Chapter 20 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 20

Question 1

Type: MCSA

A nurse is plotting the height and weight of children during a school assessment clinic. Monitoring these patterns is assessing which aspect of the childs health?

1. Development

2. Health

3. Growth

4. Bone size

Correct Answer: 3

Rationale 1: Development is an increase in the complexity of function and skill progression. It is the capacity and skill of a person to adapt to the environment.

Rationale 2: Health is a dynamic process with varying definitions, all of which point to well-being.

Rationale 3: Growth refers to the physical change and increase in size. Indicators include height, weight, bone size, and dentition.

Rationale 4: Bone size is one of the indicators of growth.

Global Rationale: Page Reference: 354

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Differentiate between the terms growth and development.

Question 2

Type: MCSA

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. The child is lagging in which of the following processes?

1. Growth

2. Development

3. Height

4. Behavior

Correct Answer: 2

Rationale 1: Growth is the physical change and increase in size.

Rationale 2: Development is an increase in the complexity of function and skill progression. It is the behavioral aspect of growth-the persons ability to walk, talk, and run.

Rationale 3: Height is one of the indicators of growth.

Rationale 4: Behavior is a component of the developmental stage.

Global Rationale: Page Reference: 354

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 01 Differentiate between the terms growth and development.

Question 3

Type: MCSA

A child is starting school and is being screened for certain developmental milestones. How the child interacts with other children is most influenced by which of the following factors?

1. Temperament

2. Physical characteristics

3. Environment

4. Culture

Correct Answer: 1

Rationale 1: Temperament is the way individuals respond to their external and internal environment and sets the stage for the interactive dynamics of growth and development.

Rationale 2: Physical characteristics include eye color and potential height and do not affect how children interact, for the most part.

Rationale 3: Environment includes family, religion, climate, culture, school, community, and nutrition and would not play as big of a role in how the child responds to peers as temperament does.

Rationale 4: Culture is part of environmental factors.

Global Rationale: Page Reference: 355

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe essential principles related to growth and development.
04 Explain the concept of temperament.

Question 4

Type: MCSA

A parent brings a child to the clinic with concerns about the childs inability 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. The nurse is basing this information on which theory of growth and development?

1. Havighursts theory

2. Task theory

3. Psychosocial theory

4. Maturational theory

Correct Answer: 4

Rationale 1: Havighurst, in his developmental task theory, described growth and development occurring during six stages, each associated with 6 to 10 tasks to be learned.

Rationale 2: Havighurst, in his developmental task theory, described growth and development occurring during six stages, each associated with 6 to 10 tasks to be learned.

Rationale 3: Psychosocial theory is focused on the development of personality, not physical development.

Rationale 4: The maturational theory (Arnold Gesell) postulates that child development is a maturational process based on an in-born timetable. Although children benefit from experience, they will achieve maturational milestones such as rolling over, sitting, and walking at specific times.

Global Rationale: Page Reference: 355

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe essential principles related to growth and development.
05 Describe the stages of growth and development according to various theorists.

Question 5

Type: MCSA

A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havighurst, which developmental task would this child be exhibiting?

1. Building wholesome attitudes toward oneself

2. Learning to get along with age-mates

3. Learning to relate emotionally

4. Achieving personal independence

Correct Answer: 3

Rationale 1: This task is part of the middle childhood age period and would not be appropriate for this child.

Rationale 2: This task is part of the middle childhood age period and would not be appropriate for this child.

Rationale 3: A toddler would be in the infancy and early childhood age period, of which learning to relate emotionally to parents, siblings, and other people is a developmental task.

Rationale 4: This task is part of the middle childhood age period and would not be appropriate for this child.

Global Rationale: Page Reference: 359

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
08 Identify developmental tasks associated with Havighursts six age periods.

Question 6

Type: MCSA

A parent questions the nurse about her 5-year-old who has begun to masturbate and question the parents about sexual differences among the childs peer mates. The nurse, familiar with Freuds stages of development, responds by saying:

1. All children are curious, but make sure the child knows that this behavior might be offensive to others.

2. You should probably consult a child psychologist if youre this concerned.

3. Lets make sure to ask your physician at the next appointment.

4. This behavior is a normal part of your childs development.

Correct Answer: 4

Rationale 1: Assuring the parent that this is a normal part of development is the best response.

Rationale 2: Assuring the parent that this is a normal part of development is the best response. This response would lead the parents to believe their childs behavior is abnormal.

Rationale 3: Assuring the parent that this is a normal part of development is the best response. This response would lead the parents to believe their childs behavior is abnormal.

Rationale 4: In the phallic stage, as described by Freud, which occurs from age 4 to 6 years, the childs genitals are the center of pleasure. Masturbation offers pleasure, and questions about sexual topics with parents is normal. Assuring the parent that this is a normal part of development is the best response.

Global Rationale: Page Reference: 355-357

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
06 Describe characteristics and implications of Freuds five stages of development.

Question 7

Type: MCSA

A young adult has never lived away from his parents and feels unable to make decisions on his own. According to Freuds theory of development, this person would be fixated at which stage of development?

1. Phallic

2. Latency

3. Genital

4. Anal

Correct Answer: 3

Rationale 1: The phallic stage is from 4 to 6 years of age and fixation would be related to the individuals genitial organs and the pleasure sensations they create.

Rationale 2: The latency stage is 6 years to puberty. Energy is directed to physical and intellectual activities. Sexual impulses tend to be repressed.

Rationale 3: Freuds genital stage is characterized by energy that is directed toward full sexual maturity and function and development of skills needed to cope with the environment. It occurs during puberty and extends beyond. Implications of this stage include separation from parents, achievement of independence, and decision making. Fixation occurs at any stage and is the immobilization or the inability of the personality to proceed to the next stage because of anxiety.

Rationale 4: The anal stage is from 1-1/2 to 3 years. Anus and bladder are the sources of pleasure (sensual satisfaction, self-control).

Global Rationale: Page Reference: 355-357

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
06 Describe characteristics and implications of Freuds five stages of development.

Question 8

Type: MCSA

A client is being seen in the mental health clinic for antisocial behavior. According to Eriksons stages of development, this client is dealing with which task of development?

1. Initiative versus guilt

2. Industry versus inferiority

3. Intimacy versus isolation

4. Identity versus role confusion

Correct Answer: 4

Rationale 1: Initiative versus guilt is the late childhood stage and occurs from age 3 to 5 years. Industry versus inferiority occurs from 6 to 12 years, during the school-age stage.

Rationale 2: Industry versus inferiority occurs from 6 to 12 years, during the school-age stage.

Rationale 3: Intimacy versus isolation is the task during young adulthood and occurs from 18 to 25 years.

Rationale 4: According to Erik Erikson, the adolescent stage is from 12 to 20 years and the central task is identity versus role confusion. Positive resolution indicates sense of self with plans to actualize ones abilities. Negative resolution indicates feelings of confusion, indecisiveness, and possible antisocial behavior.

Global Rationale: Page Reference: 357-358

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
07 Identify Eriksons eight stages of development.

Question 9

Type: MCSA

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, this client is working through which of the following developmental tasks?

1. Body transcendence versus body preoccupation

2. Ego transcendence versus ego preoccupation

3. Ego differentiation versus work-role preoccupation

4. Integrity versus despair

Correct Answer: 2

Rationale 1: Body transcendence versus body preoccupation calls for the individual to adjust to decreasing physical capacities and at the same time maintain feelings of well-being.

Rationale 2: Ego transcendence is the acceptance without fear of ones death as inevitable. This acceptance includes being actively involved in ones own future beyond death. Peck proposes that there are three developmental tasks during old age, in contrast to Eriksons one-integrity versus despair.

Rationale 3: Ego differentiation versus work-role preoccupation maintains that an adults identity and feelings of worth are highly dependent on that persons work role.

Rationale 4: Erikson proposed Integrity versus despair not Peck.

Global Rationale: Page Reference: 359

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
09 Compare Pecks and Goulds stages of adult development.

Question 10

Type: MCSA

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?

1. Stage 2

2. Stage 3

3. Stage 4

4. Stage 5

Correct Answer: 1

Rationale 1: Roger Gould studied adult development and described seven stages. Stage 2 (ages 18-22) is where individuals have established autonomy, feel it is in jeopardy, and feel they could be pulled back into their families.

Rationale 2: Roger Gould studied adult development and described seven stages. Stage 3 (ages 22-28) is when individuals feel established as adults and autonomous from their families. They see themselves as well defined, but still feel the need to prove themselves to their parents.

Rationale 3: Roger Gould studied adult development and described seven stages. Stage 4 (ages 29-34) is when marriage and careers are well established. Individuals question what life is all about and wish to be accepted as they are, no longer finding it necessary to prove themselves. children.

Rationale 4: Roger Gould studied adult development and described seven stages. Stage 5 (ages 35-43) is a period of self-reflection. Individuals question values and life itself. They see time as finite, with little time left to shape the lives of adolescent children.

Global Rationale: Page Reference: 359

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
09 Compare Pecks and Goulds stages of adult development.

Question 11

Type: MCSA

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, this child is in which of the following phases?

1. Intuitive thought phase

2. Preconceptual phase

3. Concrete operations phase

4. Formal operations phase

Correct Answer: 2

Rationale 1: The intuitive thought phase is from age 4 to 7 years and is where egocentric thinking diminishes. The child thinks of one idea at a time and includes others in the environment.

Rationale 2: Ages 2 to 4 years, according to Piaget, is the preconceptual phase where the child uses an egocentric approach to accommodate the demands of an environment. Language development is rapid and the child associates words with objects.

Rationale 3: The concrete operations phase, ages 7 to 11, is where the child solves concrete problems. The child also begins to understand relationships such as size, right, and left, and is cognizant of viewpoints.

Rationale 4: During the formal operations phase (ages 11 to 15) the child uses rational thinking, and reasoning is deductive and futuristic.

Global Rationale: Page Reference: 362

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
11 Explain Piagets theory of cognitive development.

Question 12

Type: MCSA

A 20-month-old child is a client on the pediatric unit of a hospital. The nurse notices that this child is lagging in stage 6 of Piagets phases of cognitive development. Which activity would indicate that this child is struggling at this stage?

1. The child wants the same toy to sleep with during naptime and bedtime.

2. The child merely watches as the other children pretend-play.

3. The child cries when the parents leave the unit.

4. The child does not cooperate with some of the treatments.

Correct Answer: 2

Rationale 1: Ritual is important for the child of the tertiary circular reaction, age 12 to 18 months.

Rationale 2: In this stage of development, inventions of new means, children interpret the environment by mental image. They use make-believe and pretend-play. A child who is unable to do this would not be demonstrating the behavior that is significant at this stage.

Rationale 3: Crying when parents leave the unit and not cooperating with certain medical treatments is normal behavior for children of various ages, especially when hospitalized, and would not indicate lags in development.

Rationale 4: Not cooperating with certain medical treatments is normal behavior for children of various ages, especially when hospitalized, and would not indicate lags in development.

Global Rationale: Page Reference: 363

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
11 Explain Piagets theory of cognitive development.

Question 13

Type: MCSA

A nurse who is exploring the behavior of children and how they interpret right from wrong or bad from good would best be served by studying which of the following theorists?

1. Vygotsky

2. Skinner

3. Kohlberg

4. Piaget

Correct Answer: 3

Rationale 1: Vygotsky explored the concept of cognitive development within a social, historical, and cultural context, arguing that adults guide children to learn and that development depends on the use of language, play, and extensive social interaction.

Rationale 2: Skinners research led to the term operant conditioning and most of his work was with laboratory animals.

Rationale 3: Lawrence Kohlbergs theory specifically addresses the moral development of children and adults.

Rationale 4: Piaget developed the cognitive theory of development.

Global Rationale: Page Reference: 364

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 12 Compare Kohlbergs and Gilligans theories of moral development.

Question 14

Type: MCSA

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. This educators ideals represent which of Gilligans stages?

1. Stage 1

2. Stage 2

3. Stage 3

4. Stage 4

Correct Answer: 3

Rationale 1: Stage 1 is caring for oneself.

Rationale 2: Stage 2 is caring for others.

Rationale 3: Gilligans stage 3-caring for self and others-is the last stage of development where a person sees the need for a balance between caring for others and caring for the self.

Rationale 4: Gilligan does not describe more than 3 stages in her theory.

Global Rationale: Page Reference: 364

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
12 Compare Kohlbergs and Gilligans theories of moral development.

Question 15

Type: MCSA

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. Fowler describes this stage as which of the following?

1. Mythic-lyrical

2. Intuitive-projective

3. Universalizing

4. Individuating-reflexive

Correct Answer: 4

Rationale 1: Mythical-lyrical describes the person between ages 7 and 12, in a private world of fantasy and wonder.

Rationale 2: The intuitive-projective stage, ages 4 to 6 years, is a combination of images and beliefs given by trusted others, mixed with the childs own experience and imagination.

Rationale 3: Universalizing, which may never be reached by an individual, is a stage of becoming incarnate of the principles of love and justice.

Rationale 4: Fowler describes this as a stage in which the person is constructing his or her own explicit system with a high degree of self-consciousness.

Global Rationale: Page Reference: 367

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
13 Compare Fowlers and Westerhoffs stages of spiritual development.

Question 16

Type: MCSA

A client with an acute, serious illness has been hospitalized. Entering the room, the nurse observes the client praying. The client states to the nurse: I dont know how people manage to get through difficult times without their faith. Its where I get my strength. The nurse correctly associates this belief with which theorist?

1. Fowler

2. Westerhoff

3. Gilligan

4. Kohlberg

Correct Answer: 2

Rationale 1: Fowlers theory describes the development of faith as a force that gives meaning to a persons life.

Rationale 2: Westerhoff describes faith as a way of being and behaving that evolves from an experienced faith guided by parents and others during a persons infancy and childhood to an owned faith that is internalized in adulthood. For the client who is ill, faith provides strength and trust.

Rationale 3: Gilligan is not a spiritual theorist.

Rationale 4: Westerhoff describes faith as a way of being and behaving that evolves from an experienced faith guided by parents and others during a persons infancy and childhood to an owned faith that is internalized in adulthood. For the client who is ill, faith provides strength and trust. Fowlers theory describes the development of faith as a force that gives meaning to a persons life. Kohlberg is not a spiritual theorist.

Global Rationale: Page Reference: 367

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13 Compare Fowlers and Westerhoffs stages of spiritual development.

Question 17

Type: SEQ

Westerhoffs spiritual theory describes four stages of development. Put these in order of when they occur in the life cycle:

Standard Text: Click and drag the options below to move them up or down.

Choice 1. Owned faith

Choice 2. Affiliative faith

Choice 3. Experienced faith

Choice 4. Searching faith

Correct Answer: 4,2,1,3

Rationale 1: Puts faith into personal and social action and is willing to stand up for what the individual believes even against the nurturing community. Stage 4

Rationale 2: Actively participates in activities that characterize a particular faith tradition; experiences awe and wonderment; feels a sense of belonging. Stage 2

Rationale 3: Experiences faith through interaction with others who are living a particular faith tradition. Stage 1

Rationale 4: Through a process of questioning and doubting own faith, acquires a cognitive as well as an affective faith. Stage 3

Global Rationale: Page Reference: 367

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 05 Describe the stages of growth and development according to various theorists.
13 Compare Fowlers and Westerhoffs stages of spiritual development.

Question 18

Type: MCSA

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, which of the following is an appropriate response by the nurse?

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

2. Think of using the meter as one of your daily chores.

3. Maybe you could make a game out of the daily use of your meter.

4. Its too bad if you dont want to use the meter, its just something youll have to do.

Correct Answer: 1

Rationale 1: School-age children (6-12 years) are in the preadolescent period where the peer group begins to increasingly influence behavior. The nurse must allow time and energy for the school-age child to pursue hobbies and school activities and should recognize and support the childs achievement. Play and social activity are more important in the preschool-age child as new experiences and social roles are tried during play.

Rationale 2: School-age children (6-12 years) are in the preadolescent period where the peer group begins to increasingly influence behavior. The nurse must allow time and energy for the school-age child to pursue hobbies and school activities and should recognize and support the childs achievement. Play and social activity are more important in the preschool-age child as new experiences and social roles are tried during play.

Rationale 3: School-age children (6-12 years) are in the preadolescent period where the peer group begins to increasingly influence behavior. The nurse must allow time and energy for the school-age child to pursue hobbies and school activities and should recognize and support the childs achievement. Play and social activity are more important in the preschool-age child as new experiences and social roles are tried during play.

Rationale 4: School-age children (6-12 years) are in the preadolescent period where the peer group begins to increasingly influence behavior. The nurse must allow time and energy for the school-age child to pursue hobbies and school activities and should recognize and support the childs achievement. Play and social activity are more important in the preschool-age child as new experiences and social roles are tried during play.

Global Rationale: Page Reference: 356

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Describe essential principles related to growth and development.

Question 19

Type: MCSA

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

1. Provide as much care to the residents as possible.

2. Allow as much independence for the residents as possible.

3. Make sure to provide safety measures as needed.

4. Maintain peer interactions and social groups.

Correct Answer: 2

Rationale 1: Providing as much care as possible does not meet the independence need required in this age group.

Rationale 2: The old-old stage, age 85 and older, is characterized by increasing physical problems. The nursing implication for this age group is to assist with self-care as required, but maintain as much independence as possible.

Rationale 3: Safety measures should be applied in the middle-old age group, age 75 to 84 years.

Rationale 4: Peer interactions become important in the young-old stage, age 65 to 74 years.

Global Rationale: Page Reference: 356

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 02 Describe essential principles related to growth and development.

Question 20

Type: MCSA

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

1. Industry versus inferiority

2. Identity versus role confusion

3. Intimacy versus isolation

4. Generativity versus stagnation

Correct Answer: 4

Rationale 1: Appropriate for the 6 to 12 year- old school age child.

Rationale 2: Appropriate for the adolescent 12 20 years old

Rationale 3: Appropriate for the 18-24 year old young adult.

Rationale 4: Adulthood, age 25 to 65 years, is characterized by the central task of generativity versus stagnation. Positive resolution is indicated by creativity, productivity, and concern for others. Negative resolution is characterized by self-indulgence, self-concern, and lack of interests and communication.

Global Rationale: Page Reference: 358

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 07 Identify Eriksons eight stages of development.

Question 21

Type: MCSA

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

1. Does not cry when the parent allows the nurse to hold the child.

2. Shows mistrust when strangers approach.

3. Becomes willful when disciplined.

4. Does not play with other children.

Correct Answer: 1

Rationale 1: In the infancy years (birth to 18 months), the childs central task is to form trust or mistrust with people. Positive resolution would indicate a safe feeling when the parents leave the child with someone they are familiar with and can trust.

Rationale 2: Positive resolution would indicate a safe feeling when the parents leave the child with someone they are familiar with and can trust. Negative resolution would indicate mistrust, withdrawal, and estrangement.

Rationale 3: Willfulness and defiance are negative indicators of the early childhood stage.

Rationale 4: Playing with other children is apart of the self-esteem and self-expression of the early childhood years.

Global Rationale: Page Reference: 358

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 02 Describe essential principles related to growth and development.

Question 22

Type: MCSA

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, this child is descriptive of which stage/phase?

1. Tertiary circular reaction: stage 5

2. Inventions of new means: stage 6

3. Preconceptual phase

4. Concrete operations phase

Correct Answer: 2

Rationale 1: Stage 5, 12 to 18 months, is characterized by discovery of new goals and ways to attain goals. Rituals are important in this stage.

Rationale 2: Stage 6, inventions of new means, is from 18 to 24 months. The significant behavior is identified by interpretation of the environment by mental image. Make-believe and pretend-play are in use during this stage.

Rationale 3: The preconceptual phase, 2 to 4 years, is when the child uses an egocentric approach to accommodate the demands of an environment.

Rationale 4: The concrete operations phase, 7 to 11 years, is where the child is able to solve concrete problems and begins to understand relationships such as size, right, and left, and is cognizant of viewpoints.

Global Rationale: Page Reference: 363

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11 Explain Piagets theory of cognitive development.

Question 23

Type: MCMA

Which of the following developmental tasks are parts of Havighursts early adulthood age period?

Standard Text: Select all that apply.

1. Taking on civic responsibility.

2. Developing adult leisure-time activities.

3. Getting started in an occupation.

4. Relating oneself to ones spouse as a person.

5. Managing a home.

Correct Answer: 1,3

Rationale 1: This option is one of Havighursts early adulthood tasks.

Rationale 2: Developing adult leisure-time activities is not a part of the middle age period.

Rationale 3: This option is one of Havighursts early adulthood tasks.

Rationale 4: Relating oneself to ones spouse as a person is not a part of the middle age period.

Rationale 5: This option is one of Havighursts early adulthood tasks.

Global Rationale: Page Reference: 360

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 08 Identify developmental tasks associated with Havighursts six age periods.

Question 24

Type: MCMA

When discussing human growth and development with the parents of a newborn, the nurse includes that:

Standard Text: Select all that apply.

1. Growth involves physical change and increase in size.

2. Skills and function increase with growth.

3. Most humans experience a similar pattern of growth.

4. Being able to adapt to ones environment is an indicator of growth.

5. Childrens growth is monitored by height, weight, bone size, and dentition.

Correct Answer: 1,3,5

Rationale 1: Growth is a physical change and increase in size.

Rationale 2: Development is an increase in the complexity of function and skill progression.

Rationale 3: The pattern of physiologic growth is similar for all people.

Rationale 4: Development skills include the ability to adapt to ones environment.

Rationale 5: Growth can be measure quantitatively. Indicators of growth include height, weight, bone size, and dentition.

Global Rationale: Page Reference: 354

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Differentiate between the terms growth and development.

Question 25

Type: MCMA

When assessing a childs growth and development, the nurse shows an understanding of the factors that affect these processes when asking the parents:

Standard Text: Select all that apply.

1. How tall they are.

2. Whether noises seem to bother their child.

3. How many ounces of formula their child drinks daily.

4. What their yearly income is.

5. Whether their child will receive daycare services.

Correct Answer: 1,2,3

Rationale 1: The genetic inheritance of an individual is established at conception. It remains unchanged throughout life, and determines such characteristics as gender and physical characteristics (e.g., eye color, potential height).

Rationale 2: Temperament sets the stage for the interactive dynamics of growth and development.

Rationale 3: Adequate nutrition is an essential component of growth and development.

Rationale 4: While adequate family income allows for sufficient nutrition, housing, etc., it is not generally considered a factor affecting growth and development.

Rationale 5: Being cared for by individuals other than ones parents is not generally considered as a factor unless care is neglected by whomever responsible.

Global Rationale: Page Reference: 354

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 03 List factors that influence growth and development.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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