Development PrepU questions

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? "I think we need to plan how to discipline your child when acting out this way." "We don't allow children of this age to throw tantrums so you will need to manage your child's behavior." "Is it common for your child to throw temper tantrums at home? We have observed this behavior several times here." "I am concerned that your child may have a developmental delay since most children of this age don't throw temper tantrums."

"Is it common for your child to throw temper tantrums at home? We have observed this behavior several times here."

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 his last visit a year ago. How should the nurse respond to this mother's concerns? Tell her that her child's growth is less than is expected and gather a nutritional history on the child. Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about. Ask the mother if there are other small people in her family. Tell the mother that she needs to return to the pediatrician's office in 3 months to re-weigh the child and measure his height for any changes.

Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.

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 child considers the impact of actions on others in his environment. The child only gives consideration to how the actions will impact himself. The child gears his actions to avoid doing the wrong thing and getting "into trouble".

The child focuses on being a good girl or boy.

Which statement about cerebral palsy would be accurate? "Cerebral palsy is a condition that runs in families." "Cerebral palsy means there will be many disabilities." "Cerebral palsy is a condition that doesn't get worse." "Cerebral palsy occurs because of too much oxygen to the brain."

"Cerebral palsy is a condition that doesn't get worse."

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 put him in time-out when the problem occurs." "He is allowed out of time-out when he is calm." "The time-out doesn't just have to be in his room." "I usually have him in time-out for about 10 minutes."

"I usually have him in time-out for about 10 minutes."

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 is home alone for an hour each day." "Our child swims alone before we get home from work." "Our child refuses to eat any green vegetables." "We do our best to keep no-cook snacks in the home."

"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? "You are too young to have a tattoo." "You need to remember that a tattoo will be with you forever." "Tattoos are invasive and there is the potential for disease with their application." "If you are determined to get a tattoo you need to get a small one so you can hide it if you want."

"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? "That's okay. I will just change the plan of care." "You will have to do better next time." "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?" "Mom, can you sit with him to make sure he meets the outcome?"

"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? 25 years 30 years 35 years 20 years

35 Years

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). autism spectrum disorder. failure to thrive. an addicted caregiver.

ADHD

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 Gerontology Geriatrics Chronological aging

Ageism

Patient should be cautioned to avoid which when taking skeletal muscle relaxants? Green, leafy vegetables Potassium Alcohol Cranberry juice

Alcohol

When caring for a child newly diagnosed with special needs, which nursing action is priority? Answering the caregiver's questions Explaining the diagnosis to the caregivers Setting up respite care for the caregivers Providing resources for the family

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 Vagal nerve stimulator Central venous catheter Botulinum toxin

Baclofen pump

Which behavior by a 3 year-old child does not validate Erikson's developmental task for preschoolers? Dresses up and pretends to be a superhero. "Cooks" a meal on the toy stove. Compares his soccer abilities with his peers. Asks the parent "why" about everything that happens.

Compares his soccer abilities with his peers

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.) Drowsiness Insomnia Dry mouth Constipation Urinary retention Hypertension

Constipation Drowsiness Dry mouth Insomnia

The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? Occupying the toddler's time while the parents are meeting with the physician Distracting the toddler from expending too much energy with active playing Developing a trusting relationship with the nurse Utilizing clinical time when the unit is not busy

Developing a trusting relationship with the nurse

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? Control of the situation is desired. Feelings of guilt are being expressed. Bonding of mother-child is weak. More important issues are being avoided.

Feelings of guilt are being expressed

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. Is withdrawn in social contexts but energetic and engaging with family. Is stubborn, resistant to directions, and unwilling to negotiate. Shows cruelty to animals, callousness, and lack of guilt and remorse.

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? Potential life-threatening problems in the older adult population are not as serious as they are in a middle-aged population. Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults. The same physiologic processes that indicate serious health care problems in a younger population indicate mild disease states in the elderly. Middle-aged people do not react to disease states the same as a younger population does.

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

Which characteristic is true of cerebral palsy? It's reversible. It's progressive. It results in intellectual disability. It appears at birth or during the first 2 years of life.

It appears at birth or during the first 2 years of life.

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? Colic Seborrheic dermatitis Failure to thrive SIDS

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? Ask the child if he really has had respiratory infections during these absences Speak with the parents about the unusual increased number of respiratory infections Continue to monitor the child's absences Discuss with the child's teacher to determine if the number of absences has effected academic performance

Speak with the parents about the unusual increased number of respiratory infections

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 distrustful of others. The teen is anxious to move away from his parent's home. The teen is sexually promiscuous. The teen is uncertain and frequently unable to make decisions.

The teen is uncertain and frequently unable to make decisions

When caring for a client taking dantrolene, for what adverse effects should the nurse monitor the client? Select all that apply. bradycardia jaundice urinary retention fatigue drowsiness

jaundice fatigue drowsiness