Growth & Development

Ch 9, 10, 11

which nursing response best addresses an adolescent’s anxiety about acne

provide practical skin-care teaching

what is the biggest challenge facing a family that is established by individuals with different cultural backgrounds

acknowledging and accepting differences in religion and belief systems

a new parent asks about keeping feeding and sleeping routines, which response is best

predictable routines support trust

the nurse is assessing a preschooler, which ability is consistent with being 4 years old

tells the nurse fill name and age

a family is in the adjustment phase after a major diagnosis, which behavior should the nurse expect

they family tries to keep routines as normal as possible

when discussing the concrete operations stage of development, which example of childhood behavior should the nurse present

the ability to understand the concepts of weight and volume

which adolescent statement is most concerning when applying Erikson’s theory

I have no sense of who I am or where I fit

a toddler sucks a thumb intensely for long periods, which teaching should the nurse provide

frequent, prolong, intense sucking may damage mouth structure

which instruction directly helps a teen minimize STI risk during sexual activity

use a condom

a parent asks how long most toddlers can focus on one activity, what should the nurse answer

about 5 to 10 minutes

a shoal-age child recognizes that the same amount of water remains equal after being poured into a different shaped glass, which stage does this reflect

concrete operatins

which teaching is appropriate for an adolescent girl experiencing normal height, weight, and fat distribution changes

hormonal changes of adolescence can cause these changes

a family dies a member’s compulsive substance use from relatives and changes routines to work around the behavior, which stress is the family most likely experiencing

addiction

a male student tells a school nurse that he has started to experience the involuntary discharge of semen while sleeping, the nurse should place a priority on what topic of discussion with this client

changes that occur during adolescence

a toddler plays beside another toddler with similar toys, but neither child shares or interacts, which response should the nurse give the parent

this is parallel play and is common for toddlers

which gorilla should the nurse emphasize for parents whose children are not independent adults

building healthy adult relationships with their grown children

which reason should the nurse give for encouraging regular checkups in later adulthood

to detect minor concerns early

a nurse planning programs to strengthen adolescent moral skills, which option best fits this goal

access to faith-based youth activities

parents ask the nurse what event identifies that their son has reached puberty, what is the nest response by the nurse

puberty occurs when the person becomes able to reproduce sexually

which parent teaching is appropriate when a child temporarily returns to an earlier behavior during an acute illness

regression may occur during illness or stress

a client reports living with a spouse in a household without children, which term should the nurse use to describe this family form

nuclear dyad

a parent expresses concern over the amount of attention her daughter pays to look just right, the parent is concerned the teen is experiencing an eating disorder, what information should the nurse provide the parent about her concerns

teens are generally very concerned about their appearance

a 9 year old is assessed for cognitive development, which behavior is most consistent with concrete operations

classifying objects and considering another person’s point of view

which outcome should the nurse identify as the most damaging long-term effect of family violence against children

continuation of the violence pattern into later generations

a parent tells the nurse, I am trying to decide which parenting practices from my own childhood I want to repeat and which I want to change, which learning method for parenting is the parent using

using personal upbringing to guide parenting style

which family action should the nurse identify as meeting a child’s physiological needs

buying groceries and weather-appropriate clothing for the child

a student nurse is reviewing common family forms, which family stricture should the student identify as the most familiar form

nuclear family

which statement by a child indicated they are functioning at the concrete operations level of Piaget’s theory

I’ll be careful with her book because she’d be sad if it got torn

what behavior is most characteristic of a teen in the middle adolescence stage

working a part-time job to earn money

what behavior is most characteristic of a teen in the middle adolescent stage

working a part-time job to earn money

a 16 year old alternates between confidence and self-doubt and spends more time along thinking, which stage does this best reflect

middle adolescence

a sexually active adolescent asks how to reduce the risk of sexually transmitted infections, which teach is most important

use condoms consistently

which behavior is most characteristic of middle adolescence

showing moodiness, introspection, and fluctuating self-assurance

what are the normal cognitive and motor development expectations that should be observed by a nurse in a 4 year old child

can state their full name and age

which developmental task is expected in the transitional stage of the family life cycle

develop intimate relationships

which infant would the nurse identify as demonstrating expected 6 week development

an infant who smiles, babbles, follows light, and reacts to sound

an adolescent says, I am confused about who I am attracted to, and it scares me, which initial response is best

explain that questioning or experimenting can be temporary during adolescence

the nurse documents that the family is in the adjustment phase of dealing with the mother’s diagnosis of Alzheimer’s disease, what would be the most likely coping strategy that would be employed by the family at this time

the family tries to maintain the status quo with minimal disruption to the family unit

when discussing the growth and development of an infant with a client, the nurse refers to various theories and phases of development, what explanation of this theory should the nurse provide

each stage of development contains a psychosocial challenge or critical period during which the person must deal with a major life change

a family consists of an infant, teenage, mother, and father, which individual exerts the most lasting influence on the ongoing development of the adolescent

peer group

what is the biggest challenge facing a family that is established by individuals with different cultural backgrounds

acknowledging and accepting differences in religion and belief systems

which infant behavior best demonstrates cephalocaudal development

lifting the head before sitting independently

which characteristic is most associated with pubescence or early adolescence

desire for independence

a mother has just delivered her first baby and asks the nurse about routines at home, what information should the nurse provide with new mother about establishing routines with an infant

routines establish trust along with learning to expect

a nurse is planning programs to strengthen adolescent moral skills, which option best fits this goal

access to faith-based youth activities

which parent statement indicated the post parenting phase has begum

out last child moved out to begin a job in another state

an infant smiles, babbles, tracks a light, and reacts to sounds during an assessment, which age should the nurse document

6 weeks

which family action indicates adaptation to a parent’s progressive illness

an adult child moves into the home to provide care

a nurse is helping expectant parents identify sources that can shape their parenting style, which action best demonstrates the concept that personal upbringing can guide parenting

talking with family members about how they were raised

when asked about playing, the parents of a 3 year old share that he plays with toys in the same area as other children but never interacts with them, nurse documents that the child engages in what form of play

solitary play

a nurse is documenting family structure, which description best fits a communal family

unrelated adults live together and share daily tasks

which family situation places members at highest immediate risk for future health problems

the wage earner lost a job and health insurance

when considering human growth and development, what example describes proximodistal direction movement

rolling over before grasping objects

a 9 year old is assessed for cognitive development, which behavior is most consistent with concrete operations

classifying objects and considering another person’s point of view

the nurse is caring for an adolescent female who expresses concerns her menstrual periods are not regular, what assessment question would the nurse ask the client to further assess the client’s concern

when did you start your period

which behavior is associated with Piaget’s concrete operations stage

understanding conservation weight and volume

the client reports increased stress in the family including finding ways to accommodate and incorporate the spouse’s behavior and maintain in a functional family unit as much as possible, the nurse is aware this family is likely facing which stressor

family violence

which behavior is typical of a child in the preoperational stage

refusing to share a toy but feeling sad when another child cries

the nurse is working with the parents of two small children, which activities engaged in by the parents demonstrate effective methods of developing appropriate parenting skills

discussing the details of one’s own childhood with parents or siblings

which first solid food should the nurse recommend for an infant

iron-fortified infant cereal mixed with breast milk or formula

the nurse is observing a 5 year old, which action reflects preoperatioinal thinking

viewing a situation mainly from a personal perspective

the nurse is assessing a family’s coping after a new diagnosis, which question best helps determine the duration of the stressor

how long has your child been showing symptoms

which adolescent behavior reflects Piaget’s formal operationas level

using abstract reasoning to solve a complex problem