Dev

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The mother of a toddler tells the nurse that she has a difficult time getting the child to go to bed at night. The nurse suggests which of the following to the mother?

"Inform the child of bedtime a few minutes before it is time for bed."

The parent of a 4-year-old child expresses concern because her hospitalized child has started sucking his thumb. The mother states that this behavior began 2 days after hospital admission. Which of the following is the appropriate nursing response?

"It is best to ignore the behavior."

When the nurse is collecting data from the older adult, which of the following findings would be considered normal physiological changes? Select all that apply.

*Decline in visual acuity *Increased susceptibility to urinary tract infections *Increased incidence of awakening after sleep onset

A nurse is caring for a 5-year-old child who has been placed in traction after a fracture of the femur. Which of the following is the most appropriate activity for this child?

A puzzle

A nurse is collecting data from an older adult client. Which of the following indicates a potential complication associated with the skin of this client?

Crusting

An older client has been prescribed digoxin (Lanoxin). The nurse understands that which age-related change would place the client at risk for digoxin toxicity?

Decreased lean body mass and glomerular filtration rate

The nurse should implement which activity to promote reminiscence among older clients?

Having storytelling hours

A nursing instructor asks a nursing student about Kohlberg's theory of moral development. The instructor determines that the student needs to further research this theory if the student states that a component of the theory includes which of the following?

Individuals move through all six stages in a sequential fashion.

The parent of a 16-year-old child tells the nurse that she is concerned because the child sleeps until noon every weekend and whenever there is a day off from school. Which of the following is the appropriate nursing response?

"Adolescents love to sleep late in the morning."

The parent of an 8-year-old child tells the nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. The appropriate nursing response would be which of the following?

"At this age, the child is developing his or her own personality."

The nurse evaluates that the older client needs teaching on how to promote sleep when the client states which of the following?

"I drink hot chocolate before bedtime."

A parent of a 4-year-old child tells the nurse that she is concerned because the child has been masturbating. The appropriate response by the nurse is which of the following?

"This is a normal behavior at this age."

The nurse is caring for an older client who is reminiscing about past life experiences in a positive manner. The nurse understands that this behavior indicates which of the following?

A normal psychosocial response

A nurse is providing instructions to a new parent regarding the psychosocial development of the infant. Using Erikson's psychosocial development theory, the nurse would instruct the parent to:

Allow the infant to signal a need.

When caring for a 3-year-old child, the nurse should provide which toy for this child?

A wagon

A nurse is providing information to nursing assistants regarding caring for the older adult. The nurse tells the nursing assistants that which of the following situations portrays ageism?

Advising older adults to forgo aggressive treatment

A 16-year-old adolescent is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following 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.

The nurse should plan which of the following to encourage autonomy in the client who is a resident in a long-term care facility?

Allowing him to choose his social activities

A mother of a 5-year-old child tells the nurse that the child scolds the floor or table if the child hurts herself on the object. According to Piaget's theory of cognitive development, this behavior is identified as:

Animism

A nursing student is preparing a conference on Freud's psychosocial stages of development, specifically the anal stage. Which of the following appropriately relates to this stage?

Beginning of toilet training

According to Kohlberg's theory of moral development, at the preconventional level, moral development is thought to be motivated by which of the following?

Punishment and reward

A nurse assigned to care for an older adult client places an extra blanket in the client's room. The nurse understands that the older adult is less able to regulate hot and cold body changes because of alterations in the activity of the:

Sweat glands

The parents of a 2-year-old arrive at the hospital to visit the child. The child is in the play room and ignores the parents during the visit. The nurse tells the parents that this behavior in a 2-year-old child indicates which of the following?

That the child is exhibiting a normal pattern

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance?

The nurse is providing an education class to healthy older adults. Which exercise will best promote health maintenance?

Upon palpation of the fontanel of a 3-month-old newborn, the nurse notes that the anterior fontanel has not closed and is soft and flat. Which of the following actions should the nurse take?

Upon palpation of the fontanel of a 3-month-old newborn, the nurse notes that the anterior fontanel has not closed and is soft and flat. Which of the following actions should the nurse take?

The parent of a 3-year-old tells the nurse that the child is constantly rebelling and having temper tantrums. Which instruction should the nurse provide to the parent?

Set limits on the child's behavior.

A nursing instructor asks a nursing student to describe the formal operations stage of Piaget's cognitive developmental theory. The appropriate response by the nursing student is: "The child:

has the ability to think abstractly."

An older client confides to the visiting nurse that they are afraid they will fall while going to the bathroom at night. Which suggestion, if made by the nurse, indicates an understanding of the visual changes affecting the older client?

"Keep a red light on in the bathroom at night."

Which of the following are components of Kohlberg's theory of moral development? Select all that apply.

*Moral development progresses in relation to cognitive development. *A person's ability to make moral judgments develops over a period of time. *The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. *In stage 2 (instrumental relativist orientation), the child conforms to rules to obtain rewards or to have favors returned.

Select the interventions that are appropriate for the care of an infant. Select all that apply.

*Provide swaddling *Hang mobiles with black & white contrast designs *Caress the infant while bathing or during diaper changes


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