Study questions for Exam 1

The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplining her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to do with her!" Which response by the nurse is the most therapeutic?

"A 2-minutes time-out combined with praise for good behavior is very effective for this age group"

The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month-old infant. Which statement is not appropriate for the nurse to include in the teaching session?

"Allow you baby to stay alone for short periods of time to promote independence"

Which of the following is an example of development?

A young child uses words instead of crying to make his or her needs known

What is not a key aspect in a teen's environment that helps when making good decisions?

Ability to use logical thining

Which age group would have a tendency towards eating disorders?

Adolescent

The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which of the following is the most appropriate suggestion to the mother?

Allow the bottle if it contains water

A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development

Allow the child to participate in activities with other individuals in the same age group when the condition permits

A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to

Allow the newborn infant to signal a need

A mother is complaining to the nurse that her 3-year-old child often has difficulty falling and staying asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the most appropriate?

Assess the child's usual nighttime routine

The nurse prepares for a Denver Screening test with a 3 year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. The BEST response is to tell her that the test?

Assesses a child's development

The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the stages of development defined by Erikson?

Autonomy vs. sense of shame and doubt Initiative vs. guilt

During a well-baby visit, the pediatric nurse initiates teaching related to health promotion and prevention of illness. Which nursing statement is appropriate to include in the teaching session?

Call the pediatrician if you notice a change in the baby's activity level or feedings

A nurse is providing anticipatory guidance to the parents of a preschool-aged child regarding discipline. Which information is most beneficial?

Consequences should be natural and fit the behavior

A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child

Crayons and a coloring book

When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child's developmental status. Which nursing action demonstrates awareness of the child's developmental status?

Demonstrating the procedure on the child's teddy bear

The nurse is planning care for an 18 month-old child. Which of the following should be included the in the child's care?

Encourage the child to feed himself finger food

While teaching a 10 year-old child about their impending heart surgery, the nurse should?

Explain the surgery using a model of the heart

The nurse caring for a hospitalized adolescent can best meet the adolescent's developmental needs by

Explaining procedures and including the adolescent in decision making

During which stage of cognitive development does the individual's thinking move to abstract and theoretical subjects and possibly venture into such topics as achieving world peace, finding justice, and seeking meaning in life?

Formal Operations

A 47-year-old woman expresses dismay to the nurse that her teenage children are unemployed and not doing well in school. Her husband is working and near retirement. She is not working and feels bored with her life and unneeded. She is experiencing which of Erikson's stages of development?

Generativity vs. self-absorption and stagnation

Which of the developmental stages defined by Freud is a time of turbulence during which earlier sexual urges reawaken and are directed to an individual outside the family circle?

Genital

The pediatric nurse uses the head-to-toe approach when conducting a physical assessment on an infant. Which sequence represents correct technique?

Head circumference, lung sounds, presence of bowel sounds, urine output

A 10-year-old fifth-grader enjoys having his artwork displayed on the family refrigerator. This behavior is indicative of which developmental stage as described by Erikson?

Industry vs. inferiority

A parent in the pediatric clinic states that she has been giving her 1-year-old aspirin (ASA) for his fever. What response by the nurse is best?

Instruct the parent not to use aspirin on a child

The father of a 4 year-old is concerned about his son's reaction to an injury of his friend. He told the nurse that the child stayed in his room over the weekend and cried himself to sleep. When the pediatric nurse questioned the child, he described an argument that he and his friend had about a week prior to his friend's injury. Based on the assessment, what is the preschool child exhibiting?

Magical thinking

A child with special needs has moved into the community. Which health-care resource should the school nurse direct the child's family toward?

Medical home

Development of the ability of an individual to distinguish right from wrong and to develop ethical values on which to base his or her actions is termed

Moral development

Moral development theory differs from cognitive development theory in what way?

Moral development theory characterized the value system of people and their respect for others

The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing response is which of the following

Once the toddler weighs 20 pounds

Children generally double their birth weight by 5 months of age. This is an example of

Physical growth

During which stage of moral developmental identified by Kohlberg is the individual's moral reasoning based on personal gain?

Preconventional

According to Piaget's theory of cognitive development, the child aged 7 to 11 years demonstrates concrete operations when he or she

Recognizes that friends may perceive things differently

The nurse is caring for a toddler hospitalized after a motor vehicle accident. Based on Erikson's developmental model, which behavior would you anticipate can occur as a result of the hospitalization?

Regression to a previous behavior

A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:

Set limits on the child's behavior

The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?

Sits alone

Physical growth involves

Strengthening of skeletal structures

Which of the following is a statement about normal growth and development on which effective nursing care is based?

Success in one phase of growth and development affects the ability to complete later phases successfully

A nurse is providing anticipatory guidance to the parents of an infant. The nurse explains that, for children of this age, the most common fatal injury is which of the following?

Suffocation

What is the nurse's responsibility in educating families about how to care for their child at home after minor surgery?

Teaching about the signs and symptoms of infection

The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which response by the nurse uses a developmentally appropriate explanation of the operation?

The doctor will give you special sleeping medicine before she operates

The parents of a 2-year-old child are concerned that the child wants to do everything by himself and seems to be rejecting their authority. The nurse's response should be based on which of the following?

The independence displayed by the child is a normal result of maturation

A nurse is planning an educational class for new families based on Duvall's family development theory. Based on the theory, how are family stages determined?

The oldest child in the family

The parents of a toddler ask the nurse how to best prepare the toddler for a planned medical procedure. What should the nurse recognize when answering the toddler's parents?

The use of short explanations can best help the toddler understand the planned procedure

There are many myths regarding children and pain levels. Which statement regarding pain management in pediatrics is true?

The use of special pain scales allows children to better express their level of pain

The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that

This is a normal pattern

Which age group has the greatest potential to demonstrate regression when they are sick?

Toddler

A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child

Uses a cup to drink

A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement expected if the infant

Uses monosyllabic babbling

The pediatric nurse assesses the toddler's fine motor skills by observing which task?

holding a spoon to eat

According to Piaget, an infant uses his or her senses to learn and explore the environment. Which action is the most appropriate for the nurse to implement to determine object permanence?

playing peek-a-boo