Chapter 20

The nurse is discussing human growth and development with the parents of a newborn. What should the nurse include in this discussion? Standard Text: Select all that apply.

1. Growth involves physical change and increase in size. 3. Most humans experience a similar pattern of growth. 5. Childrens growth is monitored by height, weight, bone size, and dentition.

After analyzing behavior, the nurse determines that a client is demonstrating defense mechanisms. According to Freud, what should the nurse realize as being the cause of this behavior? Standard Text: Select all that apply.

1. Anxiety created by conflicts 3. Conflict between the ids impulses

The nurse is assessing a childs growth and development. What questions should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes? Standard Text: Select all that apply.

1. How tall the parents are 2. Whether noises seem to bother their child 3. How many ounces of formula their child drinks daily

The nurse concludes that a young adult client is completing developmental tasks within Havighursts early adulthood age period. What did the nurse assess to come to this conclusion? Standard Text: Select all that apply.

1. Taking on civic responsibility 3. Getting started in an occupation

The nurse is preparing a teaching session for a group of parents with newborn children. What should the nurse include about Bowlbys attachment theory during this presentation? Standard Text: Select all that apply.

1. Use the attachment figure as security 2. Desire to be near the attachment figure 4. Return to the attachment figure when threatened 5. Express anxiety when the attachment figure is absent

A nurse is working with the residents of an assisted living complex. When planning care for the old-old stage, the nurse realizes that what action will be important?

Allow as much independence for the residents as possible.

The nurse is reviewing the four stages of development in Westerhoffs spiritual theory. In which order should the nurse review these stages to match the life cycle? Standard Text: Click and drag the options below to move them up or down.

Choice 4. Searching faith Choice 2. Affiliative faith Choice 1. Owned faith Choice 3. Experienced faith

A parent brings a 16-month-old child to the clinic for a well-child checkup. During the assessment, the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position. In which process should the nurse identify that this child is lagging?

Development

A client who has a terminal diagnosis has been using her time to help family members deal with her impending death. Among her activities, she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies. According to Peck, the nurse realizes that this client is working through which developmental task?

Ego transcendence versus ego preoccupation

A community health nurse is planning adult health education classes. According to Eriksons stages of development, the nurse should address which task with this age group?

Generativity versus stagnation

A young adult has never lived away from his parents and feels unable to make decisions on his own. According to Freuds theory of development, the nurse should suspect that this person would be fixated at which stage of development?

Genital

The nurse is plotting the height and weight of children during a school assessment clinic. Which aspect of the children's health is the nurse assessing?

Growth

A client is being seen in the mental health clinic for antisocial behavior. According to Eriksons stages of development, the nurse realizes

Identity versus role confusion

A nurse educator is working with students and assisting them in addressing their clients spiritual needs. The educator understands that most traditional, second-year college students are aware of their own spiritual development or working to develop their own system of spirituality. The educator realizes that the students are in which stage of Fowlers developmental theory?

Individuating-reflexive

A parent tells the nurse that his child is quite creative and learning how to pretend with almost anything in the house. According to Piaget, the nurse realizes this child is demonstrating which stage/phase?

Inventions of new means: stage 6

The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good. Which theorist should the nurse study to learn this information?

Kohlberg

A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havighurst, which developmental task should the nurse recognize this child is exhibiting?

Learning to relate emotionally

A parent is concerned that her child is unable to sit alone. The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time. Upon which theory did the nurse base the response to the client?

Maturational theory

A parent reports to the nurse that his child is learning new words faster than he can write them in the baby book. According to Piaget, the nurse realizes that this child is in which phase?

Preconceptual phase

A college-age client shares that he is struggling with feelings of both independence and dependence regarding his family. The nurse recognizes this as which stage of development, according to Roger Gould?

Stage 2

A nurse educator believes that teaching students without caring about them is an exercise in futility. This educator also believes that in meeting the students needs, educators must also work to take care of themselves and care for their own needs. From which stage of Gilligans theory is the educator approaching the teaching of students?

Stage 3

A child is starting school and is being screened for certain developmental milestones. What is the nurse assessing when determining how the child interacts with other children?

Temperament

A parent brings her baby in for a well-child checkup. Which action of the child should the nurse identify as an indicator of positive resolution of the central task of this age?

The child does not cry when the parent allows the nurse to hold the child.

The nurse notes that a 20-month-old child is lagging in stage 6 of Piagets phases of cognitive development. Which activity did the nurse observe that indicates that this child is struggling at this stage?

The child merely watches as the other children pretend-play.

A parent is concerned that her 5-year-old is beginning to masturbate. How should the nurse, familiar with Freuds stages of development, respond?

This behavior is a normal part of your childs development.

A client with an acute, serious illness has been hospitalized. Upon entering the room, the nurse observes the client praying. The client states to the nurse: I dont know how people manage to get through difficult times without their faith. Its where I get my strength. With which theorist should the nurse associate this clients belief?

Westerhoff

A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma. The child has been frustrated at first, but now is able to give the reason to use the meter on a daily basis. Remembering the growth and development characteristics of the adolescent, how should the nurse respond to this client?

You should feel very proud for understanding and using your meter.