Quiz preschool to adolescence Flashcards

1
Q

A16 yearl old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development?

a. Allow the family to bring in the child’s favorite computer games
B. Encourage the parents to room-in with the child
C. Encourage the child to rest and read
D. Allow the child to participate in activities with other individuals in the same age group when the condition permits

A

D. Allow the child to participate in activities with other individuals in the same age group when the condition permits

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2
Q

When developing a plan care for a hospitalized child, nurse Mica knows that children in which age groups is most likely to view illness as a punishment for misdeeds?

a. infancy
b. preschool age
c. school age
d. adolescence

A

b. preschool age

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3
Q

At what age does a child can copy a cross

3
4
5
6

A

4

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4
Q

A group of boys ages 9 and 10 years have formed a boys-only club that is open to neighborhood and school friends who have skateboard. This should be interpreted as

  1. behavior that encourage bullying and sexism
    b. characteristic of children who later are at risk for membershipin gans.
    c. behavior that reincloses peer relationship
    d. characteristics of social development of his age.
A

d. characteristics of social development of his age.

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5
Q

Adolescenet is in the ___ vs ___ stage with a goal to develop ___.
a. identity vs. role confusion; fidelity
b. industry vs. inferiority; competence
c. intimacy vs. isolation; fidelity
d. initiative vs. guilt; purpose

A

a. identity vs. role confusion; fidelity

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6
Q

The adolescent patient can now think abstractly and see other possible outcomes. In addition, they can start planning for the future and analyze how decisions affect them and others. According to Piaget’s Theory on Cognitive Development, the adolescent is in what stage?

a. sensorimotor
b. preoperational
c. concrete operational
d. formal operational

A

d. formal operational

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7
Q

Which statemen below is false about the puberty changes for the adolescent
a. males can keep growing in height until 20 years of age
b. due to the activation of the apocrine glands, acne can develop in the teenager
c. females stop increasing in height about 2 years after the onset of menstruation
d. females tend to start puberty 2 years earlier than males

A

a. males can keep growing in height until 20 years of age

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8
Q

A 15- year old patient is struggling with body image. The patient verbalizes they are not happy with how they look and feel ugly. The nurse knows what factors below can affect an adolescent;s body image?
a. peers
b. puberty changes
c. media
d. competitive sports

A

b. puberty changes

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9
Q

Tanner stages can be used to help determine an adolescent’s stage of puberty. You have a 13-year old female patient. What information does the nurse need to collect in order to use this scale for puberty determination?

a. pubic hair growth
b. hip girth
c. age of menarch
d. bmi

A

a. pubic hair growth

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10
Q

What change during puberty typically happens first for girls

a. pubic hair growth
b. increase in fat on abdomen and thighs
c. widen hip girth
d. breast development

A

d. breast development

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11
Q

Which of the following information indicate that Keil is normal for his age

a. determine own self
b. develop sense of whether he can trust the world
c. has the ability to try new things
d. learn basic skills within his culture

A

c. has the ability to try new things

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12
Q

based on kohlberg’s theory, what is the stage of moral development of kiel?

punishment-obedience
b. good boy-nice girl
c. naive instrumental orientation
d. social contact

A

c. naive instrumental orientation

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13
Q

In assessing Keil’s growth and development, the nurse is guided by principles of growth and development. Which is not included?

a. All individuals follow cephalo-caudal and proximo-distal
b. Different parts of the body grows at different rate
c. all individual follow standard growth rate
d. Rate and pattern of growth can be modified

A

d. Rate and pattern of growth can be modified

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14
Q

What type of play will be ideal for Keil at this period

Hide and seek
Peek-a-boo
Building block
Make believe

A

Make believe

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15
Q

A 16 year old child is hospitalized, according to erik erikson, what is an appropriate intervention

a. Tell the friends to visit the child
b. encourage patient to help child learn lessons missed
c. call the priest to intervene
d. tell the child’s girlfriend to visit the child

A

d. tell the child’s girlfriend to visit the child

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16
Q

Keil, a 6 yea’s old prep pupil is seen at the school clinic for growth and development monitoring.

Which of the following is characterized the rate of growth during this period?

a. most rapid period of growth
b. decline in growth rate
c. growth spurt

A

b. decline in growth rate

17
Q

When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:

a. becoming industrious
b. establishing an identity
c. achieving intimacy
d. developing initiative

A

b. establishing an identity

18
Q

A mother asks the nurse how to handle her 5 year old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?

a. the child forgets previously learned skills
b. the child experiences growth while regressing, regrouping, and then progressing,
c. the parents may refer less mature behaviors
d. the child returns to a level of behavior that increases the sense of security.

A

d. the child returns to a level of behavior that increases the sense of security.

19
Q

When providing therapeutic play, which of the following toys would best promote imaginative play in 4 year old?

large blocks
dress up clothes
wooden puzzle
big wheels

A

dress up clothes

20
Q

Which of the following should the nurse suspect when noting that a 3 year old is engaging in explicitly sexual behavior during doll play?

a. the child is exhibiting normal pre-school curiosity
b. the child is acting out personal experiences
c. the child does not know how to play with dolls
d. the child is probably developmentally delayed.

A

a. the child is exhibiting normal pre-school curiosity

21
Q

Nurse tinio should expect a 3 year old child to be able to perform which action?

a. hide a tricycle
b. tie the shoelaces
c. roller skates
d. jump rope

A

a. hide a tricycle

22
Q

Which of the following suggestions should the nurse offer the parents of a 4 year old boy who resists going to bed at night

a. allow him to fall asleep in your room, then move his own bed
b. tell him that you will him in his room if he gets out of bed one more time.
c. encourage active play at bedtime to tire himo out so he will fall asleep faster
d. read him a story and allow him to play quietly in his bed until he falls asleep.

A

d. read him a story and allow him to play quietly in his bed until he falls asleep.

23
Q

A mother of 3 year old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. the nurse most appropriately tells the mother to:

a. punish the child every time the child says no to change behavior
b. allow the behavior this is normal at this age period
c. set limits on the child/s behavior
d. ignore the child when this behavior occurs

A

c. set limits on the child/s behavior

24
Q

A nurse is preparing to care for a 5 year old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child?

a. large picture books
b. a radio
c. crayons and coloring book
d. a sports video

A

c. crayons and coloring book

25
Q

You see a group of children working together to build a sand castle. What type of play is this?

a. parallel
b. cooperative
c. associative
d. solidary

A

b. cooperative

26
Q

Which stage of development is most unstable and challenging regarding development of personal identity

a. adolescence
b. toddlerhood
c. childhood
d. infance

A

a. adolescence

27
Q

A 4 year old is hospitalized for the treatment of a brain tumor. As the nurse you know that a preschooler would struggle with which of the following issues during the hospitalization?

a. separation anxiety
b. loss of control
c. loss of relationship with peers
d. negativism

A

b. loss of control

28
Q

You’re developing a plan of care for a 3 year old that includes play activities. What type of play does a child participate in at this age?

Parallel
Cooperative
Associative
Solidary

A

Associative

29
Q

What is an example of animism in a 3-year-old child? select the most appropriate option below:

a. the child leaves the IV on while she plays outside so her doll wont become bored
b. the child dresses up in a doctor outfit
c. the child uses a stick as a sword to slay dragons
d. the child copies her mother by putting on jewelry and high heels

A

a. the child leaves the IV on while she plays outside so her doll wont become bored

30
Q

You need to start an IV on a 4 year old. Select the appropriate interventions to perform before starting the IV to help the preschooler cope with this procedure. Except

a. be honest with the child about what to expect with starting the IV
b. Have a doll available that the child can start an IV on
c. Give the child privacy and direct the parents to the waiting room while the IV is started
d. Encourage the answer all the child’s questions before starting the IV

A

b. Have a doll available that the child can start an IV on

31
Q

When assessing the development of a 5 year old. Which of the following are FINE motor skills a child should perform at this age? EXCEPT:

a. Use blunt tip scissors
b. skip
c. copy triangles and circles
d. print their first name

A

b. skip

32
Q

A 3 year old was hospitalize and her parents need to leave her in the hospital for some time, what will be observed to the child as protes to separation anxiety?

A. loud crying that is inconsolable
b. Withdrawn and sullen
c. crying quietly and acting out
d. happy and content

A

c. crying quietly and acting out

32
Q

According to Piaget’s theory of development what stage is a preschooler?

a. preoperational
concrete operational
formal operational
sensorimotor

A

a. preoperational

33
Q

Which statement below is TRUE regarding a 5 year old’s cognitive development based on Piaget’s Theory?

a. The goal of this stage is to achieve the understanding of object permanence
b. this child now has the ability to think logically about events
c. this child thinking is still egocentric and they cant understand the point of views of others
d. this child has the ability to create hypothetical arguments

A

c. this child thinking is still egocentric and they cant understand the point of views of others

34
Q

Gabby is a 4 year old. According to Erickson’s stages of psychosocial development the child should develop __ by the end of their developmental stage

a. purpose
b. autonomy
c. trust
d. competence

A

a. purpose

35
Q

When considering Erickson’s stage of psychosocial development for a 3 year old which action below would potentially hinder a child’s development?

Giving the child freedom to try new things
offering options of play that are imaginary
accepting reasonable choices made by the child
making choices and decisions for the child

A

making choices and decisions for the child