Question 1

The nurse would anticipate that the child who prefers onlooker play would be _____ year(s) old.

Accepted Answer

A)  1 
B)  3 
C)  4 
D)  5 
A)  1 
B)  3 
C)  4 
D)  5

Question 2

A 4-year-old child tells other children that last night he flew to the moon and walked around with his friend Sam. He says that he is the only one who can see Sam. The nurse should:

Accepted Answer

A)  warn the child's mother that he may be developing emotional problems. 
B)  interrupt the conversation with a comment that children can't fly to the moon. 
C)  take the child aside and tell him gently that he should stop telling such stories or people will not trust him. 
D)  recognize that imaginary friends and fantasy are normal at this age. 
A)  warn the child's mother that he may be developing emotional problems. 
B)  interrupt the conversation with a comment that children can't fly to the moon. 
C)  take the child aside and tell him gently that he should stop telling such stories or people will not trust him. 
D)  recognize that imaginary friends and fantasy are normal at this age.

Question 3

A nurse instructing a group of adolescents about development includes in her remarks that the presence of follicle-stimulating hormone (FSH) will cause boys to:

Accepted Answer

A)  have a significant growth spurt. 
B)  grow a beard. 
C)  maintain an erection. 
D)  produce sperm. 
A)  have a significant growth spurt. 
B)  grow a beard. 
C)  maintain an erection. 
D)  produce sperm.

Question 4

A new parent with her first child tells the nurse that her mother has advised her to feed the baby on a schedule and let the baby cry between feedings so that he does not get spoiled. Based on Erikson's growth and development theory, the nurse's most informative response would be:

Accepted Answer

A)  a sense of trust is developed in infancy when a child's needs are met by warm, loving people. 
B)  an infant who learns to adapt to uncomfortable situations and to comfort himself will develop autonomy and independence. 
C)  the infant learns cause and effect at this stage and will learn he can't cry and get his own way. 
D)  in the first year, crying and learning to wait have positive outcomes for both the mother and the baby. 
A)  a sense of trust is developed in infancy when a child's needs are met by warm, loving people. 
B)  an infant who learns to adapt to uncomfortable situations and to comfort himself will develop autonomy and independence. 
C)  the infant learns cause and effect at this stage and will learn he can't cry and get his own way. 
D)  in the first year, crying and learning to wait have positive outcomes for both the mother and the baby.

Question 5

A woman who has just given birth expresses concern about the cheesy, waxy substance that is covering her neonate. The nurse accurately responds:

Accepted Answer

A)  "This material develops in the absence of adequate subcutaneous fat." 
B)  "This material is often seen on infants who have experienced intrauterine stress." 
C)  "This substance will be absorbed and used as a nutrient by your infant." 
D)  "This is a normal finding and is called vernix caseosa." 
A)  "This material develops in the absence of adequate subcutaneous fat." 
B)  "This material is often seen on infants who have experienced intrauterine stress." 
C)  "This substance will be absorbed and used as a nutrient by your infant." 
D)  "This is a normal finding and is called vernix caseosa."

Question 6

A 4-year-old attends a preschool group three mornings a week. He has been treated kindly and lovingly at home. At school, according to Kohlberg's theory of moral development, he is likely to:

Accepted Answer

A)  treat his peers and siblings in a loving and kind manner, because he has internalized the value of treating others as he has been treated. 
B)  conform to social standards and rules to avoid feeling guilty or risking social disapproval. 
C)  follow the rules regarding peer interactions to avoid punishment. 
D)  be developmentally advanced and have a conscience that is based on an innate sense of justice and duty. 
A)  treat his peers and siblings in a loving and kind manner, because he has internalized the value of treating others as he has been treated. 
B)  conform to social standards and rules to avoid feeling guilty or risking social disapproval. 
C)  follow the rules regarding peer interactions to avoid punishment. 
D)  be developmentally advanced and have a conscience that is based on an innate sense of justice and duty.

Question 7

When the clinic nurse speaks to the 3-year-old child and says, "You can get dressed now and put your shirt and pants back on," she is promoting his sense of:

Accepted Answer

A)  autonomy. 
B)  industry. 
C)  initiative. 
D)  trust. 
A)  autonomy. 
B)  industry. 
C)  initiative. 
D)  trust.

Question 8

A distressed mother confides in the school nurse that she witnessed her 15-year-old son and a 15-year-old friend masturbating in her son's bedroom. The nurse's best response would be:

Accepted Answer

A)  "Perhaps you should ask your son if he has homosexual feelings toward his friend." 
B)  "The fact that they were doing this secretly indicates that they feel guilt about the experience." 
C)  "Many kids have a homosexual encounter, but it does not mean they are homosexual." 
D)  "Mutual masturbation is frequently the initial experience of a person who is actively homosexual." 
A)  "Perhaps you should ask your son if he has homosexual feelings toward his friend." 
B)  "The fact that they were doing this secretly indicates that they feel guilt about the experience." 
C)  "Many kids have a homosexual encounter, but it does not mean they are homosexual." 
D)  "Mutual masturbation is frequently the initial experience of a person who is actively homosexual."

Exam 11: Growth and Development: Infancy Through Adolescence

The nurse would anticipate that the child who prefers onlooker play would be _____ year(s) old.

A 4-year-old child tells other children that last night he flew to the moon and walked around with his friend Sam. He says that he is the only one who can see Sam. The nurse should:

A nurse instructing a group of adolescents about development includes in her remarks that the presence of follicle-stimulating hormone (FSH) will cause boys to:

A new parent with her first child tells the nurse that her mother has advised her to feed the baby on a schedule and let the baby cry between feedings so that he does not get spoiled. Based on Erikson's growth and development theory, the nurse's most informative response would be:

A woman who has just given birth expresses concern about the cheesy, waxy substance that is covering her neonate. The nurse accurately responds:

A 4-year-old attends a preschool group three mornings a week. He has been treated kindly and lovingly at home. At school, according to Kohlberg's theory of moral development, he is likely to:

When the clinic nurse speaks to the 3-year-old child and says, "You can get dressed now and put your shirt and pants back on," she is promoting his sense of:

A distressed mother confides in the school nurse that she witnessed her 15-year-old son and a 15-year-old friend masturbating in her son's bedroom. The nurse's best response would be:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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