Question 1

A new mother asks the nurse,"Why does my baby cry so much?" Which statement by the nurse is correct?

Accepted Answer

A)  "You need to try to hold your baby for longer periods of time."
B)  "This means he is hungry.He needs to be fed more."
C)  "Your baby uses crying to tell us if he feels hungry,uncomfortable,or lonely."
D)  "We should examine him for signs of illness." C

Question 2

Levinson describes the period of middle adulthood as beginning with a mid-life transition.Which statement best describes this mid-life transition?

Accepted Answer

A)  This is a time of major reassessment-"What have I done with my life?"
B)  Most people experience a need to change careers around the age of 40 years.
C)  This is a time when people feel a desire to pursue more youthful activities.
D)  Most people find that they have basically met all of their goals and experience rejuvenation. A

Question 3

The nurse is advising a father about his 2-year-old daughter's eating habits.He is concerned because she seems "not to eat anything anymore." The nurse tells him that this is normal because:

Accepted Answer

A)  of a decrease in activity.
B)  of a slower period of growth.
C)  growth stops for a while at age 2 years.
D)  the basal metabolic rate decreases at this age. B

Question 4

A 24-month-old child comes to the clinic for a well-child visit.His mother describes him as a child who falls apart if she changes even the smallest thing in his environment.The nurse tells his mother that this behavior:

Accepted Answer

A)  is unusual in a toddler because negativism generally doesn't emerge until age 3.2.indicates that he is insecure and probably hasn't successfully developed trust in infancy.
B)  can be expected from a toddler because they typically experience ritualism and global thinking.
C)  indicates that he has been spoiled and she should change things in his environment often to get him used to it.

Question 5

Which of the following physical changes are appropriate for a school-age child? Select all that apply.

Accepted Answer

A)  Primary teeth are lost.
B)  Body fat increases.
C)  Bone replaces cartilage.
D)  Appearance is slimmer than in younger children.
E)  Lordosis is common.

Question 6

The nurse is teaching a class to day care providers.Which of the following statements about growth,development,and preschoolers should be included?

Accepted Answer

A)  Preschoolers are highly egocentric.
B)  They are capable of delayed imitation.
C)  They are still very unaware of gender and sex.
D)  Preschoolers "pretend" to reduce anxiety about their sex roles.

Question 7

Erikson believes toilet training to be representative of which of his stages?

Accepted Answer

A)  Initiative versus guilt
B)  Integrity versus despair
C)  Industry versus inferiority
D)  Autonomy versus shame and doubt

Question 8

If a mother hides a block under her baby's blanket and the baby looks for it,the nurse understands that the baby has begun to develop the concept of:

Accepted Answer

A)  relativism.
B)  object prehension.
C)  separation anxiety.
D)  object permanence.

Question 9

Erik Erikson's theory of psychosocial development proposes eight stages of ego development.Each stage involves a "bipolar issue." Which statement is true regarding these crises?

Accepted Answer

A)  There is always an absolute resolution to each crisis.
B)  Most people never resolve all the crises and therefore never complete all eight stages.
C)  If the crisis cannot be resolved at a certain stage,a person generally skips that stage.
D)  The issues can be resolved along a continuum,with a mix of positive and negative outcomes.

Question 10

A 42-year-old woman has come in for counseling.As the nurse administers the Hassles and Uplifts Scale questionnaire,the woman is told that this tool:

Accepted Answer

A)  will indicate the level of stress in her life.
B)  will show her areas of self-improvement needed to regain control in her life.
C)  is unable to measure stress but can help her cope with the day-to-day hassles of life.
D)  may show a relationship between daily stress and the occurrence of physical health problems.

Question 11

Finding a partner or committing one's life to a cause indicates successful resolution of which of Erikson's stages?

Accepted Answer

A)  Intimacy versus isolation
B)  Identity versus role confusion
C)  Generativity versus stagnation
D)  Autonomy versus shame and doubt

Question 12

An infant weighs 7 pounds at birth.At the well-child visit 6 months later,the nurse would expect the infant to weigh at least:

Accepted Answer

A)  12 pounds.
B)  14 pounds.
C)  17 pounds.
D)  21 pounds.

Question 13

At what age should the nurse expect to see an infant exhibiting social smiles?

Accepted Answer

A)  At birth
B)  At 2 weeks of age
C)  At 4 weeks of age
D)  At 6 to 8 weeks of age

Question 14

Which of the following statements best describes the tasks of late adulthood?

Accepted Answer

A)  Older adults must quickly try to resolve the conflicts of earlier times.
B)  Older adults must accept that they cannot change the past and make peace with their lives.
C)  Older adults generally feel great sadness and worry about death;this allows them to accept their mortality.
D)  Older adults must never feel satisfied with their lives because it gives them goals to achieve in the future.

Question 15

An 8-year-old boy's father is very interested in seeing his child succeed in soccer.During the assessment,the nurse finds out that the child is a small boy who expresses a sincere interest in playing chess and who feels like a failure at soccer.Which statement is true in regard to this situation?

Accepted Answer

A)  This father needs to decrease his expectations for his son.
B)  This father needs to encourage his son to participate in team sports.
C)  This child obviously has an introverted personality and should be "left alone."
D)  This child should be given opportunities to achieve success in any area he chooses.

Question 16

Being able to think about history and philosophy and analyze and use scientific reasoning corresponds to which of Piaget's stages?

Accepted Answer

A)  Formal operations
B)  Sensorimotor skills
C)  Concrete operations
D)  Preoperational skills

Question 17

A 12-month-old infant is screened with the Denver II and is found to have some delays in gross motor skills.The screening is important because it:

Accepted Answer

A)  can help diagnose a child with problems.
B)  provides for early detection,leading to earlier intervention.
C)  can be used by a physical therapist to determine the appropriate treatment.
D)  can be used in conjunction with other tests to determine a child's overall intellectual level.

Question 18

The nurse is performing the Denver II screening test on a 12-month-old infant during a routine well-child visit.The nurse should tell the infant's parents that the Denver II:

Accepted Answer

A)  tests three areas of development: cognitive,physical,and psychologic.
B)  will indicate whether the child has a speech disorder so that treatment can begin.
C)  is a screening instrument designed to detect children who are slow in development.
D)  is a test to determine intellectual ability and may indicate whether there will be problems later in school.

Question 19

The nurse is testing a 10-year-old child's ability to understand conservation of matter.Which test would be appropriate?

Accepted Answer

A)  Ask her to sort blocks by color and by shape.
B)  Ask her to order the blocks from smallest to biggest.
C)  Ask her to determine which glass of water has more water in it,the tall skinny glass or the short fat glass.
D)  Ask her to make a code using the alphabet and then write a message in the code she has made up.

Question 20

Erikson's stage of integrity versus despair could be described as:

Accepted Answer

A)  an adjustment to the tasks of middle age.
B)  being productive and contributing to society.
C)  cataloging life events to gain a sense of satisfaction.
D)  a time to review career goals and possibly change paths to avoid despair.

Exam 2: Developmental Tasks and Health Promotion Across the Life Cycle