Growth and Development

What is polypharmacy?

use of multiple medications

A 4-year-old client was admitted for treatment of severe pneumonia. The parents report that the child has been toilet-trained for two years, but the client has been incontinent of urine and stool twice since admission. How should the nurse explain this to the parents? "Your child is likely angry about being separated from you." "Many children regress in their developmental stages when seriously sick." "Lack of oxygen may have damaged your child's nervous control." "This is probably a reaction to the medication being given."

"Many children regress in their developmental stages when seriously sick."

Health and development issues commonly experienced by a school-aged child include which of the following? Select all that apply. Difficulty with safety Difficulty with ambulation Feelings of inadequacy Difficulty with verbalization of needs Enuresis

- Feelings og inadequacy - Enuresis -

The nurse is caring for a nine-year-old child. Which of the following characteristics does the nurse note are consistent for a child of this developmental stage, according to Piaget's theory of cognitive development? Select all that apply. Grasps the meaning of life Uses toys to represent other things Sees only themselves, not noticing others Has improved organization and classification Uses logical reasoning

-Has improved organization and classification Uses logical reasoning

The nurse is providing prenatal education for a group of pregnant teenagers. The nurse talks about substance use during pregnancy and relates that use to which possible newborn consequences? Select all that apply. Low birth weight Premature birth Poor development of superego Development of mistrust Congenital anomalies

-Low Birth weight - Premature birth -Congenital anomalies

The nurse preceptor is preparing to discuss Piaget's theory of cognitive development with a student nurse. Which of the following statements regarding this theory are correct? -Piaget focused his work on middle-adulthood, and childhood experiences that contribute to a person's identity as an adult -Jean Piaget separates cognitive stages into two parts: pre-operational and formal operational stages -Piaget emphasizes the importance of the unconscious mind and how it governs a person's behavior -The idea of a circular reaction is foundational to Piaget's work

-The idea of a circular reaction is foundational to Piaget's work

According to Piaget's theory of cognitive development, which of the following activities would most likely be seen in a 6-year-old in the intuitive phase? Thinking about hypothetical issues Asking incessant questions Talking about logical theories Exploring the world from a standing position

Asking incessant questions

The infant is sitting alone using her arms for support. At what age is this child at this stage of motor development? -12 months -3 month - 6 month - 4 month

At 6 month, child can sit with suport and recognize and respond to names

The nurse is precepting a nursing student in a pediatric unit. The nursing student asks why it is helpful to understand Piaget's theory of cognitive development. Which of the following responses by the nurse is correct? -Piaget's theory utilizes the child's environment to assist the child to heal, which helps the nurse plan better care for the vulnerable pediatric client -Piaget's theory explores the idea that behavior is related to interactions between a child's id, ego, and superego, which helps determine how we approach care of the child -Piaget's theory helps us to recognize the level of moral reasoning a child possesses, and helps us care for them more effectively -Piaget's theory offers insight into how children have developed, and helps us to predict patterns for children in order to care for them effectively

Piaget's theory offers insight into how children have developed, and helps us to predict patterns for children in order to care for them effectively

Based on Piaget's theory of cognitive development, what type of activities would a nurse recommend to parents of children in the preoperational stage? Play activities Solve multiple problems Church lessons Organized sports

Play activities the preoperational stage (ages 2 to 7) of cognitive development is characterized by the beginning use of symbols, through increased language skills and pictures, to represent the preschooler's world. Play activities during this time help the child understand life events and relationships.

A child is admitted to the hospital for RSV. The nurse notes that the child is holding a stuffed animal and reassuring the stuffed animal that he does not need to be afraid. Which of the following stages is this child demonstrating, based on Piaget's theory of cognitive development? Sensorimotor development stage Late preoperational stage Formal operational stage Pre-operational stage

Pre-operational stage In pre-operational stage, children will use symbols or toys.This child is using the stuffed animal to represent himself. This is pretend play in which a child uses a symbol or toy to represent other things, and is demonstrated between the ages of 2-4.

A nurse is observing a child pick up a rattler and shake it to hear a sound. The nurse understands that the child is considered to be in which of the following of Piaget's Cognitive Development stages? Preoperational stage Sensorimotor stage Concrete Operational stage Formal Operational stage TAKE ANOTHER QUIZ

Sensorimotor stage This shows the child relating his or her own behavior to the environment. In the Preoperational stage the child uses symbols and pictures to represent themselves. In the Concrete Operational stage the child can manipulate objects. With formal Operational stage the child uses abstract thinking.

An resident of a long-term care facility, age 82 years, often tells stories of the role that he played in the Korean War. According to Erikson, which of the following needs may underlie the resident's storytelling? The need to demonstrate that his life was meaningful and purposeful The need to show that his life was characterized by moral integrity The need to demonstrate that he was capable of physical aggression in earlier adulthood The need to show that others were dependent on him in earlier stages of life

The need to demonstrate that his life was meaningful and purposeful

A nurse wants to teach children about the importance of oral health with brushing and flossing. Based on Piaget's theory, to what age group would it be most appropriate to teach this topic? Preschoolers Third- and fourth-graders Junior high school age High school age

Third- and fourth-graders According to Piaget, children ages 7 to 11 learn by manipulating concrete or tangible objects and are developing logical thinking. This (third and fourth grade) would be an appropriate age to teach oral health.

How can a nurse determine if an infant is at a healthy weight at the end of the first year of life (12 months of age)?

Weight double by 6 months and triple in one year