Growth And Development | NCLEX Quiz 196

1. Which stage of development is most unstable and challenging regarding the development of personal identity?

Adolescence

Toddlerhood

Childhood

Infancy

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Explanation

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2. Which age group would have a tendency towards eating disorders?

Adolescence

Toddler hood

Childhood

Infancy

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Explanation

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3. One of the participants attending a parenting class asks the teacher "what is the leading cause of death during the first month of life?

Congenital Abnormalities

Low birth weight

SIDS

Infection

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Explanation

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4. Which age group has the greatest potential to demonstrate regression when they are sick?

Adolescent

Young Adult

Toddler

Infant

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Explanation

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5. Which is a major concern when providing drug therapy for older adults?

Alcohol is used by older adults to cope with the multiple problems of aging

Hepatic clearance is reduced in older adults

Older adults have difficulty in swallowing large tablets

Older adults may chew on tablets instead of swallowing them.

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Explanation

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6. When assessing an older adult.. the nurse may expect an increase in:

Nail growth

Skin turgor

Urine residual

Nerve conduction

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Explanation

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7. The mother of a three (3)-year-old is concerned because her child still is insisting on a bottle at nap time and bedtime. Which of the following is the most appropriate suggestion to the mother?

Do not allow the child to have the bottle

Allow the bottle during naps but not at bedtime

Allow the bottle if it contains juice

Allow the bottle if it contains water

If a bottle is allowed at naptime or bedtime. it should contain only water.Options A. B. and C: A toddler should never be allowed to fall asleep with a bottle containing milk. juice. soda. or sweetened water because of the risk or nursing caries.

Explanation

If a bottle is allowed at naptime or bedtime. it should contain only water.Options A. B. and C: A toddler should never be allowed to fall asleep with a bottle containing milk. juice. soda. or sweetened water because of the risk or nursing caries.

8. The parents of a two (2)-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom. the child does not readily approach the parents. The nurse interprets this behavior as indicating that:

The child is withdrawn

The child is self-centered

The child has adjusted to the hospitalized setting

This is a normal pattern

The phases through which young children progress when separated from their parents include protest. despair. and denial or detachment. In the stage of protest. when the parents return. the child readily goes to them. In the stage of despair. the child may not approach them readily or may cling to a parent. In denial or detachment. when the parents return. the child becomes cheerful. interested in the environment and new persons (seemingly unaware of the lost parents). friendly with the staff. and interested in developing superficial relationships.

Explanation

The phases through which young children progress when separated from their parents include protest. despair. and denial or detachment. In the stage of protest. when the parents return. the child readily goes to them. In the stage of despair. the child may not approach them readily or may cling to a parent. In denial or detachment. when the parents return. the child becomes cheerful. interested in the environment and new persons (seemingly unaware of the lost parents). friendly with the staff. and interested in developing superficial relationships.

9. A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory. the nurse would instruct the mother to

Allow the newborn infant to signal a need

Anticipate all of the needs of the newborn infant

Avoid the newborn infant during the first 10 minutes of crying

Attend to the newborn infant immediately when crying

According to Erikson. the caregiver should not try to anticipate the newborn infant’s needs at all times but must allow the newborn infant to signal needs. If a newborn is not allowed to signal a need. the newborn will not learn how to control the environment. Erikson believed that a delayed or prolonged response to a newborn’s signal would inhibit the development of trust and lead to mistrust of others.

Explanation

According to Erikson. the caregiver should not try to anticipate the newborn infant’s needs at all times but must allow the newborn infant to signal needs. If a newborn is not allowed to signal a need. the newborn will not learn how to control the environment. Erikson believed that a delayed or prolonged response to a newborn’s signal would inhibit the development of trust and lead to mistrust of others.

10. The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first? The client

Demonstrates the relaxation response when asked.

Verbalizes the underlying cause of the disorder.

Rides the elevator in the company of the nurse.

Role plays the use of an elevator.

Being consistent and setting limits on the child’s behavior are the necessary elements.Options A and D: Saying things like “no” or “mine” and having temper tantrums are common during this period of development.Option B: According to Erikson. the child focuses on independence between ages 1 and 3 years. Gaining independence often means that the child has to rebel against the parents’ wishes.

Explanation

Being consistent and setting limits on the child’s behavior are the necessary elements.Options A and D: Saying things like “no” or “mine” and having temper tantrums are common during this period of development.Option B: According to Erikson. the child focuses on independence between ages 1 and 3 years. Gaining independence often means that the child has to rebel against the parents’ wishes.