Nurse Ls Ch15 - T3 - Quiz & Trivia

1. The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?

“Growth means adding height and weight to your body.”

“We continue to grow in various ways throughout life.”

“How much we grow is based on gender.”

“Growth stops when we are young adults.”

Growth, in some form, continues throughout life, not just during puberty. Not all growth is based on gender. Growth indicates more than a change in height and weight.

Explanation

Growth, in some form, continues throughout life, not just during puberty. Not all growth is based on gender. Growth indicates more than a change in height and weight.

2. The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child's weight?

The infant is gaining weight faster than anticipated.

The infant is malnourished.

The infant is at the expected weight for his or her age.

The infant is having a growth spurt.

A 1-year-old infant is expected to have at least doubled his or her weight by 12 months of age.

Explanation

A 1-year-old infant is expected to have at least doubled his or her weight by 12 months of age.

3. Which of the following statements is correct related to the concept of growth

Growth occurs mainly during early childhood.

Older adults do not experience growth-related changes.

Growth refers only to the increase in the size of specific organs and systems.

Growth occurs throughout the life cycle.

People experience developmental transitions throughout life, not just during times of rapid physical growth. Growth changes that take place in young, middle-aged, and older adults should be noted. People who think of growth only as it applies to infants, children and adolescents are missing important changes from conception throughout adulthood.

Explanation

People experience developmental transitions throughout life, not just during times of rapid physical growth. Growth changes that take place in young, middle-aged, and older adults should be noted. People who think of growth only as it applies to infants, children and adolescents are missing important changes from conception throughout adulthood.

4. A mother comes to the pediatric clinic and says to the nurse, "I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?" Which of the following statements should the nurse make?

“All babies reach developmental milestones at different rates.”

“This may be something to worry about. I’ll have the doctor examine him.”

“Don’t worry; he’ll crawl soon enough.”

Although developmental milestones follow a predictable pattern, each child develops at his or her own rate. Telling the mother not to worry is not answering her question.

Explanation

Although developmental milestones follow a predictable pattern, each child develops at his or her own rate. Telling the mother not to worry is not answering her question.

5. The nurse is caring for a person who donated a kidney to a stranger in need. According to Gilligan's stages of moral development, the person who donated the kidney is in which of the following stages?

Preconventional

Conventional

Postconventional

Midconventional

Characteristics of the conventional stage of Gilligan’s stages of moral development include sacrifice to fulfill the needs of others.

Explanation

Characteristics of the conventional stage of Gilligan’s stages of moral development include sacrifice to fulfill the needs of others.

6. A nurse who is conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Which of the following responses should be made by the nurse?

“Day care centers that schedule age-appropriate educational videos increase verbal ability.”

“Human interaction increases a toddler’s verbal skills, so select a day care center that values adult-to-toddler interaction.”

Research has demonstrated that toddlers who are exposed to videos and DVDs have a more limited vocabulary than toddlers who interact with caregivers.

Explanation

Research has demonstrated that toddlers who are exposed to videos and DVDs have a more limited vocabulary than toddlers who interact with caregivers.

7. A nurse is teaching parents of a toddler about nutrition. Which of the following statements should be made by the nurse?

“Raisins are a good finger food because they provide fiber.”

“Grapes are a good snack choice because they help toddlers meet their daily fruit requirements.”

“Hot dogs are not a safe food choice because they may cause choking.”

Raisins, grapes, and chewing gum all pose a choking hazard and should not be given to toddlers.

Explanation

Raisins, grapes, and chewing gum all pose a choking hazard and should not be given to toddlers.

8. A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the child's growth?

Use serial measurements over time.

Use this measurement.

Use this measurement and compare it with the child’s peers.

Use the WHO growth chart to assess this child’s measurements.

When assessing growth data for use in growth charts, it is important to remember that a single measurement taken at one point in time, although helpful in providing a baseline, does not allow for the best assessment of a child’s growth. Serial measurements, plotted on a growth chart over time, best reflect a child’s pattern of growth.

Explanation

When assessing growth data for use in growth charts, it is important to remember that a single measurement taken at one point in time, although helpful in providing a baseline, does not allow for the best assessment of a child’s growth. Serial measurements, plotted on a growth chart over time, best reflect a child’s pattern of growth.

9. A nurse is caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Which of the following nursing interventions would be appropriate for this person?

Sharing a personal story with the person to demonstrate empathy

Assuring the person that he or she will be able to cope with the illness

Encouraging the person to discuss his or her fears

Contacting a support group representative for the person

It is not appropriate to discuss personal issues with an individual. Assuring the individual what he or she will be able to cope with is not appropriate because it does not encourage the person to talk about his or her fears. It is not appropriate to contact a support group without the person’s permission. The person may not be ready to discuss the issue with strangers. The correct response is part of grief work facilitation: helping another cope with painful feelings of actual or perceived responsibility.

Explanation

It is not appropriate to discuss personal issues with an individual. Assuring the individual what he or she will be able to cope with is not appropriate because it does not encourage the person to talk about his or her fears. It is not appropriate to contact a support group without the person’s permission. The person may not be ready to discuss the issue with strangers. The correct response is part of grief work facilitation: helping another cope with painful feelings of actual or perceived responsibility.

10. Kohlberg's theory of moral development is based on:

Erikson’s theory of psychosocial development

Piaget’s theory of cognitive development

Vygotsky’s theory of cognitive development

Gilligan’s theory of moral development

Kohlberg’s theory of moral development is based on Piaget’s theory of cognitive development.

Explanation

Kohlberg’s theory of moral development is based on Piaget’s theory of cognitive development.

11. Which of the following statements describes Erikson's theory of development?

A healthy personality is defined by the lack of pathology.

Stages of development advance based on psychosocial factors.

An individual must successfully accomplish the developmental stage before proceeding to the next stage.

Erikson’s theory of development is based on the need of each person to develop a sense of trust in self and others and a sense of personal worth. Each stage depends on the preceding stage, which must be accomplished successfully for the person to proceed. Although the environment and others may influence development, it is primarily an individual task. A person may regress to an earlier stage during times of stress.

Explanation

Erikson’s theory of development is based on the need of each person to develop a sense of trust in self and others and a sense of personal worth. Each stage depends on the preceding stage, which must be accomplished successfully for the person to proceed. Although the environment and others may influence development, it is primarily an individual task. A person may regress to an earlier stage during times of stress.

12. A child is focused on peer approval and avoidance of "not fitting in." According to Kohlberg, this child is experiencing which of the following stages of moral development?

Preconventional

Conventional

Postconventional

Preoperational

The goal of the conventional stage is gaining approval and avoiding disapproval. The goal of the preconventional stage is avoiding punishment and gaining reward, while the goal of the postconventional stage is agreeing upon rights, establishing personal moral standards, and achieving justice.

Explanation

The goal of the conventional stage is gaining approval and avoiding disapproval. The goal of the preconventional stage is avoiding punishment and gaining reward, while the goal of the postconventional stage is agreeing upon rights, establishing personal moral standards, and achieving justice.

13. Which of the following statements summarizes Vygotsky's theory of development?

All children develop cognitively at the same rate.

Social and cultural influences are not major factors in cognitive development.

Learning is an individual activity.

Experience creates learning.

Vygotsky’s theory of development stresses that social and cultural influences can have a major impact on learning. He felt that cognitive development was dependent on exposure to many life experiences, was influenced by interaction with others, and did not proceed according to predetermined stages.

Explanation

Vygotsky’s theory of development stresses that social and cultural influences can have a major impact on learning. He felt that cognitive development was dependent on exposure to many life experiences, was influenced by interaction with others, and did not proceed according to predetermined stages.

14. A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson's theory of human development, which of the following developmental conflicts is this student facing?

Initiative versus guilt

Industry versus inferiority

Identity versus role confusion

Intimacy versus isolation

According to Erikson, a preschool child has a developmental conflict between initiative and guilt, a school-age child has a developmental conflict between industry and inferiority, and a young adult has a developmental conflict between intimacy and isolation. An adolescent has a developmental conflict between identity and role confusion.

Explanation

According to Erikson, a preschool child has a developmental conflict between initiative and guilt, a school-age child has a developmental conflict between industry and inferiority, and a young adult has a developmental conflict between intimacy and isolation. An adolescent has a developmental conflict between identity and role confusion.

15. The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assessing children in first through fifth grades?

Generic body mass index chart

Height and weight chart

Revised CDC growth chart

WHO international growth chart

The CDC recommends the revised 2000 CDC growth charts (including the BMI and the 3rd and 97th percentile) be used for children aged 2 to 20 years.

Explanation

The CDC recommends the revised 2000 CDC growth charts (including the BMI and the 3rd and 97th percentile) be used for children aged 2 to 20 years.

16. A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (select all that apply)

Have a better understanding of genetics and genomics

Can meet the requirements of Healthy People 2010

Can provide more effective health education

Can deliver anticipatory guidance to families

Genetics and genomics is an important part of our age of technology; understanding growth and development aids in the understanding of these topics as well. Health education is more effective when the nurse acknowledges and incorporates growth and developmental needs as well as the individual’s prior understanding of beliefs about health and health-related concepts. Health promotion is an important part of Healthy People 2010, but there are no requirements within this document that nurses need to be educated about growth and development.

Explanation

Genetics and genomics is an important part of our age of technology; understanding growth and development aids in the understanding of these topics as well. Health education is more effective when the nurse acknowledges and incorporates growth and developmental needs as well as the individual’s prior understanding of beliefs about health and health-related concepts. Health promotion is an important part of Healthy People 2010, but there are no requirements within this document that nurses need to be educated about growth and development.

Submit

17. According to Piaget's theory of cognitive development, which of the following statements is correct?

Cognitive function continues to become refined throughout life.

A child’s greatest task is to make sense of the world around him or her.

Culture plays a major role in cognitive development.

Learning precedes development.

Piaget theorized that cognitive development was complete by about age 15. He did not factor the effects of culture into his theory and felt that learning followed cognitive development.

Explanation

Piaget theorized that cognitive development was complete by about age 15. He did not factor the effects of culture into his theory and felt that learning followed cognitive development.

18. Which of the following statements about Gilligan's theory of moral development is accurate?

This theory is based on a sense of absolute right and wrong.

This theory is gender specific.

This theory is dependent on one’s stage of cognitive development.

This theory is based on the premise that women view situations in terms of rules.

Gilligan’s theoretical work is based on women’s moral development. Kohlberg postulated that men view situations in terms of justice and rules, and that moral development depends on cognitive development.

Explanation

Gilligan’s theoretical work is based on women’s moral development. Kohlberg postulated that men view situations in terms of justice and rules, and that moral development depends on cognitive development.

19. A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion? (select all that apply)

Trends in childhood obesity

Availability of a well-balanced diet

Exposure to lead-based pain

Height/weight of relatives

A well-balanced diet will help assure that the child reaches his or her growth potential. Lead poisoning, an environmental exposure, remains a significant threat to today’s children. Genetic factors greatly influence growth and development.

Explanation

A well-balanced diet will help assure that the child reaches his or her growth potential. Lead poisoning, an environmental exposure, remains a significant threat to today’s children. Genetic factors greatly influence growth and development.

Submit

20. The school nurse is conducting an in-service program for teachers that discusses the development of elementary school children. According to Piaget's theory of cognitive development, which of the following information would the nurse include? (select all that apply)

Use abstract thought to discuss a story.

Make moral decisions concerning right and wrong actions.

Listen to a peer’s point of view about a playground situation.

Be influenced by his or her friends.

Children age 7 to 11 are in the concrete operations stage of development according to Piaget. They are influenced by friends and can listen to and think about a peer’s point of view. Moral decision making and use of abstract thought occur during the formal operations stage of development, usually between the ages of 11 and 15 years.

Explanation

Children age 7 to 11 are in the concrete operations stage of development according to Piaget. They are influenced by friends and can listen to and think about a peer’s point of view. Moral decision making and use of abstract thought occur during the formal operations stage of development, usually between the ages of 11 and 15 years.

Submit