Chapter 2: Developmental Tasks and Health Promotion across the Lifespan Flashcards

1
Q

Jean Piaget proposed four stages of cognitive development. Which of the following statements is true about these stages?

a. A child’s current stage is determined by the child’s age.
b. Each stage builds on the foundations of the previous stages.
c. Each stage is distinct and clearly separate from the other stages.
d. A child who is “gifted” may actually skip a stage and move on to a higher stage.

A

b.

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2
Q

Erik Erikson’s theory of psychosocial development proposes eight stages of ego development. Each stage involves a “bipolar issue.” Which of the following statements regarding these crises is true?

a. There is always an absolute resolution to each crisis.
b. Most people never resolve all the crises and therefore never complete all eight stages.
c. If a crisis during a certain stage cannot be resolved, a person generally skips that stage.
d. Issues can be resolved along a continuum, with a mix of positive and negative outcomes.

A

d.

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3
Q

If a mother hides a building block under her baby’s blanket and the baby looks for it, the nurse recognizes that the baby has started to develop the concept of:

a. relativism.
b. object prehension.
c. separation anxiety.
d. object permanence.

A

d.

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4
Q

A baby is able to sit unsupported before he or she begins to crawl. This is true because development of gross motor skills:

a. occurs in a cephalocaudal direction.
b. occurs in a distal to proximal direction.
c. is generally the result of a baby’s chronological age.
d. is simply the result of the baby’s increased desire to move.

A

a.

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5
Q

An 18-month-old child is brought to the well-child clinic for a routine visit. The nurse observes the following: a rounded “pot belly” abdomen, marked lordosis “sway back,” short and slightly bowed legs, and a large head. The nurse concludes that the child:

a. has the physique of a normal toddler.
b. should be assessed for possible hydrocephalus.
c. may have a vitamin deficiency or some form of malnutrition.
d. probably has delayed physical maturation, especially of the long bones.

A

a

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6
Q

Which Erikson’s stage does toilet training represent?

a. Initiative versus guilt
b. Integrity versus despair
c. Industry versus inferiority
d. Autonomy versus shame and doubt

A

d.

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7
Q

To which of Piaget’s stages does the ability to think about history and philosophy and analyze and use scientific reasoning correspond?

a. Formal operations
b. Sensorimotor skills
c. Concrete operations
d. Preoperational skills

A

a.

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8
Q

The developmental crisis of generativity versus stagnation could be resolved by:

a. travelling around the world.
b. having and raising a family.
c. buying a large house and filling it with loved belongings.
d. changing jobs frequently to get a feel for what was “missed in youth.”

A

b.

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9
Q

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

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

A

b.

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10
Q

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

a. is unusual in a toddler because negativism generally does not emerge until age 3.
b. indicates that he is insecure and probably has not successfully developed trust in infancy.
c. can be expected from toddlers because they typically experience ritualism and global thinking.
d. indicates that he has been spoiled and she should change things in his environment frequently to get him used to it.

A

c.

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11
Q

Levinson proposed a view of middle adulthood that differed from Erikson’s. Which of the following statements best illustrates Levinson’s views?

a. The main task of middle-aged adults is to overcome boredom with life.
b. Career reassessment in middle age is rare because of the fear of change at this age.
c. Middle age is a time when adults push to meet the goals that were set at a younger age.
d. Middle-aged adults adjust goals and emerge with a new perception of the self and the environment.

A

d

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12
Q

At the well-child clinic, a nurse is educating the mother of an 8-month-old child about health and safety. Which of the following statements is appropriate for this age?

a. Stair guards or gates are important to use for the child at this age.
b. A car seat is not necessary if a lap-shoulder belt is used.
c. The home’s hot water heater should be set at 57ºC (135ºF.)
d. Children at this age are prime candidates for toilet training because they are receptive to new ideas.

A

a.

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13
Q

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

a. Preschoolers are highly egocentric.
b. They are capable of delayed imitation.
c. They are still very unaware of gender and sex.
d. Preschoolers “pretend” to reduce anxiety about their sex roles.

A

b.

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14
Q

An infant weighs 3.2 kg (7 lb.) at birth. During the well-child visit 6 months later, the nurse would expect the infant to weigh at least:

a. 5.5 kg (12 lb).
b. 6.4 kg (14 lb).
c. 7.7 kg (17 lb)
d. 9.5 kg (21 lb).

A

b.

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15
Q

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

a. an adjustment to the tasks of middle age.
b. being productive and contributing to society.
c. cataloguing life events to gain a feeling of satisfaction.
d. a time to review career goals and possibly change paths to avoid despair.

A

c.

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16
Q

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

a. of a decrease in activity.
b. of a slower period of growth.
c. growth stops for a while at age 2 years.
d. the basal metabolic rate decreases at this age.

A

b.

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17
Q

During which period is physical growth is most rapid?

a. Birth to 1 year
b. 3 to 5 years
c. 6 to 10 years
d. 16 to 18 years

A

a.

18
Q

The nurse is observing a mother with her 2-year-old child. In a period of just a few minutes, the child has said no to the mother many times. He even says no when he would like to say yes. Which of the following statements about this child’s behaviour is true?

a. He is very spoiled and needs to be punished.
b. He is a toddler and is exhibiting ritualistic behaviour.
c. He is trying to assert his autonomy through negativism.
d. He is just trying to test his limits and see how far he can get.

A

c.

19
Q

Which of the following statements correctly characterizes ageism?

a. Ageism indicates respect for the aged.
b. Ageism is most common in Asian cultures.
c. Ageism means discrimination based on age.
d. Ageism is the result of true concern about the aged population.

A

c.

20
Q

A father describes his adolescent son’s new clothes and hair style as “strange” and states that he is worried about the frequent changes in his son’s appearance. The nurse explains that his son is:

a. possibly getting into trouble and should begin receiving counselling.
b. experiencing a loss of self-esteem and may need help to overcome this difficult time.
c. experimenting with different identities, which is necessary to forming an identity of his own.
d. probably experimenting with drugs or alcohol because his behaviour is unusual in an adolescent.

A

c.

21
Q

Which of the following conflicts in Erikson’s stages is successfully resolved by finding a life partner or committing one’s life to a cause?

a. Intimacy versus isolation
b. Identity versus role confusion
c. Generativity versus stagnation
d. Autonomy versus shame and doubt

A

a.

22
Q

The mother of a 2-month-old baby reports that she often lets the baby “cry it out” instead of going to her to comfort her in the middle of the night. While discussing this with the mother, the nurse should make her aware that:

a. 2-month-old babies are old enough to learn to sleep through the night.
b. babies can become spoiled if they are picked up to be comforted in the middle of the night.
c. babies are developing a sense of trust at this stage and need to be responded to when they cry.
d. babies are just developing the ability to manipulate adults and should not be picked up if it is unnecessary.

A

c.

23
Q

An 8-year-old boy’s father is very interested in seeing his son succeed in soccer. During the assessment, the nurse finds out that the child has a sincere interest in chess but feels that he is a failure at soccer. Which of the following statements about this situation is true?

a. This father needs to decrease his expectations for his son.
b. This father needs to encourage his son to participate in team sports.
c. This child obviously has an introverted personality and should be “left alone.”
d. This child should be given opportunities to achieve success in any area he chooses.

A

d.

24
Q

The nurse is testing a 10-year-old child’s ability to understand conservation of matter. Which of the following tests would be appropriate?

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

A

c.

25
Q

The nurse is using the Nipissing District Developmental Screen (NDDS) with a 12-month-old infant during a routine well-child visit. The nurse should tell the infant’s parents that the NDDS:

a. tests three areas of development: cognitive, physical, and psychological.
b. will indicate whether the child has a speech disorder so that treatment can be started.
c. is a screening instrument designed to detect developmental delays in children.
d. is a test to determine intellectual ability and may indicate whether there will be problems later in school.

A

c.

26
Q

The Nipissing District Developmental Screen identifies some delays in gross motor skills in a 12-month-old infant. The screening is important because it:

a. can help diagnose a child with problems.
b. facilitates early detection, leading to earlier intervention.
c. can be used by a physical therapist to determine the appropriate treatment.
d. can be used in conjunction with other tests to determine a child’s overall intellectual level.

A

b.

27
Q

According to Levinson, the period of middle adulthood begins with a mid-life transition. Which of the following statements best describes mid-life transition?

a. This is a time of major reassessment—“What have I done with my life?”
b. Most people experience a need to change careers when they are around 40 years old.
c. This is a time when people feel a desire to pursue more youthful activities.
d. Most people find that they have basically met all of their goals and experience rejuvenation.

A

a.

28
Q
  1. What form of speech is an 18-month-old using when making the statement, “All done”?
    a. Telegraphic speech
    b. Holophrastic speech
    c. Preoperational speech
    d. Complex-interactive speech
A

a.

29
Q

An adolescent is beginning to develop the ability to deal with hypothetical situations and abstract thinking. The nurse would consider this finding:

a. advanced for this person’s age.
b. a finding only expected in the older adult.
c. a normal finding during this stage of development.
d. abnormal because abstract thinking should begin to take place in early childhood.

A

c.

30
Q

The stage of early adulthood (20 to 40 years) is about emancipation from parents and building an independent life. Tasks of this period include:

a. pursuing activities enjoyed during childhood.
b. assisting younger siblings with gaining their identities.
c. forming an intimate bond with another and choosing a mate.
d. becoming more involved in activities in the family of origin.

A

c.

31
Q

Which of the following statements best characterizes resolution of Erikson’s last ego stage, integrity versus despair?

a. The individual becomes more interested in society’s extrinsic rewards.
b. The individual experiences a loss of recognition and authority.
c. The adult feels the need to pursue youthful activities as a culmination of life experiences.
d. The adult feels satisfied that if it were possible to do it over again, he or she would live life the same way.

A

d.

32
Q

Normal physical changes that occur during middle adulthood (40 to 64 years) include:

a. deterioration of internal organ systems.
b. increased muscle tone and decreased muscle strength.
c. increased abdominal fat deposits from decreased activity.
d. decreased sensory function and visual changes for far vision.

A

c.

33
Q

An adolescent tells the school nurse that he is being pressured by his friends to smoke marijuana. Which of the following nursing diagnoses would be appropriate for this situation?

a. Compromised family coping
b. Decisional conflict
c. Social isolation
d. Ineffective role performance

A

b.

34
Q

Which of the following is an appropriate developmental task for a toddler (age 1 to 3 years)?

a. Taking a place in a peer group
b. Identifying sex roles and their functions
c. Tolerating separation from the mother or other caregiver
d. Building self-esteem and a positive self-concept

A

c.

35
Q

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

a. will indicate the level of stress in her life.
b. will show her areas of self-improvement needed to regain control in her life.
c. cannot measure stress but can help her cope with the day-to-day hassles of life.
d. may show a relationship between daily stress and the occurrence of physical health problems.

A

d.

36
Q

While examining an 18-month-old child, the nurse notes that he does not demonstrate skills typical for his age. He walks while holding on to furniture but prefers to crawl, rarely speaks, has a flat affect, and is small for his age. Which of the following is an appropriate nursing diagnosis for this child?

a. Impaired parenting
b. Imbalanced nutrition
c. Situational low self-esteem
d. Delayed growth and development

A

d.

37
Q

A mother notes that her 4-year-old child often talks to herself while playing by herself. She is worried that her child has a psychological problem. The nurse tells her that:

a. she is just imitating what she hears around her.
b. this happens when a child is lonely or needs a playmate.
c. there is a concern about her child’s psychological development and that further testing will be required.
d. this conversation with self is normal at this age and is a problem-solving tool as the child works through unfamiliar situations.

A

d.

38
Q

During which age is belonging to a peer group considered a key socializing agent?

a. The preschool years
b. The school-age years
c. Early adulthood
d. Middle adulthood

A

b.

39
Q

A new mother asks the nurse, “Why does my baby cry so much?” Which of the following statements by the nurse is correct?

a. “You need to try to hold your baby for longer periods of time.”
b. “This means he is hungry. He needs to be fed more.”
c. “Your baby uses crying to tell you if he feels hungry, uncomfortable, or lonely.”
d. “We should examine him for signs of illness.”

A

c.

40
Q

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

a. At birth
b. At 2 weeks of age
c. At 4 weeks of age
d. At 6 to 8 weeks of age

A

d.