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Q.1)	A mother complains that her 13-year-old has started to grow rapidly, and asks the nurse if this is normal and how long it will last. The best nursing response is:

A.	"This is unusual at this age, and a physician should be contacted."

B.	"This is normal, but will only last a few months."

C.	"This is normal and can last until about age 20."

D.	"This is normal and can last until about age 18."

E.	"This is normal, but growth should be completed by about age 15 or 16."

Q.2)	A 21-year-old who has just graduated from college has had a serious automobile accident and faces many months of hospitalization and rehabilitation. The nurse, in planning care, recognizes that according to Havighurst, this client may delay or have difficulty with successful accomplishment of which developmental task?

A.	Selecting a mate and getting started in an occupation

B.	Exhibiting socially responsible behavior and developing an ethical system of behavior

C.	Developing a conscience and developing appropriate masculine or feminine role

D.	Selecting an occupation and developing intellectual skills necessary for civic competence

E.	all are correct

Q.3)	A mother is frustrated because her 2½-year-old is not toilet trained and will not use the potty when placed on it. What suggestion by the nurse is most appropriate?

A.	Do not let the child off the potty until stool or urine is evacuated

B.	Do not try to toilet-train the child, as it is too early.

C.	Give the child a laxative and place on the potty in 30 minutes

D.	Make up a game to encourage the child to want to use the potty

E.	all all correct

Q.4)	The nurse is developing a teaching plan for a 9-year-old female client who is diabetic. Which actions would be appropriate, according to Piaget?

A.	Teaching size of food portions and importance of timing snacks and meals

B.	Discussing future hazards of pregnancy for diabetic mothers

C.	Using hand puppets to teach proper nutrition

D.	Using hypothetical problem situations to teach potential problem solving

E.	all are correct

Q.5)	A mother expresses concern to the nurse regarding her 5-year-old child's development. She says: "I read Erikson and Piaget, and my child does not seem to be on target. Also, my neighbor's child seems more advanced. My doctor says not to worry, but I do." The best nursing response is:

A.	"You are right to be concerned. Your child should meet all the guidelines for the age."

B.	"Tell me exactly what your child is or is not doing that causes you concern."

C.	"I wouldn't worry. All children progress at their own rate."

D.	"Your child will probably catch up with more age."

E.	both a and b are correct

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