Growth and Development

8.A nurse is reinforcing teaching about injury prevention with the guardian of an infant. Which of the following statements by the guardian indicates an understanding of the teaching?

"I should make sure my baby's clothing does not have buttons on it."

A charge nurse is reviewing the expected growth and development of school-aged children with a group of staff nurses.Which of the following statements should the nurse include.?

A 6 year old child should be able to count 13 coins.

. A client is in the hospital for a diagnostic test. The client belongs to a single adult household. Which belong to a single-adult household?

A career-oriented young adult

A nurse is planning to collect data during a physical examination of a preschooler.which of the following techniques should the nurse use.?

Allow child to inspect equipment used for the exam.

14.a nurse assessing teenaged client who had an accident in a car race.The clients father reveals that the client has also started drinking and using drugs,The nurse can categorize the client in which developmental phase?

Psycosocial development

A nurse is contributing to the plan of care for a pre-schooler who was admitted for the treatment of measles.Which of the following activities should the nurse recommend for the child?

Putting together a puzzle with large pieces.

1.the nurse in a well-baby clinic assesses the growth and development of healthy infants and toddlers and uses that infromation as a basis for teaching.Which assesement finding would the nurse consider normal for 3-month old infant?

Able to lift head and shoulders

A client express his anxiety regarding his 20 yr old daughter's ability to effectively handle the pressure of her career as a social workers.What factor is most likely to affect the daughters ability to adapt to adverse circumstances in her career?

Adjustments made by her throughout childhood and adolescence.

An elderly client residing in an extended care facility is very depressed about the current phase of his life.How can the nurse,according to Ericksons,help the client achieve psychosocial development?

By encouraging reminiscence

A clients self esteem has been negatively impacted by a recent divorce.What problems is the client at a higher risk for developing later in life as a results of changes in self-esteem?

Chemical dependency,eating disorder

What kind of cognitive and motor development can be noticed in a child by age 4

Children can state their full name and age.

13. A nurse attending to a group of boys at a school.The nurse is required to check for sexual development in boys on a regular basis.Which clients are more likely to experience nocturnal emission?

Clients who are showing pubertal changes

A client arrives at the healthcare facility accompanied by her male partner. The nurse understands that the two are unmarried individuals in a committed partnership. To what kind of family do they belong?

Cohabitation

A teenage female client,when being assesed by the nurse for a minor injury.is curious to know what can be identified as the greatest challenges she will face in early adulthood .What should the nurse response include ?

Completing education and choosing occupation.

A client with 3 yeras old son wants to know the impact of her failing to meeet a challenge in his develoment process.The nursse know that what should occur is she has to apply Erickson's theory of psychosocial development.

Difficulty achieving the next level of development.

A teenaged boy while being assesed for fever,reveals the nurse that he is in being in an intimate relationship,but afraid of STD.How can the nurse help this client.

Educate the client to use condoms

16.The father of a 15 yrs old boy is worried as he wants to discipline his son in an age-approriate manner.While being assesed for diabetis,he reveals this worry to the nurse.How should the nurse help the client?

Explain the importance of adult respect toward adolescents.

A client approaching older adulthood talke to a nurse regarding his overdependence on other people.The client also expresses his wish to achieve more independence during old age.Which key elemnent can help the client attain more independence in older adulthood.

Financial stability.

A young homosexual adult has recently decided to inform his friends about his relationship and would like to know about the challenges he might be face.Which should the nurse identify a major challenge for the client.

Gathering Social support.

Individuals and families respond to both stressors in many ways, but the response to major stressors can be depicted in two phases. The nurse practitioner has documented in the chart that the client's family is in the adjustment phase. What occurs during the adjustment phase

May deny or ignore the stressor

A client wishes to know about the first solid food that she should give her infants?Which should the nurse recommend?

Iron-Fortified cereal

15.A nurse is addresing a group of school teachers on the importance of sex education for children.which source should the nurse suggest as ideal for children to obtain sex education from.

Parents

A nurse is assign to care for an elderly client in an extended healthcare facility.The clients appears to be confused about the changes that occur in life.Which principles should the nurse used to educate the client.

Past resolution and other decisions.

Although every family is unique, families share universal characteristics. Which of the following should the nurse recognize as the client's family's universal characteristics? Select all that apply.

Performs certain basic functions Has structure Has its own cultural values and rules Moves through stages in its life cycle

A nurse is caring for a client in his 80s, who is assisted by his grandchildren. Which of the following should the nurse suggest to help the client cope with a decline in his physical faculties? Select all that apply.

Provide adequate diet Ensure sufficient rest Have a good sense of humor

During a well child visit,the guardian of a toddler expresses a concern that the toddler takes several hours to fall asleep at night.Which of the following recommendations should the nurse make.

Provide toddler with a favorite stuffed animals at bedtime.

2.A nurse is talking with the parent of an infant during well-child visit,the parent states "My 6 years old son started wetting the bed after we brought his baby sister home.He hasn't done that in over a year.The nurse should recognize that this behavior by the sibling is an indication of which of the following defense mechanism?

Regression

The nurse is documenting the family functions for a new mother with a 3-month old infant. Which basic family function is significant for this mother and for society in maintaining human life on earth?

Reproductive

The nurse is assesing a baby in the well-baby clinic.Which is the baby more likely to exhibit following a proximodistal direction?

Roll over before grasping object.

A mother has just delivered a baby and asks the nurse about routines at home.Why is it important to develop routines for an infant?

Routines established trust along with learning what to expect.

A 50 year old client is apprehensive about older adulthood.The client wants to know about the various ways that will help him live a healthier and happier life in older adulthood.The nurse should inform the client about whuch healthcare goal to help him achieve a healthy and a happy living in plder adulthood ?

Select optimal function for age.

A nurse is preparing to asses with the physical assesement of a 2 year old toddler.Which of the following behaviors should the nurse expect during the examination?

The child prefer to sit on the parents lap during the examination.

A nurse in a providers office enters examination room to collect data from an 8-month old infant for the first time.Which of the following reactions by the infant should the nurse expect?

The infant turns away when the nurse approaches.

when documenting the medical history of a young client with a mouth ulcer,the nurse finds that the client is homosexual and scared of revealing this to his family.Which is appropriate nursing interventions when assesing this client?

The nurse should inquire about the symptoms.

During the assesementb,a teenaged clients tells the nurse that she is anxious as well as frustrated because of the acne on her face.Which is the best response for the nurse?

This is one of the most common physical change during adolescence.

A client arrives at a healthcare facility complaining that her daughter frequently suks her thumb.The client wants to know the adverse effect of the thumb sucking.What should the nurses responses included?

Thumb sucking in children may cause permanent damage to the childs mouth structure.

Based on Ericksons Theory of psycosocial development,which should the nurse identify as a major challenge faced by adolecents?

To achieve their identity.

the nurse is educating a family about abnormal and noram behavior for a 12 year-old daughter.Why is it important for the nurse to understand normal behavior fo a child

To distinguish between normal and abnormal behavior

. A nurse is taking care of client from an alternative family type. Why is it important for a nurse to understand various family forms?

To provide informed care

12.A nurse provider's office observing children playing in the waiting room .The nurse school expect to identify parallel behavior in which following age groups?

Toddlers

A client tells the nurse about an intimate relationship that is leading to possible marriage. What stage of family should the nurse document on the chart?

Transitional

A nurse is reinforcing preoperative education with an 8 year old child prior to cardiac surgery.Which of the following actions should the nurse take?

Use a doll with tubes and an incisions to ecplain the surgery.

A nurse on a pediatric unit assisting with the care of a preschooler who is prescribed an IV medication.Which of the following techniques should the nurse use to assist with preparing the chikd for the procedure?

Use role-play activities with the child.

The nurse is caring for a client who has given birth. The nurse understands that both parents are working and not very stable financially. Which would be the most appropriate suggestion with regard to caring for the child?

Work in different shifts

The nurse is caring for a group of clients.Which category of clients should the nurse recognize as most likely to be in the phase of stagnation?

clients in middle adulthood.

a nurse is discussing practices with the mother of a 3 month old infant.The mother describes propping the bottle on a blanket in the crib.Which consequences of this practice should the nurse monitor for when caring for the infant?

ulcers in the mouth.