Question 1

Toddlers are famous for throwing "temper tantrums" when they do not get their way or get their needs and wants met immediately. When such tantrums occur, it is best for a nurse to
A) Offer the toddler some ice cream if he or she calms down.
B) Meet the toddler's needs and wants immediately.
C) Remove the toddler to a quiet place away from the situation.
D) Scold the toddler in a stern tone of voice.

Accepted Answer

The best option when a toddler is throwing a temper tantrum is to remove them from the situation and take them to a quiet place to calm down. This helps to prevent further escalation of the situation and allows the toddler to calm down without the distractions of the environment. Offering treats or scolding the toddler may reinforce negative behavior or make the tantrum worse. Meeting their needs and wants immediately may also reinforce poor behavior and create unrealistic expectations.

Question 2

Adolescence includes a period of rapid growth referred to as puberty. During this period, girls develop breasts and boys develop facial hair. A nurse identifies these changes as a normal stage of
A) Physical development.
B) Psychosocial development.
C) Cognitive development.
D) Moral development.

Accepted Answer

Puberty and the physical changes that occur during this period are part of physical development, which involves changes in the body, including growth, maturation, and reproductive capacity.

Question 3

When helping teens understand how to prevent accidents and injuries, a nurse should caution them about which of the following?
A) Experimentation
B) Water safety
C) Internet social networking
D) Stranger danger
E) Firearms

Accepted Answer

The answer of When helping teens understand how to prevent...

Question 4

A young couple that is about to start a family is discussing motor vehicle safety with a nurse. The nurse intervenes when one of them says:
A) "Motor vehicle accidents are a cause of injury and death among toddlers."
B) "Vigilance must be used when driving in areas where toddlers may be playing."
C) "The use of a car seat becomes optional once the child grows out of the infant stage."
D) "I always look for small children when I am backing up or pulling into a driveway."

Accepted Answer

The use of a car seat is not optional after a child grows out of the infant stage. Children should use a car seat or booster seat appropriate for their size and age until they are big enough to use the vehicle's seat belt properly.

Question 5

An instructor is teaching students the importance of understanding the changes brought about by aging that are not indicative of disease. The instructor points out that additional instruction is required when a student says:
A) "Men and women will no longer have a need for sexual intimacy."
B) "Blood flow and oxygen use in the brain will decrease."
C) "There will be a decrease in bone density."
D) "Bladder capacity will decrease because of loss of muscle tone."

Accepted Answer

The statement that sexual intimacy is no longer necessary is incorrect, as many older adults continue to engage in sexual activity and desire intimacy. It is important for the instructor to address any misconceptions and provide accurate information on aging and sexual health.

Possible additional answer:
Answer: B 
 While aging can lead to changes in blood flow and oxygen use in the brain, this is a normal part of the aging process and does not necessarily indicate disease. It is important for the instructor to distinguish between normal aging changes and those that may be indicative of pathology or cognitive decline.

Question 6

According to Piaget, young school-age children, up to age 7 years, are making a transition to concrete operational thought. A nurse identifies that an example of this would be
A) A child, upon hearing a parent arrange for a babysitter, becoming upset because it means his or her parents are going to leave for the evening.
B) A child becoming more secure about the limits of his or her acceptable behavior.
C) A child no longer believing that an adult dressed in a mouse suit is a giant mouse.
D) A child becoming interested in politics, environmental issues, and social justice.

Accepted Answer

According to Piaget, the transition to concrete operational thought involves the ability to understand concrete objects and events. Therefore, a child who no longer believes that an adult dressed in a mouse suit is a giant mouse is demonstrating an understanding of the difference between appearance and reality, which is a characteristic of concrete operational thought. Choices A, B, and D do not necessarily reflect the transition to concrete operational thought.

Question 7

An elderly male patient is displaying a fearful attitude toward the nurse. The patient has multiple unexplained bruises, and several old fractures appear on his x-ray that were never treated. The nurse suspects that
A) The patient may have been abused by a caregiver.
B) The patient may be suffering from poor balance.
C) The patient may have been injured on the job.
D) The patient may have dementia.

Accepted Answer

The combination of unexplained bruises and untreated fractures, along with the patient's fearful attitude, strongly suggests that the patient may be a victim of abuse. This should be immediately reported to the proper authorities for investigation. Poor balance or dementia could be contributing factors, but do not fully explain the signs of possible abuse. Job-related injuries would likely have been treated appropriately.

Question 8

A nurse is caring for a 13-year-old adolescent girl. The patient is complaining of cramps and has stained her sheets with blood. She is scared and crying because this has never happened to her before. The nurse identifies this as ____________________, or the beginning of the patient's menstrual periods and reassures the patient.

Accepted Answer

The answer of A nurse is caring for a 13-year-old...

Question 9

The mother of a 9-year-old boy becomes concerned when he will not stop crying or clinging to her. A nurse explains to the mother that the child may be showing signs of ____________________, or a returning to earlier behaviors that may occur in school-age children when they feel insecure and threatened by treatments.

Accepted Answer

The answer of The mother of a 9-year-old boy becomes...

Question 10

A nursing instructor is explaining safety issues for preschoolers and school-age children. The instructor realizes that a student requires additional instruction when the student begins focusing on
A) Playground safety.
B) Choking prevention.
C) Stranger danger.
D) Water safety.

Accepted Answer

Choking prevention is more crucial for infants and toddlers than for preschoolers and school-age children, as older children have better control over chewing and swallowing. The other options (playground safety, stranger danger, and water safety) are directly relevant to the safety of preschoolers and school-age children.

Question 11

When caring for a hospitalized adolescent, a nurse should do which of the following?
A) Talk down to the adolescent.
B) Treat the adolescent with respect.
C) Encourage peers to visit.
D) Insist that a parent be present during examinations and procedures.
E) Assume that the adolescent has no knowledge of his or her illness.

Accepted Answer

Adolescents should be treated with respect to foster a trusting relationship, and peer visits can provide emotional support.

Question 12

The mother of a 9-year-old boy is concerned that her son is gaining weight too quickly for his age. The nurse explains to the mother that between the ages of 5 and 12, her child should be gaining
A) 2 to 4 pounds per year.
B) 4 $\frac {1} {2} $ to 6 $\frac {1} {2} $ pounds per year.

C) 7 $\frac {1} {2} $ to 10 pounds per year.

D) 9 $\frac {1} {2} $ to 12 pounds per year.

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), between the ages of 5 and 12, children should be gaining an average of 4 $\frac {1} {2} $ to 6 $\frac {1} {2} $ pounds per year. This range allows for healthy growth and development without excessive weight gain. Option A is too low, while options C and D are too high.

Question 13

While educating a class of nursing students, an instructor teaches that growth occurs in which of the following patterns?
A) Orderly
B) Predictable
C) Disorganized
D) Proximodistal
E) Cephalocaudal

Accepted Answer

Growth occurs in an orderly and predictable manner, following specific patterns such as proximodistal (from the center of the body outward) and cephalocaudal (from head to toe).

Question 14

When a nurse sees an infant picking up items and immediately putting them in his or her mouth, the nurse identifies that the infant is encouraging cognitive development through
A) Egocentric experiences.
B) Sensorimotor experiences.
C) Formal operational thinking.
D) Concrete operational thought.

Accepted Answer

The infant picking up items and putting them in their mouth is engaging in sensorimotor experiences. This is when they learn about the world through their senses and actions, and is a way to encourage cognitive development. Egocentric experiences involve viewing the world only from one's own perspective and are more common in early childhood, while formal and concrete operational thinking are stages of cognitive development that occur later in life.

Question 15

A nurse witnesses a young patient watching his older sibling and then imitating everything the older sibling does. The nurse identifies this as an example of the cognitive development of
A) Infants.
B) School-age children.
C) Toddlers.
D) Adolescents.

Accepted Answer

Toddlers are in the stage of cognitive development where they imitate others as an important part of their learning process. This is known as the sensorimotor stage, which occurs from birth to around 2 years of age. During this period, children learn through their senses and motor activities, and imitation plays a crucial role in their learning process. They learn by watching others, imitating their actions, and figuring out the outcome of their own actions. This helps toddlers develop their cognitive and social skills.

Question 16

A nurse explains to the parents of a newborn baby that their child possesses several automatic responses controlled by the central nervous system, called ____________________, that help the baby survive.

Accepted Answer

The answer of A nurse explains to the parents of...

Question 17

A young adult is bragging to a nurse that she never gets sick and has not needed to see a doctor for years. The nurse explains to the patient that even when she feels healthy, she should have physical examinations and screenings
A) Every 6 months.
B) Once a year.
C) Every other year.
D) Every 5 years.

Accepted Answer

While the frequency of physical examinations and screenings may vary depending on age, family history, and individual health status, the general recommendation is to have an annual check-up with a healthcare provider. This allows for early detection and prevention of potential health problems, even if the individual feels healthy at the moment.

Question 18

Children in preschool often learn from pretending, role-playing, and exploring the identities of adults in various positions, such as nurses, doctors, teachers, police, firefighters, and others who serve as role models. A nurse identifies this type of behavior is an example of
A) Cognitive development.
B) Moral development.
C) Psychosocial development.
D) Physical development.

Accepted Answer

This type of behavior is an example of psychosocial development, where children explore social roles and relationships, often through role-playing and pretending, which helps them understand social dynamics and develop their identity.

Question 19

A nurse explains to young parents that adolescence is a time of conflict, and that wise parents expect older adolescents to pull away, to be somewhat critical of them, and to feel ____________________ toward them, or have opposing feelings about them.

Accepted Answer

The answer of A nurse explains to young parents that...

Quiz 9: Growth and Development Throughout the Lifespan

Toddlers are famous for throwing "temper tantrums" when they do not get their way or get their needs and wants met immediately. When such tantrums occur, it is best for a nurse to

Adolescence includes a period of rapid growth referred to as puberty. During this period, girls develop breasts and boys develop facial hair. A nurse identifies these changes as a normal stage of

When helping teens understand how to prevent accidents and injuries, a nurse should caution them about which of the following?

A young couple that is about to start a family is discussing motor vehicle safety with a nurse. The nurse intervenes when one of them says:

An instructor is teaching students the importance of understanding the changes brought about by aging that are not indicative of disease. The instructor points out that additional instruction is required when a student says:

According to Piaget, young school-age children, up to age 7 years, are making a transition to concrete operational thought. A nurse identifies that an example of this would be

An elderly male patient is displaying a fearful attitude toward the nurse. The patient has multiple unexplained bruises, and several old fractures appear on his x-ray that were never treated. The nurse suspects that

A nursing instructor is explaining safety issues for preschoolers and school-age children. The instructor realizes that a student requires additional instruction when the student begins focusing on

When caring for a hospitalized adolescent, a nurse should do which of the following?

The mother of a 9-year-old boy is concerned that her son is gaining weight too quickly for his age. The nurse explains to the mother that between the ages of 5 and 12, her child should be gaining

While educating a class of nursing students, an instructor teaches that growth occurs in which of the following patterns?

When a nurse sees an infant picking up items and immediately putting them in his or her mouth, the nurse identifies that the infant is encouraging cognitive development through

A nurse witnesses a young patient watching his older sibling and then imitating everything the older sibling does. The nurse identifies this as an example of the cognitive development of

A nurse explains to the parents of a newborn baby that their child possesses several automatic responses controlled by the central nervous system, called ____________________, that help the baby survive.

A young adult is bragging to a nurse that she never gets sick and has not needed to see a doctor for years. The nurse explains to the patient that even when she feels healthy, she should have physical examinations and screenings

Children in preschool often learn from pretending, role-playing, and exploring the identities of adults in various positions, such as nurses, doctors, teachers, police, firefighters, and others who serve as role models. A nurse identifies this type of behavior is an example of

A nurse explains to young parents that adolescence is a time of conflict, and that wise parents expect older adolescents to pull away, to be somewhat critical of them, and to feel ____________________ toward them, or have opposing feelings about them.