GROWTH & DEVELOPMENT REVIEW
What is considered to be a normal attention span for a toddler? A) 5 to 10 minutes B) 10 to 15 minutes C) 15 to 20 minutes D) 20 to 25 minutes
A) 5 to 10 minutes
Which intervention should the nurse include in the care plan of a terminally ill client in the depression stage of dying? A) Allow for adequate rest B) Encourage family support C) Facilitate achievement of client wishes D) Provide appropriate physical care
A) Allow for adequate rest
The nurse best demonstrates support of a dying client's right to death with dignity when completing which nursing action? A) Allowing the client to make as many decision as possible about care B) Telling the client their personal views about the afterlife C) Avoiding conversations about the impending death D) Focusing on needs by completing most of physical care for the client
A) Allowing the client to make as many decisions as possible about care
A 70 year old couple is considering marriage and is concerned about whether they will be able to participate in sexual activities. What is the nurse's most appropriate response? A) Both of you may have to adapt to possible changes in sexuality B) Sexual activity is probably too demanding for older adults C) Older men have erectile dysfunction while women maintain sexuality D) Older adults are not interested in sexual activity
A) Both of you may have to adapt to possible changes in sexuality
What are the normal cognitive and motor development expectations that should be observed by a nurse in a 4 year old child? A) Can state their full name and age B) Has developed the ability to say "no" C) Engages in parallel play D) Can eat without assistance
A) Can state their full name and age
An older adult client residing in an extended care facility is very depressed about the current phase of life. How can the nurse, according to Erikson, best help the client achieve psychosocial development? A) Encourage reminiscence. B) Assist the client to focus on necessary adjustments C) Accomplish the developmental task of developing trust with caregivers D) Achieve optimal successful transitions
A) Encourage reminiscence.
When considering the need to be productive, what topics should the nurse discuss with a client who is planning to retire soon? Select all that apply. A) Hobbies B) Part-time employment C) Moving closer to family D) Financial planning E) Volunteering
A) Hobbies
Which functions are considered universal to all effective families? Select all that apply. A) Provide economically for its members B) Providing new members for the family C) Teaching its members to behave in a socially accepted manner D) Providing for the physical health of its members
A) Provide economically for its members B) Providing new members for the family C) Teaching its members to behave in a socially accepted manner D) Providing for the physical health of its members
Parents ask the nurse what event identifies that their son has reached puberty. What is the best response by the nurse? A) Puberty occurs when the person becomes able to reproduce sexually B) Puberty spans the ages between 11 and 20 years of age C) A rapid growth spurt occurs during puberty D) Emotional needs predominate the puberty period
A) Puberty occurs when the person becomes able to reproduce sexually
Which is the most likely characteristic of a communal family? A) Several people living together and sharing work B) Unmarried individuals living together C) Intimate partners of the same sex living together D) Children living with paid caregivers temporarily
A) Several people living together and sharing work
When asked about playing, the parents of a 3 year old share that he plays with his toys in the same area as other children but never interacts with them. Nurse documents that the child engages in what form of play? A) Solitary play B) Parallel play C) Cooperative play D) Interactive play
A) Solitary play
What is the biggest challenge facing a family that is established by individuals with different cultural backgrounds? A) Determining which customs will be introduced to the children B) Acknowledging and accepting differences in religion and belief systems C) Deciding how family decision making will be managed D) Assigning roles and responsibilities with the family
B) Acknowledging and accepting differences in religion and belief systems
A teenage boy, reveals to the nurse that he is sexually active and is concerned about acquiring a sexually transmitted disease. How can the nurse best address the teenager's concern? A) Advise the client to attend a sex education class B) Educate the client to use condoms C) Educate the client on the various forms of birth control D) Advise the client to avoid intimate relationships
B) Educate the client to use condoms
An older client has just experienced the loss of a spouse. How can the nurse best help this client overcome the depression? A) Tell the client to join the local community fitness center B) Explore with the client her beliefs about religion and spirituality C) Teach the client to explore local volunteer opportunities D) Encourage the client to explore continuing education programs at the local school.
B) Explore with the client her beliefs about religion and spirituality
Based on age, what should the nurse teach the mother of a 3 month old regarding the cognitive development of her child? A) Develops a preferred sleeping position and cry to signal needs B) Laughs, squeals, and looks at objects for several seconds, and reaches for and grasps objects C) Smiles, babbles, follows lights and reacts to sounds D) Develops social smiles, responds to pleasurable interactions, such as looking at the mother's face.
B) Laughs, squeals, and looks at objects for several seconds, and reaches for and grasps objects
Which characteristic behavior is demonstrated by a 4 year old child in the preoperational stage as described by piaget? A) Comparing how fast a ball and a block fall from the same height B) Not wanting to share their blocks but feeling sad that the other child is crying C) Understanding how differently shaped figures fit together into a jigsaw puzzle D) Showing parents that they can ride a bicycle without training wheels
B) Not wanting to share their blocks but feeling sad that the other child is crying
What is the most familiar family form? A) Single adult household B) Nuclear family C) Dual worker families D) Commuter family
B) Nuclear family
A nurse is addressing a group of schoolteachers on the importance of sex education for children. Who should the nurse suggest be the primary source of sex education information for adolescents? A) Clergy B) Parents C) Teachers D) Counselors
B) Parents
The long-term life partner of a client diagnosed with terminal cancer is unable to confront the situation. What intervention should the nurse offer the partner to assist in appropriate participation in the clients dying process? A) Strive to accept the inevitability of death for each of us B) Talk honestly about death with both the client & staff C) Provide the client with hope and encouragement for the time that remains D) Assure the client that you will remain with them until the end
B) Talk honestly about death with both the client & staff
When considering Erikson's theory of psychological development, which client is at greatest risk for isolation? A) The toddler who rarely shares toys with other children B) The 28-year-old who dislikes socializing with peers C) The 40-year-old who finds it hard to volunteer as a coach for his child's soccer league D) The adolescent who spends hours each day learning to play a guitar
B) The 28-year-old who dislikes socializing with peers
An older terminally ill client tells the nurse of hoping to live to see a child receive a promotion to full professor. This statement suggests to the nurse that the client is in what stage of dying? A) Denial B) Anger C) Bargaining D) Depression
C) Bargaining
Which is the priority intervention for the nurse to implement when discussing retirement with a 45 year old client? A) Explore why the client wants to retire at such a young age B) Discuss the clients financial plans for the future C) Explore possible outside interests with the client D) Strongly advise the client to consider a new full-time career option
C) Explore possible outside interests with the client
When considering human growth and development, what example describes proximodistal direction movements? A) Lifting head before sitting B) Sitting before walking C) Rolling over before grasping objects D) Making sounds before being able to walk
C) Rolling over before grasping objects
A mother asks the nurse what is the first solid food that she should give her infant. What food should the nurse suggest the mother introduce first A) A smashed, hard-boiled egg B) Small amounts of apple sauce C) Small amounts of iron-fortified cereal D) Finely minced well-cooked chicken
C) Small amounts of iron-fortified cereal
What is the most important task for those adults in the post-parenting phase of a family's life cycle? A) Adjusting to retirement from full time employment B) Being financially able to avoid dependency on children C) Maintaining healthy relationships with their grown children D) Getting involved in activities they enjoy
C) maintaining healthy relationships with their grown children
A nurse is explaining cognitive development in children to a client, with the help of piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development? A) Up to age 2, children learn by touching, tasting and feeling. They learn to control body movement B) From ages 2 to 7 years, children investigate and explore the environment and look at things from their own point of view C) From ages 7 to 11 years, children internalize actions and can perform them in the mind. D) After the age of 12, children can think in the abstract including complex problem-solving
D) After the age of 12, children can think in the abstract including complex problem-solving
What is the initial stage of kubler-ross's stages of grief and loss? A) Anger B) Bargaining C) Detachment D) Denial
D) Denial
When a terminally ill client dwells on past losses, the nurse recognizes that the client is in which state of dying? A) Denial B) Anger C) Bargaining D) Depression
D) Depression
What should the nurse consider as having the psychosocial priority for maintaining the independence of the older client? A) Encourage volunteerism activities with the younger people who visit B) Move out of the assisted living facility to live alone C) Maintain mental stability and satisfactory relationships with family members D) Sustain optimal health, social responsibilities, and financial stability.
D) Sustain optimal health, social responsibilities, and financial stability
Best explanation of Erikson's theory of psychosocial development during the adolescence period? A) Cognitive development is cumulative; that is, what is learned is based on what has been known before B) The adolescent thinks in the abstract and develops skills to participate in complex problem solving. C) The adolescent develops many skills during the teen ages, which help adolescents make educational and career choices. D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.
D) The adolescent faces many different decisions during the teen years concerning the future and the adult world.
What is the most damaging long-term effect of child abuse? A) The child may develop chronic depression as an adult B) The abuse can cause permanent physical injuries C) The children may have difficulties developing healthy adult relationships D) The cycle of violence is continued for generations
D) The cycle of violence is continued for generations
When discussing the growth and development of an adult, the nurse refers to various theories and phases of development. Considering Erikson's theory of psychological development, which is the best example of stagnation? A) When a young adult has difficulty establishing relationships B) When a young adult fails to make new friends C) When a middle-aged adult seeks a divorce after years of marriage D) When a middle aged adult focuses exclusively on personal interests
D) When a middle aged adult focuses exclusively on personal interests
