HG&D Final Exam Study Guide

Complementary and alternative medicine (CAM) modalities include?

1. Acupuncture 2. Energy healing 3. Guided imagery

Which age appropriate toys for a 3 month old infant should be recommended?

1. Crib mobile 2. Soft or furry quilt 3. Stuffed animals

Culture affects broad areas of?

1. Food preferences 2. Parenting styles 3. Health treatment 4. Discipline measures

The parents of a 2 month old bring their infant to the well child clinic for a checkup and immunizations. Based on knowledge of immunization schedules, the health care worker instructs the parents that the infant should receive which vaccines?

1. Polio 2. HepB 3. DTap

What are major characteristics(s) of a self-actualized paerson?

1. Understands reality 2. Is reliant on significant others 3. Is creative

To assist parents in understanding normal growth and development during various stages of infancy, the health-care worker must understand age-appropriate moto development. Which gross and fine motor skill(s) would be appropriate for a 9-month-old?

1. Uses thumb and forefinger in crude pincer grasp 2. Creeps on hands and knees 3. Sits steadily on floor for prolonged time

The changes that have occured to the traditional nuclear family over the past 40 years include?

1. decreased daily availability of the father 2. dual-career parents 3. increase in number of single-parent families 4. expectation that children be more independent

Psycodynamic developmental theories focus on resolution or development of?

1. personality traits 2. psychological challenges

To make an effective cultural assessment of a family that is dealing with a child with a terminal illness, the health-care worker must consider?

1. socioeconomic status 2. religious practices 3. health beliefs 4. significance of the disease

The health-care worker ensures doting parents that they will hear the first meaningful words from their infant when the baby is about________months old?

10

A child who weighed 6 pounds at birth will weigh approximately_______pounds at the age of 12months?

18- By 1 year the weight is trippled.

The usual initial age at which infants begin to demonstrate meaniful social smiles in response to parental interaction is at?

2 months

Because age differences between siblings may affect family dynamics, there is more affection and less rivalry and hostility between sibbling whose ages differ?

5 or more years

The health-care worker instructs the parents of an infant that they can expect the first tooth eruption at the age of?

6 months

At what age would the health care worker expect an infant to be able to say mama and dada with meaning?

9-10 months

Altered sleep patterns, disorganized eating patterns, and social isolation in a 13-year-old who is very involved in social networking could be symptoms of?

Facebook depression

The family Apgar scoring system to assess family function was created by?

Gabriel Smilkstein

The information that should be given to the parents of a 12 month old regarding appropriate play activities would include which of the following?

Give large push-pull toys for kinetic stimulation

The use of silence in conversation can mean different things depending on the culture. Silence indicates agreement in the________________culture?

Russian

The culturally competent health-care worker will inquire if the Native American patient would like to call his own folk healer, which is the?

Shaman

The best advice to parents who want to encourage autonomy in their toddler would be to?

encourage the toddler to do things for himself

The health-care worker would advise parents who are in the process of divorce to support their adolescent children by?

encouraging pursuit of own interests

The health-care worker points out to the family of a hospitalized child evidence that the facility supports family-centered health care by such practices as?

expanded or totally open visiting hours

Interactive phsical activity between parents and their baby should be focused?

exploring developmental movement and the environment

The family systems theory proposes that?

family functions are interconnected, so what happens to one family member affects the entire family

Regarding the introduction of solid foods during infancy, the nurse would advise?

foods should be introduced one at a time, at intervals of 4 to 7 days

The parents of a 3 month old complain that they are exhausted because she still wakes up as often as every 1 to hours during the night. When she awakens, they change her diaper, and her mother nurses her back to sleep. The best suggestion would be to?

give the baby a pacifier while the child is in a semi-awake state

The health-care worker designing culturally competent care will employ interventions that?

go beyond the awareness of similarities and differences to implementing care that is sensitive.

The health-care worker assesses a new patient for the use of alternative therapies. Such remedies have become widely used because these protocols?

have become very popular as they focus on health promotion

Using family development theory of Duvall as a basis, the health-care worker counsels a couple expecting their first baby that in addition to integrating the child into the family unit, the couple should examine?

how they will help each other with household chores

A parent of an 8-month-old infant says that the baby cries and screams whenever she is left with her grandparents. The reply should be based on the fact that the?

infant is experiencing separation anxiety

When the father of a 12-year-old says, "I must find some way to get my son to become serious about school. He just seems to want to play all the time." The parent is in the_____________stage of parenting behaviors described by Erik Erikson?

integrative

Robert Havighurst designed a developmental theory for the learning of developmental tasks for persons of?

late adulthood age

A school-age child who is helping his father was the car is told by his father that he is leaving "streaks all over the windows." The child feels his father thinks he's stupid for not being able to wash windows correctly. This incorporation of "being stupid" into the child's self-concept illustrates and example of?

looking-glass self (Cooley and Mead)

The young, female health-care worker who is giving admission information to an elderly Muslim man feels he is ignoring her because he?

looks at the floor rather than at ther

In the launching stage of the growth and development of a family unit, the focus of the family will be on?

maintaining a stable home base as children mature

Even infants can develop coping skills, which allow the infant to?

manage a stressful situation

According to the theory of Lawrence Kohlberg, the health-care worker can anticipate that the moral development of a 2-year old will follow the preconventional pattern by?

obeying rules to avoid punishment

The culturally competent health-care worker is aware that when caring for members of a culturally diverse population, care must focus on?

overcoming their own cultural barriers to avoid stereotyping

Parents tell the school nurse that their second-grade child watches television about 4 hours a day. When discussing this issue with the parents, the nurse would best advise the parent that?

parents nees to supervise the amount and type of television programs their children watch

While talking with the upset and tearful family of a patient newly diagnosed with a chronic illness, the health-care worker asks, "When something is bothering you, what do you do?" This should be interpreted as?

part of assessing the family's coping skills

An appropriate play activity to encourage sensorimotor stimulation in a 7 month old would be?

playing peek a boo

The health-care worker is alert ofr signs of_______________after the enitre family was invovled in a flood that swept their house away?

posttraumatic stress

The culturally competent health-care worker helping a Hmong family dress the recently decreased family member will be careful to?

prevent metal from touching the deceased

If parents are concerned about the fact that their 14 month old infant is not walking, the health care worker should particularly evaluate whether the infant?

pulls up on the furniture

When the driver who is stopped for speeding tells the officer that he was rushing to an important appointment, this is an example of the defense mechanism of?

rationalization

Studies suggest that viewing violent television programs or playing violent video games may cause?

release of dopamine, which affects attention and learning

The function of Freud's defense mechanism is to?

relieve anxiety

Selected video games with a flickering frequency on the screen can trigger?

seizures

According to Piaget, children typically sovle problmes by trial and error during the___________________stage of development?

sensorimotor

A 2 month old uses the preverbal speech technique of?

smiling

The parents of a 6-month-old infant say, "She cries sometimes after we have put her down after we played with her. We know she is dry and recently been fed" The most appropriate intervention is to suggest that the baby?

still wants parental stimulation

Because 4-month-old infants are developing very fast, the health-care worker reminds parents thatthey can help prevent an accident by?

supporting child firmly during bath time

To support the development of language skills in their child, the parents should?

talk to the infant in their native language

According to Freud's theory of development, the best toy for an infant would be a ?

teething ring

The behavior most characteristic of the concrete operations stage of cognitive development is ?

thought process become increasingly logical and coherent

According to Erikson, infancy is concerned with acquiring a sense of ?

trust

When caring for an 8-hour postpartum Chinese patient who adheres to cultural philosophy that pregnancy is a "cold" condition, the health-care worker will remember to?

turn up the thermostat

When the parents of a 6 month old say that they see no reason to spend money for a car seat because the baby's happier sitting in someone's lap. The best response is?

"A rear-facing car seat placed in the back seat is the safest place for you baby"

The parents of a 2-month-old boy are concerned about spoiling their son by picking him up when he cries. The most informative response would be?

"Babies need comforting and cuddling. Meeting these needs will not spoil him"

The parents of two children ages 7 and 2, are concerned about the language development of their 2-year-old. They tell the health-care worker that their older child began talking in two-or three-word phrases by age 2, but their younger child is still mostly using one-word sentences. The best response by the health-care worker is?

"First-born children generally have larger vocabulary and better conversational skills at an earlier age"

The parent of a 12-month-old says, " He pushes the spoon right out of my hand and screams when i feed him. I can't let him feed himself, he makes too much of a mess" The best respone is?

"He is old enough to try to feed himself. Let's think of ways to limit the mess."

A mother with a 6-month old infant says, "I want to go back to work, but i don't want there to be a problem since I'll have less time to spend with the baby." The best repsonse should be?

"Lets talk about child-care options that will be best for the baby"

The parents of a 6-month-old infant say they are worried about their baby's thumb-sucking. The reply that is most informative would be?

"Nonnutritive sucking during infancy is normal"

The health-care worker assesses ethnocentrism in a patient when the?

"White Anglo-Saxons will always set the civilization standard."

A mother is concerned that her 12 month old is 'getting fat." She plans to switch the infant from formula to 2% low fat milk. Base on knowledge of infant nutrition, the best response should be?

"Your child needs whole milk instead of low fat milk to promote proper growth and development."

What is a possible indication of child abuse on an 11 month old?

Bruises in various stages of healing

The theorist who proposed psychosocial theory that human development occurs as a result of interactions amog the environment, culture, and the individual was?

Daniel Levinson

After the death of a child, what might the parents exhibit toward the surviving children?

Overproctectiveness

The family can be defined as?

a basic human social system

An example of a blended family is one made up of?

a mother, her children, stepfather

Maslow's heirarchy of needs states that basic pysiological needs must be met before the individual can reach full potential. An example of a physiological need being met is?

drinking eight glasses of water a day and following a well-balanced diet

The 5-month- old should demonstrate?

ability to grasp an object voluntarily

A 73-year-old man scheduled for surgery tells the health-care worker that if things do not go well during surgery, he has lived a full life and has no regrets. The health -care worker recognizes that this statement is consistent with?

achievement of the developental task of integrity described by Erikson

Object permanence is?

actively searching for a hidden object

Cultural competence in health care is demostrated by?

adapting to meet cultural needs

In planning the information sent to the diet kitchen for a Hindu patient, the health-care worker would make a note to prohibit?

all meat dishes

A distressed mother of a 2-year-old is at her "wit's end" with the toddler's desire to do activities that may be dangerous. The health-care worker counsels the parent that to assist the child with the development of autonomy, the parent should?

allow independent activity in a safe environment

The laisez-faire parenting style?

allows children to regulate their own activity; sees parenting role as resource rather than role model

Behavior modification is basically designed to?

alter current behavior patterns

The home health- care worker assesses cultural assimilation when?

an Asian women living in Texas wear blue jeans and boots

A hospitalized 11 month old is crying and clinging to the parents as they attempt to leave the room at the termination of visiting hours? An appropriate intervention would be to?

arrange for a parent to room in with the infant

To promote a sense of industry in a hospitalized school-age child, the health care worker should?

ask the child to help pick up all the stuffed toys in the playroom

The health-care worker caring for a 3-month old Korean child hospitalized for dehydration would ask the parents' permission prior to ?

assessing the fontanel

The home health care-worker is aware that the development of initiative may be delayed in a German family that practices______________perenting style?

authoritarian

The Childrens's Television Act of 1991 mandated that television networks?

censor the content of programs being aired during prime time

A child who has a brother or a sister in the family unit will have the support to develop?

concepts of social interaction

When an Asian dinner guest startles his Western host by belching loudly to show appreciation of the meal, this behavior is an example of?

cultural relativisim

The Agency for Healthcare Research and Quality (AHRQ) promotes:

culturally competent health care

A Spanish-speaking 6-year-old who has started first grade in an English-speaking school spends most of her time alone and seems helpless and unable to function in this new environment. This situation as an indication of?

culture shock

The characteristic common to all developmental models is that?

development is a continuous process throughout the lifespan

A woman whose husband retired 6 months ago says that he is "driving me crazy" and is "underfoot all the time." These complaints indicate that he wife is in the retirement developmental stage of?

disenchantment

The school nurse recognizes the defense mechanism of___________________when the 7-year-old first grader throws his crayons on the floor after he has been rerpimanded by the teacher for boisterous behavior?

displacement