Question 1

The nurse is planning care for a family with five children, one of whom has been diagnosed with cerebral palsy (CP). The child is being cared for in the home, has a tracheostomy, and is on a home ventilator. Which intervention best supports the needs of needs of the family?

Accepted Answer

A) Meals-on-Wheels 
B) Food stamps 
C) Psychologic counseling 
D) Respite care

Question 2

Which of the following would the nurse anticipate observing in the client with geriatric failure to thrive (GFTT)?

Accepted Answer

A) Decreased salivation and slowed gastrointestinal (GI)motility 
B) Neurologic disease or condition 
C) Excessive caloric expenditure 
D) Congenital errors of metabolism

Question 3

Which activities should the nurse emphasize when teaching parents about how to foster development in preschool-aged children?

Accepted Answer

A) Providing time for playing sports, such as basketball, to increase gross motor skills 
B) Helping them develop skills needed in the adult world, such as allowance budgeting 
C) Allowing "pretend" time, such as dress-up or role-playing activities 
D) Presenting diversity in culture and practices as part of home-based study

Question 4

The nurse is caring for a child with intellectual deficits who has been diagnosed with failure to thrive (FTT). The family is expressing difficulty with managing the child's care needs. Which nursing diagnosis would be appropriate for this situation?

Accepted Answer

A) Impaired Parenting related to poor parenting skills 
B) Dysfunctional Family Processes related to a child with intellectual disability 
C) Hopelessness related to terminal condition of the child 
D) Compromised Family Coping related to the child's developmental variations

Question 5

The nurse is conducting a psychoeducation group with male and female clients. The nurse observes what appear to be differences in moral perspectives between the men and women. Which observation is most consistent with Gilligan's theory of moral development?

Accepted Answer

A) The men are focused on human-made rules governing morality. 
B) The women have difficulty looking at moral issues objectively. 
C) The men believe that morality is tied to relationships and caring. 
D) The women believe that it is most important not to inflict harm.

Question 6

A nurse is caring for a child who has been diagnosed with attention-deficit/hyperactivity disorder (ADHD). The client's healthcare provider has prescribed amphetamine-dextroamphetamine (Adderall)to treat the child's disorder. Which of the following statements regarding the use of this medication is appropriate for the nurse to include in the medication teaching?

Accepted Answer

A) "Your child's liver function should be monitored with this medication." 
B) "Your child's growth will need to be monitored on this medication." 
C) "This medication may increase the risk of psychosis." 
D) "This medication has less abuse tendency because it is not a stimulant."

Question 7

The nurse is assessing a child who was last seen in the clinic 2 years earlier. Which of the following should the nurse anticipate as having remained relatively stable over time?

Accepted Answer

A) The child's behavior 
B) The child's physical characteristics 
C) The child's temperament 
D) The child's home environment

Question 8

The parents of a child with autism spectrum disorder (ASD)observe that the child has difficulty making friends and are concerned about social expectations for their child. Which of the following is the priority diagnosis for this child based on the parents' concern?

Accepted Answer

A) Ineffective Coping 
B) Deficient Diversional Activity 
C) Social Isolation 
D) Impaired Social Interaction

Question 9

While conducting a well-child assessment, the nurse suspects that a 2-month-old has failure to thrive (FTT). Which of the following height and weight measurement parameters should the nurse use to help diagnose this health problem?

Accepted Answer

A) Height and weight below the 50th percentile 
B) Height and weight below the 15th percentile 
C) Height and weight below the 5th percentile 
D) Height and weight below the 10th percentile

Question 10

The nurse is caring for an adult client with ASD. He indicates that he struggles with finding and maintaining employment. Which action by the nurse best addresses the client's needs?

Accepted Answer

A) Give the client information about state subsidies that will help him get by without a job. 
B) Suggest the client work for a business owned by a family member or family friend. 
C) Ask the client what his strengths are and identify types of jobs based on those strengths. 
D) Encourage the client to seek opportunities that do not require communication with others.

Question 11

The nurse notes that an infant does not seem to respond to noises in the environment and has difficulty following the movement of toys. Which diagnostic tools does the nurse anticipate will be used to further assess this client? Select all that apply.

Accepted Answer

A) CT scan of the brain 
B) Vision test 
C) Abdominal x-rays 
D) Nerve conduction studies 
E) Audiology testing

Question 12

The nurse is performing developmental assessments on several children in a pediatric clinic setting. The nurse should recognize that which child is exhibiting a delay in meeting the expected developmental milestones? Select all that apply.

Accepted Answer

A) A 2-year-old who is unable to cut with scissors 
B) A 2-year-old who cannot recite her phone number 
C) A 3-year-old who is unable to speak in sentences 
D) A 5-year-old who is unable to button his shirt 
E) A 6-year-old who is unable to sit still for a short story

Question 13

An individual with ASD who demonstrates marked distress on switching activities (such as responding with loud verbalizations and behaviors that could result in self-harm)is demonstrating which level of clinical manifestations of the disorder?

Accepted Answer

A) Level I clinical manifestation 
B) Level II clinical manifestation 
C) Level III clinical manifestation 
D) Level IV clinical manifestation

Question 14

Which of the following sets of symptoms would the nurse identify in an infant exhibiting hypotonia?

Accepted Answer

A) Tense muscles and uncoordinated, awkward, stiff movements 
B) Increased range of motion of joints, diminished reflex response, floppiness 
C) Constant involuntary writhing motions that are more severe distally. 
D) Paralysis of one side of the body, with greater upper extremity dysfunction

Question 15

The nurse is teaching the family of a child who is prescribed amphetamine mixed salts sustained release (Adderall XR)for attention-deficit/hyperactivity disorder (ADHD). Which of the following should the nurse teach the family is the best time to administer the medication?

Accepted Answer

A) Just before lunch 
B) At bedtime 
C) With the evening meal 
D) Early in the morning

Question 16

An infant is diagnosed with congenital CP caused by a meningitis infection. Based on this diagnosis, the nurse understands that the pathway for cellular damage is

Accepted Answer

A) genetic mutation to the brain cells prompted by infection with the causative agent. 
B) accumulation of causative agents in the blood stream that gradually build up in the brain. 
C) stretching and shearing of the neural pathways and brain tissue. 
D) consumption of brain tissue and production of lactic acid by the causative pathogen.

Question 17

A community nurse is planning an educational program supports the developmental tasks of adults ages 50 to 60. According to Gould's theory, which task should be emphasized?

Accepted Answer

A) Engaging in self-reflection 
B) Viewing personality as set 
C) Adjusting to decreasing physical capacities 
D) Undergoing a period of transformation

Question 18

The nurse is providing education to the parents of a child diagnosed with ASD. Which of the following healthcare professionals should the nurse tell the parents will take part in their child's care? Select all that apply.

Accepted Answer

A) Social services 
B) Laboratory 
C) Speech therapy 
D) Play therapy 
E) Public health agency

Question 19

What activity should the nurse implement for a 6-month-old client with gross motor delays?

Accepted Answer

A) Pull the child to a sitting position and prop the child in that position. 
B) Encourage the child to hold a rattle or play patty-cake. 
C) Talk to the child and play music. 
D) Encourage the child to pull up to a standing position.

Question 20

A nurse is caring for a school-age client who is scheduled to have a tonsillectomy the next day. The nurse has planned a preoperative teaching session for the child, who has a history of attention-deficit/hyperactivity disorder (ADHD). Which teaching technique is most appropriate for this client?

Accepted Answer

A) Play a video describing the procedure to the child. 
B) Ask other children who have had this procedure to talk to the child. 
C) Allow the child to lead the teaching session to gain a sense of control. 
D) Give instructions verbally and use a picture pamphlet, repeating points more than once.

Exam 25: Development

The nurse is planning care for a family with five children, one of whom has been diagnosed with cerebral palsy (CP) . The child is being cared for in the home, has a tracheostomy, and is on a home ventilator. Which intervention best supports the needs of needs of the family?

Which of the following would the nurse anticipate observing in the client with geriatric failure to thrive (GFTT) ?

Which activities should the nurse emphasize when teaching parents about how to foster development in preschool-aged children?

The nurse is caring for a child with intellectual deficits who has been diagnosed with failure to thrive (FTT) . The family is expressing difficulty with managing the child's care needs. Which nursing diagnosis would be appropriate for this situation?

The nurse is conducting a psychoeducation group with male and female clients. The nurse observes what appear to be differences in moral perspectives between the men and women. Which observation is most consistent with Gilligan's theory of moral development?

The nurse is assessing a child who was last seen in the clinic 2 years earlier. Which of the following should the nurse anticipate as having remained relatively stable over time?

The parents of a child with autism spectrum disorder (ASD) observe that the child has difficulty making friends and are concerned about social expectations for their child. Which of the following is the priority diagnosis for this child based on the parents' concern?

While conducting a well-child assessment, the nurse suspects that a 2-month-old has failure to thrive (FTT) . Which of the following height and weight measurement parameters should the nurse use to help diagnose this health problem?