Deck 20: Concepts of Growth and Development

Question 1

A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma.The child has been frustrated at first,but now is able to give the reason to use the meter on a daily basis.Remembering the growth and development characteristics of the adolescent,how should the nurse respond to this client?

A)"You should feel very proud for understanding and using your meter."
B)"Think of using the meter as one of your daily chores."
C)"Maybe you could make a game out of the daily use of your meter."
D)"It's too bad if you don't want to use the meter,it's just something you'll have to do."

Answer 1

"You should feel very proud for understanding and using your meter."

Question 2

A parent is concerned that her child is unable to sit alone.The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time.Upon which theory did the nurse base the response to the client?

A)Havighurst's theory
B)Task theory
C)Psychosocial theory
D)Maturational theory

Answer 2

Maturational theory

Question 3

A toddler shows fear and begins to cry when her parent leaves her at day care.According to Havighurst,which developmental task should the nurse recognize this child is exhibiting?

A)Building wholesome attitudes toward oneself
B)Learning to get along with age-mates
C)Learning to relate emotionally
D)Achieving personal independence

Answer 3

Learning to relate emotionally

Question 4

A college-age client shares that he is struggling with feelings of both independence and dependence regarding his family.The nurse recognizes this as which stage of development,according to Roger Gould?

A)Stage 2
B)Stage 3
C)Stage 4
D)Stage 5

Question 5

A community health nurse is planning adult health education classes.According to Erikson's stages of development,the nurse should address which task with this age group?

A)Industry versus inferiority
B)Identity versus role confusion
C)Intimacy versus isolation
D)Generativity versus stagnation

Question 6

A parent is concerned that her 5-year-old is beginning to masturbate.How should the nurse,familiar with Freud's stages of development,respond?

A)"All children are curious,but make sure the child knows that this behavior might be offensive to others."
B)"You should probably consult a child psychologist if you're this concerned."
C)"Let's make sure to ask your physician at the next appointment."
D)"This behavior is a normal part of your child's development."

Question 7

A young adult has never lived away from his parents and feels unable to make decisions on his own.According to Freud's theory of development,the nurse should suspect that this person would be fixated at which stage of development?

A)Phallic
B)Latency
C)Genital
D)Anal

Question 8

A child is starting school and is being screened for certain developmental milestones.What is the nurse assessing when determining how the child interacts with other children?

A)Temperament
B)Physical characteristics
C)Environment
D)Culture

Question 9

A nurse is working with the residents of an assisted living complex.When planning care for the old-old stage,the nurse realizes that what action will be important?

A)Provide as much care to the residents as possible.
B)Allow as much independence for the residents as possible.
C)Make sure to provide safety measures as needed.
D)Make sure the residents maintain peer interactions and social groups.

Question 10

The nurse is reviewing the four stages of development in Westerhoff's spiritual theory.In which order should the nurse review these stages to match the life cycle?
Standard Text: Click and drag the options below to move them up or down.

A)Owned faith
B)Affiliative faith
C)Experienced faith
D)Searching faith

Question 11

A client who has a terminal diagnosis has been using her time to help family members deal with her impending death.Among her activities,she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies.According to Peck,the nurse realizes that this client is working through which developmental task?

A)Body transcendence versus body preoccupation
B)Ego transcendence versus ego preoccupation
C)Ego differentiation versus work-role preoccupation
D)Integrity versus despair

Question 12

A nurse educator believes that teaching students without caring about them is an exercise in futility.This educator also believes that in meeting the students' needs,educators must also work to take care of themselves and care for their own needs.From which stage of Gilligan's theory is the educator approaching the teaching of students?

A)Stage 1
B)Stage 2
C)Stage 3
D)Stage 4

Question 13

A parent reports to the nurse that his child is learning new words faster than he can write them in the baby book.According to Piaget,the nurse realizes that this child is in which phase?

A)Intuitive thought phase
B)Preconceptual phase
C)Concrete operations phase
D)Formal operations phase

Question 14

A client with an acute,serious illness has been hospitalized.Upon entering the room,the nurse observes the client praying.The client states to the nurse: "I don't know how people manage to get through difficult times without their faith.It's where I get my strength." With which theorist should the nurse associate this client's belief?

A)Fowler
B)Westerhoff
C)Gilligan
D)Kohlberg

Question 15

A client is being seen in the mental health clinic for antisocial behavior.According to Erikson's stages of development,the nurse realizes that this client is dealing with which task of development?

A)Initiative versus guilt
B)Industry versus inferiority
C)Intimacy versus isolation
D)Identity versus role confusion

Question 16

A parent brings a 16-month-old child to the clinic for a well-child checkup.During the assessment,the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position.In which process should the nurse identify that this child is lagging?

A)Growth
B)Development
C)Height
D)Behavior

Question 17

The nurse notes that a 20-month-old child is lagging in stage 6 of Piaget's phases of cognitive development.Which activity did the nurse observe that indicates that this child is struggling at this stage?

A)The child wants the same toy to sleep with during naptime and bedtime.
B)The child merely watches as the other children pretend-play.
C)The child cries when the parents leave the unit.
D)The child does not cooperate with some of the treatments.

Question 18

The nurse is plotting the height and weight of children during a school assessment clinic.Which aspect of the children's health is the nurse assessing?

A)Development
B)Health
C)Growth
D)Bone size

Question 19

The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good.Which theorist should the nurse study to learn this information?

A)Vygotsky
B)Skinner
C)Kohlberg
D)Piaget

Question 20

A nurse educator is working with students and assisting them in addressing their clients' spiritual needs.The educator understands that most traditional,second-year college students are aware of their own spiritual development or working to develop their own system of spirituality.The educator realizes that the students are in which stage of Fowler's developmental theory?

A)Mythic-lyrical
B)Intuitive-projective
C)Universalizing
D)Individuating-reflexive

Question 21

The nurse is assessing a child's growth and development.What questions should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes?
Standard Text: Select all that apply.

A)How tall the parents are
B)Whether noises seem to bother their child
C)How many ounces of formula their child drinks daily
D)What their yearly income is
E)Whether their child will receive day-care services

Question 22

A parent brings her baby in for a well-child checkup.Which action of the child should the nurse identify as an indicator of positive resolution of the central task of this age?

A)The child does not cry when the parent allows the nurse to hold the child.
B)The child shows mistrust when strangers approach.
C)The child becomes willful when disciplined.
D)The child does not play with other children.

Question 23

The nurse concludes that a young adult client is completing developmental tasks within Havighurst's early adulthood age period.What did the nurse assess to come to this conclusion?
Standard Text: Select all that apply.

A)Taking on civic responsibility
B)Developing adult leisure-time activities
C)Getting started in an occupation
D)Relating oneself to one's spouse as a person
E)Managing a home

Question 24

A parent tells the nurse that his child is quite creative and learning how to pretend with "almost anything in the house." According to Piaget,the nurse realizes this child is demonstrating which stage/phase?

A)Tertiary circular reaction: stage 5
B)Inventions of new means: stage 6
C)Preconceptual phase
D)Concrete operations phase

Question 25

The nurse is preparing a teaching session for a group of parents with newborn children.What should the nurse include about Bowlby's attachment theory during this presentation?
Standard Text: Select all that apply.

A)Use the attachment figure as security
B)Desire to be near the attachment figure
C)Plan to separate from the attachment figure
D)Return to the attachment figure when threatened
E)Express anxiety when the attachment figure is absent

Question 26

After analyzing behavior,the nurse determines that a client is demonstrating defense mechanisms.According to Freud,what should the nurse realize as being the cause of this behavior?
Standard Text: Select all that apply.

A)Anxiety created by conflicts
B)Activation of the conscience
C)Conflict between the id's impulses
D)Immediate pleasure and gratification
E)Underlying motivation for development

Question 27

The nurse is discussing human growth and development with the parents of a newborn.What should the nurse include in this discussion?
Standard Text: Select all that apply.

A)Growth involves physical change and increase in size.
B)Skills and function increase with growth.
C)Most humans experience a similar pattern of growth.
D)Being able to adapt to one's environment is an indicator of growth.
E)Children's growth is monitored by height,weight,bone size,and dentition.