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📋 DOCUMENT OVERVIEW 58 Qs
This document, "NR605 Week 8," covers various nursing topics including psychotherapy with older
adults, child development, motivational interviewing with children and adolescents, parent training, and
elder abuse screening. The document provides 58 questions with correct answers, allowing students to
review and understand key concepts in these areas. By studying this document, students can reinforce
their knowledge and prepare for exams, with the pre-provided answers serving as a valuable resource
for review and comprehension of the subject matter.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
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EXAM QUESTIONS
QUESTION 1
Psychotherapy with older adults considerations
CORRECT ANSWER
-higher prevalence of dementia
•raises need for neuropsychological screening
-higher prevalence of medical disorders
• req careful consideration of physical causes of symptoms & effects of meds
QUESTION 2
Child Development:
CORRECT ANSWER
-Physical Development
• by three months, infants can lift their heads and clasp their hands
• by six months, they may roll over, sit with support, and reach for objects and transfer them from hand to
hand
• by one year, infants can stand and start to take steps
• by one year, birth weight triples and height increases by 50%
-Cognitive and Language Development
• by two months, infants start to coo
• by six months, infants begin to babble
• by nine months, infants imitate sounds and know their name
• by one year, infants begin to say words and can follow one-step commands
-Psychosocial Development
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, • by four months, infants socially smile
• by six months, infants enjoy their reflection in a mirror.
• by nine months, infants enjoy peekaboo and often develop stranger anxiety
-Health History
• obtain information from the parent or caregiver observation and report of infant behavior and activity
-Physical Exam
• perform as much of the exam with the infant in parent or caregiver's lap as possible
• keep familiar toys or blankets with infant
• feed hungry infants before examining them
• use a toy or object or play for distraction
-Health Promotion
• administer immunizations per the recommended schedule
• newborn screens: genetic and metabolic screening; hearing screen, screen for congenital heart disease;
bilirubin screening
• anticipatory guidance: illness prevention; anticipated growth and development; and when to call for
advice
QUESTION 3
Child Development: Toddler (1 to 4 years)
CORRECT ANSWER
-Physical Development
• after age 2, growth is about 5 centimeters (cm) and gain about 2-3 kilograms (kg) per year
• gross motor skills develop from walking to running, jumping, climbing, and riding a tricycle
• fine motor skills develop from beginning to feed self, to scribbling, to drawing a person and writing
letters
-Cognitive and Language Development
• by two years, toddlers can speak in two to three-word sentences and have a vocabulary of up to 300
words
• by four years, preschoolers form complex sentences
-Psychosocial Development
• toddlers develop from pretend play, to parallel play, to actual play
• toddlers have a desire for independence
• toddlers are impulsive with poor self-regulation and may have temper tantrums
-Health History
• obtain information from the parent or caregiver observation and report of toddler behavior and activity
• during the health history assessment, the nurse practitioner (NP) can establish rapport with the child
and parent or caregiver
-Physical Exam
• toddlers may be alarmed at the examiner and may be uncooperative
• engage children in age-appropriate conversation to gain trust
• complete most of the exam with the child in the parent or caregiver's lap
• when examining siblings during the same appointment, approach the oldest child first because they may
be more cooperative
• conduct the exam with the least distressing procedures (i.e., eyes and neck) to the most distressing
procedures (i.e., throat and ears)
• utilize patience, distraction, and play
-Health Promotion
• administer immunizations per the recommended schedule
• injury and illness prevention: use of car seats, tobacco exposure, supervision
• nutrition and exercise: obesity assessment, healthy meals, and snacks
• oral health: teeth brushing and dental visits
• screening tests: vision starting at age 3; hearing starting at age 4; hematocrit and lead (if high risk)
QUESTION 4
Child Development: Children (5 to 10 years)
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, CORRECT ANSWER
-Physical Development
• develops enhanced strength and coordination
• growth is steady but slower
-Cognitive Development
• become more "concrete operational" and are capable of limited logic and more complex learning
• focus on the present and achievement of knowledge and skills
-Psychosocial Development
• desire to "fit in" evolving self-identity and self-esteem
• development of belief in their ability to thrive in different situations
-Health History
• obtain information from both the child and the parent or caregiver
• during the health history assessment, the NP can establish rapport with the child and parent or caregiver
• engage in conversation by discussing what interests them, such as favorite toys, books, or television
shows
-Physical Exam
• parents or caregivers of children younger than 11 should stay in the room
-Health Promotion
• administer immunizations per the recommended schedule
• discuss experience at school, with peers, and social activities
• healthy habits: nutrition, exercise, reading, sleep, screen time5
QUESTION 5
Child Development: Adolescents (11 years to adult)
CORRECT ANSWER
-Physical Development
• age of onset and duration of puberty vary widely; however, the stages follow the same sequence
• puberty typically occurs for girls around age 10 through 14 years
• puberty typically occurs for boys around age 11 through 16 years
-Cognitive Development
• progress from concrete to formal operational thinking
• can reason logically and abstractly to consider the future implications of actions
-Psychosocial Development
• the transition from primarily family influences to more autonomy and influence by friends
• challenges related to identity, independence, and intimacy
• establishing a supportive and nonjudgmental relationship may all lesbian, gay, bisexual, transgender, or
queer youths to openly discuss sexual identity and/or concerns
-Health History
• utilize a comfortable and confidential environment
• informally discuss friends, school, and activities using specific questions to build trust and rapport, then
transition to more open-ended questions
• a valuable technique to elicit questions about important or sensitive topics is to say, "other kids your age
often have questions about..."
• use the mnemonic HEADSSS to recall parts of a psychosocial assessment:
‣ Home environment
‣ Education, employment, eating
‣ Activities
‣ Drugs
‣ Sexuality, Suicide/depression, Safety
-Physical Exam
• unique to adolescents is puberty and growth
• maintain modesty
• ask adolescents about their preferences for exams to be alone or with a parent or caregiver in the room
-Health Promotion
• administer immunizations per the recommended schedule
• healthy habits and behaviors: seat belts, drunk driving, obesity prevention, physical activity, screen time
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