Deck 9: Development: Infancy Through Middle Adulthood

Question 1

The nurse has instructed a group of parents on common adolescent behavior.Which comment by the parent would indicate the most urgent need for further discussion?

A) "I guess my daughter won't be asking my opinion very much."
B) "I'm really going to watch my daughter's eating habits."
C) "We are really going to have to think about rules we want to enforce after he gets his driver's license."
D) "We don't keep alcohol in the house,so that's at least one thing we don't need to worry about."

Answer 1

"We don't keep alcohol in the house,so that's at least one thing we don't need to worry about."

Question 2

A mother watches the nurse perform an assessment on her newborn and asks the nurse why she is doing things like "stroking the bottom of his feet." How should the nurse respond?

A) "I'm checking the blood flow to your baby's feet to make sure it's normal."
B) "I'm testing to see if your baby's neuromuscular system is fully developed."
C) "I'm checking to see if your baby has the reflex responses we anticipate."
D) "I'm testing to see if your baby has normal sensation in his feet."

Answer 2

"I'm checking to see if your baby has the reflex responses we anticipate."

Question 3

Which comment made by a woman in her early 50s would be a cue indicating the need for further assessment for a problem?

A) "My skin is so dry I need to use lotion every day after I bathe."
B) "I have episodes when I feel really hot even when others are not."
C) "It's getting harder to lift those big bags of dog food."
D) "I have to write myself notes because I'm getting so forgetful."

Answer 3

"I have to write myself notes because I'm getting so forgetful."

Question 4

A mother brings a 5-year-old client to the clinic for an examination before starting kindergarten.Which comment by the mother indicates the need for follow-up questions to the mother?

A) "He's not a good boy like my other son."
B) "I've had to treat him for lice a couple of times."
C) "He has an imaginary friend he calls Buddy."
D) "He's so funny when he imitates his dad doing things."

Question 5

A 30-year-old client comes into the clinic for a health examination.Knowing the psychosocial development tasks and common health problems for this age-group,which is the most appropriate for the nurse to ask this client?

A) Whether the client has episodes of feeling depressed
B) Whether the client practices safe sex
C) About the client's exercise habits
D) About the health history of the client's parents

Question 6

A father brings his toddler to the clinic for well-child care.Which would be most important for the nurse to assess?

A) How successful the child is with potty training
B) How the child acts when you enter the room
C) Whether the child is using eating utensils
D) Whether the home is child-proofed

Question 7

A mother comes to the clinic with her infant for a newborn checkup at 1 week of age.The mother tells the nurse,"My baby looks yellow to me." Which is the nurse's best response?

A) "What type of detergent are you using to wash the baby clothes?"
B) "Is there a possibility you had hepatitis during your pregnancy?"
C) "The color is from the breakdown of maternal red blood cells."
D) "There is a cream you can use to reduce the yellowing."

Question 8

According to Erikson,which behavior must a middle-aged adult perform to be prepared for the final stages of life?

A) Accept the fact that she is getting older.
B) Reconcile that death is a part of life.
C) Feel she has made a contribution to society.
D) Have had a meaningful and intimate relationship.

Question 9

The nurse conducts a class on health promotion to a group of young adults.Which comment indicates the teaching was effective?

A) "I need to get screened for colon cancer."
B) "I'll remind my doctor to do a testicular examination."
C) "I have to have my prostate checked."
D) "I don't need to do breast self-exams until I am 40."

Question 10

The nurse is preparing to assess a toddler.To make the assessment go smoothly,what should the nurse do first?

A) Talk to the mother before talking to the child
B) Ask the child about his favorite toy
C) Get the child's height and weight
D) Ask the mother to undress the child

Question 11

According to Erikson,which is a behavior that demonstrates an important psychosocial task for a toddler?

A) Act defiantly by refusing to hold the mother's hand while crossing the street
B) Recognize that it is wrong to take a toy away from someone else
C) Be able to understand the concept of time in hours
D) Express dislike of something to parents and playmates

Question 12

The nurse is providing prenatal counseling for a couple who is trying to become pregnant.Which information should the nurse include as a priority for this couple?

A) Stages of growth and development of the fetus
B) Recommended schedule of visits to the healthcare provider
C) Recommended average weight gain during pregnancy
D) Healthy eating habits before and during pregnancy

Question 13

Which behavior is an example of a school-age child's meeting psychosocial development tasks?

A) Wants to show off the latest trick he can do on his bike
B) Becomes interested in friendships with the opposite sex
C) Starts to see the value of making good decisions
D) Wants to buy the same jacket his friend has

Question 14

What food should the nurse encourage an adolescent to increase in consumption?

A) Grains
B) Dairy products
C) Vegetables
D) Fruit

Question 15

The nurse teaches a mother of a preschool-age child about expected development.Which comment by the parent indicates that she understands the information?

A) "She understands the monsters in books are not real."
B) "When I mention that her birthday is in a week,she understands."
C) "I am saving to buy her the roller skates she's been asking for."
D) "I can't expect her to understand when a friend doesn't agree with her."

Question 16

The nurse is talking to a class of children,aged 9 to 11 years.For this age-group,what topic is the most important for the nurse to discuss?

A) Safe sex practices
B) Healthy food choices
C) Use of seat belts and safety equipment
D) The importance of getting enough sleep

Question 17

Which behavior by the mother is most likely to help an infant develop trust?

A) Talking to the infant
B) Breastfeeding instead of bottle-feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent

Question 18

Which behavior indicates that a 4-year-old child has successfully gone through Erikson's Stage 3 (Initiative Versus Guilt)?

A) Refrains from hitting a friend
B) Plays cooperatively with friends
C) Is able to develop friendships
D) Is able to express his feelings

Question 19

A mother brings an 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations.To assess the child's physical development with age-appropriate norms,which question should the nurse ask?

A) "Is your child able to walk while holding on to furniture?"
B) "Is your child able to crawl on her hands and knees?"
C) "Is your child able to pick up food with her fingers?"
D) "Is your child able to sit up without support?"

Question 20

Which outcome would be a priority for most adolescents?

A) Being a good student
B) Becoming sexually active
C) Being on the soccer team
D) Functioning independently

Question 21

Which is the most important health assessment focus for middle adulthood?

A) Cancer screening with the annual health examinations
B) Seeking information about consistent use of seat belts
C) Screening for eating disorders
D) Mental status exam for cognitive changes

Question 22

The nurse prepares an educational program on spiritual development for a group of clients recovering from an acute illness.On what should the nurse focus when reviewing Fowler's third stage of spiritual development? Select all that apply.

A) Using logic
B) Parental influence
C) Questioning the existence of God
D) Searching for the meaning of life
E) Applying hypothetical thinking

Question 23

The nurse determines that a toddler has reached expected developmental milestones.What did the nurse assess to make this clinical determination? Select all that apply.

A) Can open lids
B) Hops on one foot
C) Uses a fork and spoon
D) Dresses independently
E) Copies a circle when drawing

Question 24

The nurse plans to use Kohlberg's theory of moral development when assessing a young adult.Which stages should the nurse identify as occurring within the conventional level of development? Select all that apply.

A) Law and order
B) Social contract
C) Personal interest
D) Good boy-nice girl
E) Punishment-obedience

Question 25

A school-age child asks,"Where are you taking my temperature to?" in response to the nurse beginning to measure vital signs.Which additional characteristics should the nurse expect to assess if using Piaget's Stages of Cognitive Development? Select all that apply.

A) Understands that objects change
B) Sees self as the center of the universe
C) Sees things from others' point of view
D) Uses logic and reasoning when thinking
E) Thinks according to perception rather than logic

Question 26

The nurse wants to assess a school-age brother and sister for child abuse; however,the parents are present.What should the nurse do to facilitate this assessment?

A) Interview the parents together and the child separately.
B) Have one parent in the room to reassure the child during the interview.
C) Interview the child and each parent separately.
D) Request that a sexual assault nurse examiner (SANE)interview the family members.

Question 27

The nurse plans to assess the moral development of an adolescent female.Which of Gilligan's stages will the nurse include in this assessment? Select all that apply.

A) Universal ethics
B) Caring for others
C) Caring for oneself
D) Caring for self and others
E) Social contract orientation