Chapter 4 My Nursing Test Banks

Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 4

Question 1

Type: MCMA

While in the pediatricians office for their childs 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the childs developmental level, which types of toys would the nurse suggest?

Standard Text: Select all that apply.

1. Soft toys that can be manipulated

2. Small toys that can pop apart and go back together

3. Jack-in-the-box toys

4. Toys with black and white patterns

5. Push-and-pull toys

Correct Answer: 1,3,5

Rationale 1: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Rationale 2: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Rationale 3: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Rationale 4: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Rationale 5: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Global Rationale: Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age and are more mobile and thus have less interest in placing toys in their mouths and more interest in toys that can be manipulated.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.7 Describe the role of play in the growth and development of children.

Question 2

Type: MCSA

A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?

1. Repression

2. Rationalization

3. Regression

4. Fantasy

Correct Answer: 3

Rationale 1: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.

Rationale 2: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.

Rationale 3: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.

Rationale 4: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.

Global Rationale: The correct answer is regression, which is a return to an earlier behavior. Repression is the involuntary forgetting of uncomfortable situations, rationalization is an attempt to make unacceptable feelings acceptable, and fantasy is a creation of the mind to help deal with an unacceptable fear.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 4.5 Identify major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 3

Type: MCSA

While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, Its all my fault! When we were fighting yesterday, I told him I wished he was dead! Which response is most appropriate by the nurse?

1. Asking the child if she would like to sit down and drink some water

2. Sitting the child down in an empty room with markers and paper so that she can draw a picture

3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them

4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens

Correct Answer: 4

Rationale 1: Magical thinking is the belief that events occur because of ones thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that children may have and reassure them that they are not to blame for any accidents or illness.

Rationale 2: Magical thinking is the belief that events occur because of ones thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that children may have and reassure them that they are not to blame for any accidents or illness.

Rationale 3: Magical thinking is the belief that events occur because of ones thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that children may have and reassure them that they are not to blame for any accidents or illness.

Rationale 4: Magical thinking is the belief that events occur because of ones thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that children may have and reassure them that they are not to blame for any accidents or illness.

Global Rationale: Magical thinking is the belief that events occur because of ones thoughts or actions, and the most therapeutic way to respond to this is to correct any misconceptions that children may have and reassure them that they are not to blame for any accidents or illness.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.5 Identify major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 4

Type: MCSA

While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the nurse assessing this infant for?

1. Object permanence

2. Centration

3. Transductive reasoning

4. Conservation

Correct Answer: 1

Rationale 1: A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists. In centration, a child focuses only on a particular aspect of a situation. Transductive reasoning happens when a child connects two events in a cause-effect relationship because they have occurred at the same time. Conservation describes when a child knows that matter is not changed when its form is altered.

Rationale 2: A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists. In centration, a child focuses only on a particular aspect of a situation. Transductive reasoning happens when a child connects two events in a cause-effect relationship because they have occurred at the same time. Conservation describes when a child knows that matter is not changed when its form is altered.

Rationale 3: A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists. In centration, a child focuses only on a particular aspect of a situation. Transductive reasoning happens when a child connects two events in a cause-effect relationship because they have occurred at the same time. Conservation describes when a child knows that matter is not changed when its form is altered.

Rationale 4: A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists. In centration, a child focuses only on a particular aspect of a situation. Transductive reasoning happens when a child connects two events in a cause-effect relationship because they have occurred at the same time. Conservation describes when a child knows that matter is not changed when its form is altered.

Global Rationale: A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists. In centration, a child focuses only on a particular aspect of a situation. Transductive reasoning happens when a child connects two events in a cause-effect relationship because they have occurred at the same time. Conservation describes when a child knows that matter is not changed when its form is altered.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 4.5 Identify major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 5

Type: MCSA

The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-appropriate toy is most appropriate for the nurse to suggest to these parents?

1. Soft, fluid-filled ring that can be chilled in the refrigerator

2. Colorful rattle

3. Jack-in-the-box toy

4. Push-and-pull toy

Correct Answer: 1

Rationale 1: Teething toys would be appropriate for this age. The rattle might be better enjoyed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-pull toys are better suited for a 9- to 12-month-old child.

Rationale 2: Teething toys would be appropriate for this age. The rattle might be better enjoyed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-pull toys are better suited for a 9- to 12-month-old child.

Rationale 3: Teething toys would be appropriate for this age. The rattle might be better enjoyed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-pull toys are better suited for a 9- to 12-month-old child.

Rationale 4: Teething toys would be appropriate for this age. The rattle might be better enjoyed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-pull toys are better suited for a 9- to 12-month-old child.

Global Rationale: Teething toys would be appropriate for this age. The rattle might be better enjoyed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-pull toys are better suited for a 9- to 12-month-old child.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.7 Describe the role of play in the growth and development of children.

Question 6

Type: MCSA

A nurse is assessing language development in all the infants presenting at the doctors office for well-child visits. At which age range would the nurse expect a child to verbalize the words dada and mama?

1. 3 and 5 months

2. 6 and 8 months

3. 9 and 12 months

4. 13 and 18 months

Correct Answer: 3

Rationale 1: Children should be able to verbalize mama or dada to identify their parents by 1 year of age.

Rationale 2: Children should be able to verbalize mama or dada to identify their parents by 1 year of age.

Rationale 3: Children should be able to verbalize mama or dada to identify their parents by 1 year of age.

Rationale 4: Children should be able to verbalize mama or dada to identify their parents by 1 year of age.

Global Rationale: Children should be able to verbalize mama or dada to identify their parents by 1 year of age.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 4.5 Identify major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 7

Type: MCSA

The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Eriksons psychosocial stages of development is this child?

1. Trust versus mistrust

2. Initiative versus guilt

3. Industry versus inferiority

4. Identity versus role confusion

Correct Answer: 3

Rationale 1: Trust versus mistrust (birth to 1 year)The task of the first year of life is to establish trust in the people providing care. Trust is fostered by provision of food, clean clothing, touch, and comfort. If basic needs are not met, the infant will eventually learn to mistrust others. Initiative versus guilt (3 to 6 years)The young child initiates new activities and considers new ideas. This interest in exploring the world creates a child who is involved and busy. Constant criticism, on the other hand, leads to feelings of guilt and a lack of purpose. Identity versus role confusion (12 to 18 years)In adolescence, as the body matures and thought processes become more complex, a new sense of identity or self is established. The self, family, peer group, and community are all examined and redefined. The adolescent who is unable to establish a meaningful definition of self will experience confusion in one or more roles of life. Industry versus inferiority (6 to 12 years)The middle years of childhood are characterized by development of new interests and by involvement in activities. The child takes pride in accomplishments in sports, school, home, and community. If the child cannot accomplish what is expected, however, the result will be a sense of inferiority.

Rationale 2: Trust versus mistrust (birth to 1 year)The task of the first year of life is to establish trust in the people providing care. Trust is fostered by provision of food, clean clothing, touch, and comfort. If basic needs are not met, the infant will eventually learn to mistrust others. Initiative versus guilt (3 to 6 years)The young child initiates new activities and considers new ideas. This interest in exploring the world creates a child who is involved and busy. Constant criticism, on the other hand, leads to feelings of guilt and a lack of purpose. Identity versus role confusion (12 to 18 years)In adolescence, as the body matures and thought processes become more complex, a new sense of identity or self is established. The self, family, peer group, and community are all examined and redefined. The adolescent who is unable to establish a meaningful definition of self will experience confusion in one or more roles of life. Industry versus inferiority (6 to 12 years)The middle years of childhood are characterized by development of new interests and by involvement in activities. The child takes pride in accomplishments in sports, school, home, and community. If the child cannot accomplish what is expected, however, the result will be a sense of inferiority.

Rationale 3: Trust versus mistrust (birth to 1 year)The task of the first year of life is to establish trust in the people providing care. Trust is fostered by provision of food, clean clothing, touch, and comfort. If basic needs are not met, the infant will eventually learn to mistrust others. Initiative versus guilt (3 to 6 years)The young child initiates new activities and considers new ideas. This interest in exploring the world creates a child who is involved and busy. Constant criticism, on the other hand, leads to feelings of guilt and a lack of purpose. Identity versus role confusion (12 to 18 years)In adolescence, as the body matures and thought processes become more complex, a new sense of identity or self is established. The self, family, peer group, and community are all examined and redefined. The adolescent who is unable to establish a meaningful definition of self will experience confusion in one or more roles of life. Industry versus inferiority (6 to 12 years)The middle years of childhood are characterized by development of new interests and by involvement in activities. The child takes pride in accomplishments in sports, school, home, and community. If the child cannot accomplish what is expected, however, the result will be a sense of inferiority.

Rationale 4: Trust versus mistrust (birth to 1 year)The task of the first year of life is to establish trust in the people providing care. Trust is fostered by provision of food, clean clothing, touch, and comfort. If basic needs are not met, the infant will eventually learn to mistrust others. Initiative versus guilt (3 to 6 years)The young child initiates new activities and considers new ideas. This interest in exploring the world creates a child who is involved and busy. Constant criticism, on the other hand, leads to feelings of guilt and a lack of purpose. Identity versus role confusion (12 to 18 years)In adolescence, as the body matures and thought processes become more complex, a new sense of identity or self is established. The self, family, peer group, and community are all examined and redefined. The adolescent who is unable to establish a meaningful definition of self will experience confusion in one or more roles of life. Industry versus inferiority (6 to 12 years)The middle years of childhood are characterized by development of new interests and by involvement in activities. The child takes pride in accomplishments in sports, school, home, and community. If the child cannot accomplish what is expected, however, the result will be a sense of inferiority.

Global Rationale: Trust versus mistrust (birth to 1 year)The task of the first year of life is to establish trust in the people providing care. Trust is fostered by provision of food, clean clothing, touch, and comfort. If basic needs are not met, the infant will eventually learn to mistrust others. Initiative versus guilt (3 to 6 years)The young child initiates new activities and considers new ideas. This interest in exploring the world creates a child who is involved and busy. Constant criticism, on the other hand, leads to feelings of guilt and a lack of purpose. Identity versus role confusion (12 to 18 years)In adolescence, as the body matures and thought processes become more complex, a new sense of identity or self is established. The self, family, peer group, and community are all examined and redefined. The adolescent who is unable to establish a meaningful definition of self will experience confusion in one or more roles of life. Industry versus inferiority (6 to 12 years)The middle years of childhood are characterized by development of new interests and by involvement in activities. The child takes pride in accomplishments in sports, school, home, and community. If the child cannot accomplish what is expected, however, the result will be a sense of inferiority.

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 4.8 Use data collected during developmental assessments to implement activities that promote development of children and adolescents.

Question 8

Type: MCSA

Two 3-year-olds are playing in a hospital playroom together. One is working on a puzzle while the other is stacking blocks. Which type of play are these children exhibiting?

1. Cooperative play

2. Associative play

3. Parallel play

4. Solitary play

Correct Answer: 3

Rationale 1: Parallel play describes when two or more children play together, each engaging in their own activities. Cooperative play happens when children demonstrate the ability to cooperate with others and play a part in order to contribute to a unified whole. Associative play is characterized by children interacting in groups and participating in similar activities. In solitary play, a child plays alone.

Rationale 2: Parallel play describes when two or more children play together, each engaging in their own activities. Cooperative play happens when children demonstrate the ability to cooperate with others and play a part in order to contribute to a unified whole. Associative play is characterized by children interacting in groups and participating in similar activities. In solitary play, a child plays alone.

Rationale 3: Parallel play describes when two or more children play together, each engaging in their own activities. Cooperative play happens when children demonstrate the ability to cooperate with others and play a part in order to contribute to a unified whole. Associative play is characterized by children interacting in groups and participating in similar activities. In solitary play, a child plays alone.

Rationale 4: Parallel play describes when two or more children play together, each engaging in their own activities. Cooperative play happens when children demonstrate the ability to cooperate with others and play a part in order to contribute to a unified whole. Associative play is characterized by children interacting in groups and participating in similar activities. In solitary play, a child plays alone.

Global Rationale: Parallel play describes when two or more children play together, each engaging in their own activities. Cooperative play happens when children demonstrate the ability to cooperate with others and play a part in order to contribute to a unified whole. Associative play is characterized by children interacting in groups and participating in similar activities. In solitary play, a child plays alone.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.5 Identify major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 9

Type: MCSA

The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?

1. Trust versus mistrust

2. Autonomy versus shame and doubt

3. Initiative versus guilt

4. Industry versus inferiority

Correct Answer: 2

Rationale 1: Eriksons stage of autonomy versus shame and doubt marks a period of time when the toddler is trying to gain some independence while still wanting to please adults.

Rationale 2: Eriksons stage of autonomy versus shame and doubt marks a period of time when the toddler is trying to gain some independence while still wanting to please adults.

Rationale 3: Eriksons stage of autonomy versus shame and doubt marks a period of time when the toddler is trying to gain some independence while still wanting to please adults.

Rationale 4: Eriksons stage of autonomy versus shame and doubt marks a period of time when the toddler is trying to gain some independence while still wanting to please adults.

Global Rationale: Eriksons stage of autonomy versus shame and doubt marks a period of time when the toddler is trying to gain some independence while still wanting to please adults.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.1 Describe the major theories of development as formulated by Freud, Erikson, Piaget, Kohlberg, social learning theorists, and behaviorists.

Question 10

Type: SEQ

A new parent group inquires about the stages through which their children will progress as they grow older. The nurse is discussing Piagets developmental stages. In what order would the nurse expect the child to progress through Piagets stages of development?

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

Choice 1. Sensorimotor

Choice 2. Formal operational

Choice 3. Preoperational

Choice 4. Concrete operational

Correct Answer: 1,3,4,2

Rationale 1: Sensorimotor (birth to 2 years), preoperational (2 to 7 years), concrete operational (7 to 11 years), formal operational (11 years to adulthood).

Rationale 2: Sensorimotor (birth to 2 years), preoperational (2 to 7 years), concrete operational (7 to 11 years), formal operational (11 years to adulthood).

Rationale 3: Sensorimotor (birth to 2 years), preoperational (2 to 7 years), concrete operational (7 to 11 years), formal operational (11 years to adulthood).

Rationale 4: Sensorimotor (birth to 2 years), preoperational (2 to 7 years), concrete operational (7 to 11 years), formal operational (11 years to adulthood).

Global Rationale: Sensorimotor (birth to 2 years), preoperational (2 to 7 years), concrete operational (7 to 11 years), formal operational (11 years to adulthood).

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 4.1 Describe the major theories of development as formulated by Freud, Erikson, Piaget, Kohlberg, social learning theorists, and behaviorists.

Question 11

Type: MCSA

While trying to inform a young school-age client about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. Which response by the nurse is the most appropriate in this situation?

1. Please stop talking about your puppy. I need to tell you about your CT scan.

2. Ignore the childs responses and continue discussing the procedure.

3. Ill come back when you are ready to talk with me more about your CT scan.

4. You must be so excited to have a new puppy! They are so much fun. Now, let me tell you again about going downstairs in a wheelchair to a special room.

Correct Answer: 4

Rationale 1: When a child becomes engaged in a collective monologue, it is best to respond to the content of his or her conversation and then attempt to reinsert facts about the content that needs to be covered.

Rationale 2: When a child becomes engaged in a collective monologue, it is best to respond to the content of his or her conversation and then attempt to reinsert facts about the content that needs to be covered.

Rationale 3: When a child becomes engaged in a collective monologue, it is best to respond to the content of his or her conversation and then attempt to reinsert facts about the content that needs to be covered.

Rationale 4: When a child becomes engaged in a collective monologue, it is best to respond to the content of his or her conversation and then attempt to reinsert facts about the content that needs to be covered.

Global Rationale: When a child becomes engaged in a collective monologue, it is best to respond to the content of her conversation and then attempt to reinsert facts about the content that needs to be covered.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.3 Plan nursing interventions for children that are appropriate for each childs developmental state, based on theoretical frameworks.

Question 12

Type: MCSA

An adolescent client with cystic fibrosis suddenly becomes non-compliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?

1. Give the child a computer-animated game that presents information on the management of cystic fibrosis.

2. Arrange for the physician to sit down and talk to the child about the risks related to non-compliance with medications.

3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.

4. Discuss with the childs parents the privileges that can be taken away, such as cell phone, if compliance fails to improve.

Correct Answer: 3

Rationale 1: Providing an adolescent with positive role models who are in his peer group is the intervention most likely to improve compliance. Interest in games may begin to wane, adults opinions may be viewed negatively and challenged, and threatening punishment may further incite rebellion.

Rationale 2: Providing an adolescent with positive role models who are in his peer group is the intervention most likely to improve compliance. Interest in games may begin to wane, adults opinions may be viewed negatively and challenged, and threatening punishment may further incite rebellion.

Rationale 3: Providing an adolescent with positive role models who are in his peer group is the intervention most likely to improve compliance. Interest in games may begin to wane, adults opinions may be viewed negatively and challenged, and threatening punishment may further incite rebellion.

Rationale 4: Providing an adolescent with positive role models who are in his peer group is the intervention most likely to improve compliance. Interest in games may begin to wane, adults opinions may be viewed negatively and challenged, and threatening punishment may further incite rebellion.

Global Rationale: Providing an adolescent with positive role models who are in his peer group is the intervention most likely to improve compliance. Interest in games may begin to wane, adults opinions may be viewed negatively and challenged, and threatening punishment may further incite rebellion.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 4.3 Plan nursing interventions for children that are appropriate for each childs developmental state, based on theoretical frameworks.

Question 13

Type: MCSA

A neonatal nurse who encourages parents to hold their baby and provides opportunities for Kangaroo Care most likely is demonstrating concern for which aspect of the infants psychosocial development?

1. Attachment

2. Assimilation

3. Centration

4. Resilience

Correct Answer: 1

Rationale 1: Attachment is a strong emotional bond between a parent and child that forms the foundation for the fulfillment of the basic need of trust in the infant. Assimilation describes the childs incorporation of new experiences, centration is the ability to consider only one aspect of a situation at a time, and resilience is the ability to maintain healthy function even under significant stress and adversity.

Rationale 2: Attachment is a strong emotional bond between a parent and child that forms the foundation for the fulfillment of the basic need of trust in the infant. Assimilation describes the childs incorporation of new experiences, centration is the ability to consider only one aspect of a situation at a time, and resilience is the ability to maintain healthy function even under significant stress and adversity.

Rationale 3: Attachment is a strong emotional bond between a parent and child that forms the foundation for the fulfillment of the basic need of trust in the infant. Assimilation describes the childs incorporation of new experiences, centration is the ability to consider only one aspect of a situation at a time, and resilience is the ability to maintain healthy function even under significant stress and adversity.

Rationale 4: Attachment is a strong emotional bond between a parent and child that forms the foundation for the fulfillment of the basic need of trust in the infant. Assimilation describes the childs incorporation of new experiences, centration is the ability to consider only one aspect of a situation at a time, and resilience is the ability to maintain healthy function even under significant stress and adversity.

Global Rationale: Attachment is a strong emotional bond between a parent and child that forms the foundation for the fulfillment of the basic need of trust in the infant. Assimilation describes the childs incorporation of new experiences, centration is the ability to consider only one aspect of a situation at a time, and resilience is the ability to maintain healthy function even under significant stress and adversity.

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.8 Use data collected during developmental assessments to implement activities that promote development of children and adolescents.

Question 14

Type: MCSA

Which statement by the nurse is most appropriate prior to giving an intramuscular injection to a 2-1/2-year-old child?

1. We will give you your shot when your mommy comes back.

2. This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say one, two, three . . . go and give you your shot. Are you ready?

3. It is all right to cry, I know that this hurts. After we are done you can go to the box and pick out your favorite sticker.

4. This is a magic sword that will give you your medicine and make you all better.

Correct Answer: 3

Rationale 1: The most appropriate response would be to acknowledge the childs feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a are you ready statement because the toddler will say no. You also dont want to frighten and/or confuse the child by using statements such as use of a magic sword.

Rationale 2: The most appropriate response would be to acknowledge the childs feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a are you ready statement because the toddler will say no. You also dont want to frighten and/or confuse the child by using statements such as use of a magic sword.

Rationale 3: The most appropriate response would be to acknowledge the childs feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a are you ready statement because the toddler will say no. You also dont want to frighten and/or confuse the child by using statements such as use of a magic sword.

Rationale 4: The most appropriate response would be to acknowledge the childs feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a are you ready statement because the toddler will say no. You also dont want to frighten and/or confuse the child by using statements such as use of a magic sword.

Global Rationale: The most appropriate response would be to acknowledge the childs feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a are you ready statement because the toddler will say no. You also dont want to frighten and/or confuse the child by using statements such as use of a magic sword.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 4.3 Plan nursing interventions for children that are appropriate for each childs developmental state, based on theoretical frameworks.

Question 15

Type: MCSA

The parents of a 1-year-old infant are concerned that this baby seems more shy and scared of new situations than their other child and ask the nurse if this is normal. The nurse knows that the infant is exhibiting a characteristic of the slow-to-warm-up. Which statement to the parents is most appropriate by the nurse?

1. Your infant is showing a regularity in patterns of eating.

2. Your infant displays a predominately negative mood.

3. Your infant initially reacts to new situations by withdrawing.

4. Your infant has intense reactions to the environment.

Correct Answer: 3

Rationale 1: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw. Showing regularity in patterns of eating is a characteristic of an easy child, and displaying a predominately negative mood and commonly having intense reactions to the environment are characteristics of difficult children.

Rationale 2: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw. Showing regularity in patterns of eating is a characteristic of an easy child, and displaying a predominately negative mood and commonly having intense reactions to the environment are characteristics of difficult children.

Rationale 3: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw. Showing regularity in patterns of eating is a characteristic of an easy child, and displaying a predominately negative mood and commonly having intense reactions to the environment are characteristics of difficult children.

Rationale 4: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw. Showing regularity in patterns of eating is a characteristic of an easy child, and displaying a predominately negative mood and commonly having intense reactions to the environment are characteristics of difficult children.

Global Rationale: Slow-to-warm-up children adapt slowly to new situations and initially will withdraw. Showing regularity in patterns of eating is a characteristic of an easy child, and displaying a predominately negative mood and commonly having intense reactions to the environment are characteristics of difficult children.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO LO 4.8 Use data collected during developmental assessments to implement activities that promote development of children and adolescents.

Question 16

Type: MCMA

The nurse educator is presenting a lecture about risks to developmental progression. Which items will the educator include in the lecture?

Standard Text: Select all that apply.

1. Family support

2. Access to the Internet

3. Recent loss of employment

4. Terminal illness of a family member

5. Hazards within the home environment

Correct Answer: 3, 4, 5

Rationale 1: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Rationale 2: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Rationale 3: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Rationale 4: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Rationale 5: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Global Rationale: Risk factors that can inhibit developmental progression include financial problems, stresses and worries, family and job instability, neighborhood and home hazards, and lack of resources. Family support and access to the Internet are both considered protective factors.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 4.2 Recognize risks to developmental progression and factors that protect against those risks.

Question 17

Type: MCMA

The nurse is performing an assessment of the ecological systems of childhood. What will the nurse include when assessing mesosystems?

Standard Text: Select all that apply.

1. Parental involvement in school

2. Local political influences

3. Libraries in the community

4. Influences of the religious community

5. Age of each family member

Correct Answer: 1, 4

Rationale 1: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Rationale 2: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Rationale 3: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Rationale 4: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Rationale 5: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Global Rationale: When assessing a childs mesosystem, the nurse will assess parental involvement in school and the influences of the religious community on the child and family. Local political influences and the libraries in the community are assessed in a exosystem assessment. The age of each family member is assessed during chronosystem assessment.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 4.4 Explain contemporary developmental approaches such as temperament theory, ecologic theory, and the resilience framework.

Ball/Bindler/Cowen, Principles of Pediatric Nursing 6th Ed. Test Bank

Copyright 2015 by Pearson Education, Inc.

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