absences due respiratory infections. What is the best action by the nurse?

Speak with the parents about the unusual increased number of respiratory infections. In the school-age child, the respiratory system continues to mature with the development of the lungs and alveoli, resulting in fewer respiratory infections.

When considering the moral development of a 7-year-old child, which actions are most consistent with the anticipated state of development?

The child focuses on being a good girl or boy.

The physician has made a notation in the medical record of a 17-year-old that the teen is not demonstrating successful completion of Erikson's stages of development. What behavior would be consistent with this assessment?

The teen is uncertain and frequently unable to make decisions. According to Erikson's stages of development, the teen develops a sense of identity. Failure to successfully complete this stage will result in a lack of self confidence and an inability to see one's self as in independent being.

The nurse in the well-child clinic observes that a 5-year-old child in the waiting room is having trouble using a crayon to color. During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. Each time the nurse reminds him he says, "Oh, yeah," and happily climbs back up. The nurse suspects that the child has:

attention deficit hyperactive disorder (ADHD).

When caring for a client taking dantrolene, for what adverse effects should the nurse monitor the client? Select all that apply.

jaundice fatigue drowsiness