Chapter 4 My Nursing Test Banks

Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 5th 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, the nurse should suggest which types of toys?

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. Describe the role of play in the growth and development of children.

Question 2

Type: MCSA

A mother of a 6-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children use called

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:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 04. Recognize major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 3

Type: MCSA

While being comforted in the emergency room, the 7-year-old 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! The nurse, realizing that the child is experiencing magical thinking, should respond by

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:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Recognize 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. The nurse is determining if the infant has developed

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:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 04. Recognize major developmental milestones for infants, toddlers, preschoolers, school-age children, and adolescents.

Question 5

Type: MCSA

While counseling the parents of a 6-month-old infant, the most appropriate toy for the nurse to suggest would be a

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 06. 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. The child that would be expected to be verbalizing the words dada and mama is the child between the ages of

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 04. Recognize 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:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 07. Use data collected during developmental assessments to plan 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. The mother of one of the children scolds her for not sharing her toys. The nurse counsels the mother that this is normal developmental behavior for this age and that the term for it is

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Recognize 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 that Erikson described as

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Describe 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 you 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:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 01. Describe 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 5-year-old girl 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. The nurses best response would be:

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 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 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 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 her conversation and then attempt to reinsert facts about the content that needs to be covered.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 02. Plan nursing interventions for children that are appropriate for the childs developmental state, based on theoretical frameworks.

Question 12

Type: MCSA

A 14-year-old with cystic fibrosis suddenly becomes non-compliant with the medication regime. The intervention by the nurse that would most likely improve compliance would be to:

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Plan nursing interventions for children that are appropriate for the 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:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 07. Use data collected during developmental assessments to plan activities that promote development of children and adolescents.

Question 14

Type: MCSA

Prior to giving an intramuscular injection to a 2 -year-old child, the most appropriate statement by the nurse would be:

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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 02. Plan nursing interventions for children that are appropriate for the 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 informs them that it is normal for babies to have different temperaments and one of the characteristics of the slow-to-warm-up child is that he:

1. Shows a regularity in patterns of eating.

2. Displays a predominately negative mood.

3. Initially reacts to new situations by withdrawing.

4. Commonly 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:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 05. Synthesize information from several theoretical approaches to plan assessments of the childs physical growth and developmental milestones.

Ball/Bindler/Cowen, Principles of Pediatric Nursing 5th Ed. Test Bank

Copyright 2012 by Pearson Education, Inc.

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