Developmental

Question 1

Which of the following assessments does the nurse expect to make regarding the developmental stage of a 40-year-old male?

1. Cognitive skills are starting to decline.
2. A balance is found among work, family, and social life.
3. Bone mass begins to increase at this age.
4. The client starts to measure life accomplishments against goals.

Answer 1

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Strategy: Think about each answer choice.

(1) does not occur
(2) occurs earlier in development
(3) at age 40, bone mass begins to decrease
(4) correct—may precipitate a mid–life crisis

Question 2

In planning anticipatory guidance for parents of a beginning school-aged child, it is MOST important for the nurse to include which of the following?

1. Teach the child to read and write.
2. Teach the child sex education at home.
3. Give the child responsibility around the house.
4. Expect stormy behavior.

Answer 2

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Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired?

(1) may require some assistance from the parents, but children this age learn at their own rate
(2) unnecessary at this early age
(3) correct—giving children responsibilities allows them to develop feelings of competence and self-esteem through their industry
(4) does not occur until about age 11

Question 3

Which of the following guidelines is appropriate for the nurse to give a mother concerning the developmental stage of her 7-year-old daughter?

1. The child's periods of shyness are to be expected.
2. Nightmares are not characteristic of this age and should be investigated.
3. The child should be encouraged to care for her younger sister.
4. Punishment may be necessary for acts of independence.

Answer 3

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Strategy: Remember growth and development.

(1) correct—normal for developmental stage, beginning to show independence from parents
(2) nightmares are frequently experienced at this age
(3) should be encouraged to be independent, not responsible for sibling, inappropriate for this age group
(4) should allow child to be increasingly independent without punishment