Hesi review exam 3
An 8-year-old girl who is hospitalized for intravenous (IV) antibiotic therapy tells the nurse that she is bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by the father would indicate a need for further teaching?
'She'll enjoy having a rubber baseball and plastic bat.'
Which type of immunity will clients acquire through immunizations with live or killed vaccines?
Artificial active immunity
While assessing the development of a child, the nurse finds that the child is imitating the actions of her elders. Which stage would the nurse expect to document that the child is in?
Autonomy versus shame and doubt
An 18-month-old toddler is admitted to the pediatric unit and has never been separated from the mother before this admission. Which behavior would the nurse expect from the toddler?
Crying relentlessly and consoled by no one but a parent
While interacting with a 4-year-old child, the nurse observes that the child exhibits which behavior that is congruent with Piaget's cognitive developmental theory
The child is unable to see things from others' perspectives
While assessing the moral development of a child according to Kohlberg's theory, the nurse determines that the child is at the preconventional level of moral development. Which behavior led the nurse to this conclusion?
The child is very obedient and tries to avoid punishment from parents and teachers
The nurse documents that a child lacks physical readiness for toilet training. Which assessment finding supports the nurse's conclusion?
The child stays dry for 1 hour during the day.
When the nurse is making a home visit to a family with a toddler, which finding indicates a need for education about home safety?
Unlocked cabinets
Which age group of hospitalized children will have the most difficulty with separation anxiety?
6 to 30 months
In which period of Piaget's theory does the adolescent feel a sense of invulnerability
Formal operations
Which period of Piaget's theory marks the end of cognitive development?
Formal operations
Which stages are a part of conventional reasoning, according to the Kohlberg's theory of moral development?
Good boy-nice girl orientation Society-maintaining orientation
Which would the nurse teach the parents of an infant about the use of car seats?
Infants should be restrained properly in a federally approved car safety seat.
The nurse is assessing a 12-hour-old newborn. Which clinical finding would be reported to the health care provider in a timely manner?
Jaundice
Which toy would be developmentally appropriate for a 3-year-old child and help foster creativity?
Mold and Clay
Which type of immunity is acquired through the transfer of colostrum from the mother to the child?
Natural passive immunity
Which nursing action promotes psychosocial development for a newborn?
Placing the newborn in the mother's arms during the first hour of life
In which stage of Piaget's theory of cognitive development would the nurse expect a child brushing a doll's hair and teeth to be considered?
Preoperational stage
Which cognitive development stage would the nurse expect for a 4- year-old child whose concept of death is based on a sense of causality?
Preoperational thought
Which is the optimal method for the nurse to use for assessing a newborn's grasp reflex?
Pressing the examiner's fingers against the palms of the newborn's hands
Which intervention would the nurse provide to meet the developmental needs of hospitalized preschool-aged children?
Providing materials for simulating activities
The nurse finds that a child has developed the qualities of independence, self-control, and self-governance. Which type of development would the nurse anticipate in the toddler?
Psychosocial development
Which intervention would the nurse perform as soon as a newborn is delivered?
Removing nasopharyngeal secretions
Which is the priority topic when teaching the parents of a toddler-age client regarding the selection of toys?
Safety
According to Piaget's cognitive development, which are the different stages of reasoning?
Sensorimotor, Preoperational ,Formal operational ,Concrete operational
At which stage of Kohlberg's theory would a child exhibit fear of punishment?
Stage 1
When the nurse is developing educational programs for parents of younger school-age children to promote safety, which information would the nurse include that would be appropriate for this age group?
Use a helmet.
Which developmental stage is considered the pre-conventional level according to Kohlberg's theory?
Toddler & preschool
Which is the best response to a toddler's mother of who is asking about frequent toilet accidents after the birth of their second baby last month?
'It's common for young children to go through regressions after stressful events.'
Which parental statement would the nurse determine indicates a need for further education about development in a 15-month-old?
'She has a temper tantrum every time I put her on the potty chair.'
The nurse, providing discharge instructions to the parents of a newly circumcised male newborn, asks them to repeat the findings that would prompt them to call the primary health care provider. Which finding is reassuring and would not require notification of the provider?
A yellowish exudate around the incision
Which characteristics develop in an adolescent according to Piaget's theory of cognitive development?
Ability to reason with respect to possibilities Feelings and behaviors characterized by self-consciousness
Which nursing intervention would help a toddler diagnosed with a chronic illness to develop autonomy?
Allowing the child to dress independently
A child is frightened and refuses to use the toilet after watching a television commercial that shows the toilet bowl turning into a monster and swallowing the person using it. Which behavior would the child exhibit?
Animism
Which instructions would the nurse give the mother of a newborn boy who is being discharged 4 hours after having had a circumcision?
Apply the diaper loosely for several days.
According to Piaget's theory of cognitive development, which milestone would the nurse expect a 6-month-old infant to demonstrate?
Beginning of object permanence
Which priority teaching point would the nurse include when educating parents how to facilitate the developmental task of trust for their newborn?
Breast-feeding the newborn on demand
Which finding indicates that a newborn has vernix caseosa?
Cheese-like substance on the skin
According to Piaget's theory, which of these is true about the period of formal operations?
Children have the capacity to reason with respect to possibilities Children have a belief that their actions are scrutinized by imaginary audience
Which would the nurse identify as a group of hospitalized toddlers' most important need?
Contact with their parents
According to Erikson's theory of psychosocial development, which task does the nurse recognize as the chief psychosocial task of preschoolers?
Development of a sense of initiative
Which statement is true about Piaget's theory of cognitive development?
During the sensorimotor stage, infants develop an action pattern for dealing with their environment.
Which topic would the nurse include when teaching an expectant couple and their existing children about meeting the psychosocial development of the newborn?
Family involvement as a means of nurturing
How would the nurse best explain the probable cause of jaundice to the parents of a 3-day-old newborn?
The body is slow to get rid of the fetal red blood cells that have been destroyed
Which rationale would the nurse provide for using therapeutic play in a hospitalized preschooler?
The child can work out ways of coping with fears.
According to Piaget's theory, which are the cognitive or moral developmental changes in children aged 6 to 12 years?
The child develops logical thinking & The child is in the concrete operations period
Which statement describes stage 2 of Kohlberg's theory?
The child recognizes that there is more than one correct view.
Which nursing interventions help prevent heat loss in newborns?
The nurse keeps the newborn covered in warm blankets The nurse places the newborn on the mother's abdomen.
Which stage of Kohlberg's theory of moral development defines 'right' by the decision of the conscience?
Universal ethical principle orientation
A 3.5-year-old child is admitted to the hospital for an appendectomy. Which strategy would the nurse use to prepare the child for the hospital experience?
Therapeutic play
How would the nurse respond to parents who are concerned about separation anxiety in their 15-month-old child?
This is an expected developmental reaction.'
Which factors will the home health nurse use to assess an adolescent's safety in the home environment?
Use of helmets, drug and alcohol use, presence of weapons, vehicle safety restraints
Which site would the nurse use to administer vitamin K to a newborn?
Vastus lateralis
When assessing the psychosocial stage of development of a preschoolaged client, which is the most important interaction for the nurse to observe?
With other children during play
Which of these behaviors will the nurse need to explain while counseling the parents of a 2-year-old child?
he nurse will explain about animism and egocentrism to the parents of the 2-yearold child. Both are aspects of the preoperational period of Piaget's theory. Animism is when a child believes that inanimate objects have feelings and wishes. Egocentrism refers to when a child sees only his or her own point of view.
