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Answer: 1, 3, 5
1. Soft toys that can be manipulated
3. Jack-in-the-box toys
4. Toys with black and white patterns
1) While in the pediatrician's office for their child's 12-month well-child exam, the
parents ask the nurse for advice on age-appropriate toys for their child. Based on the
child's developmental level, which types of toys would the nurse suggest? Select all that
apply.
1. Soft toys that can be manipulated
2. Small toys that can pop apart and go back together
3. Jack-in-the-box toys
4. Toys with black and white patterns
5. Push-and-pull toys
Answer: 3
3. Regression
2) A mother of a school-age client who recently had surgery for the removal of tonsils
and adenoids complains that the child has begun sucking his thumb again. Which
coping mechanisms is the child using to cope with the surgery and hospitalization?
1. Repression
2. Rationalization
3. Regression
4. Fantasy
Answer: 4
4. Reassuring the child that it is normal to get angry and say things that we do
not mean but that we have no control over whether or not an accident happens
3) While being comforted in the emergency department, a young school-age sibling of a
pediatric trauma victim blurts out to the nurse, "It's my fault! When we were fighting
yesterday, I told him I wished he was dead!" Which response is most appropriate by the
nurse?
1. Asking the child if she would like to sit down and drink some water
2. Sitting the child down in an empty room with markers and paper so that she can draw
a picture
3. Calmly discussing the catheters, tubes, and equipment that the patient requires and
explaining to the sibling why the patient needs them
4. Reassuring the child that it is normal to get angry and say things that we do not mean
but that we have no control over whether or not an accident happens
Answer: 1
1. Object permanence
4) While assessing the development of a 9-month-old infant, the nurse asks the mother
if the child actively looks for toys when they are placed out of sight. Which
developmental task is the nurse assessing this infant for?
1. Object permanence
, 2. Centration
3. Transductive reasoning
4. Conservation
Answer: 1
1. Soft, fluid-filled ring that can be chilled in the refrigerator
5) The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-
appropriate toy is most appropriate for the nurse to suggest to these parents?
1. Soft, fluid-filled ring that can be chilled in the refrigerator
2. Colorful rattle
3. Jack-in-the-box toy
4. Push-and-pull toy
Answer: 3
3. 9 and 12 months
6) A nurse is assessing language development in all the infants presenting at the
doctor's office for well-child visits. At which age range would the nurse expect a child to
verbalize the words "dada" and "mama"?
1. 3 and 5 months
2. 6 and 8 months
3. 9 and 12 months
4. 13 and 18 months
Answer: 3
3. Industry versus inferiority
7) The parents of an 8-year-old state that their son seems very interested in trying new
activities. When the parents ask for suggested activities for this age child, the nurse
recommends scouts as an activity that will foster growth and development. In which
stage of Erikson's "psychosocial stages of development" is this child?
1. Trust versus mistrust
2. Initiative versus guilt
3. Industry versus inferiority
4. Identity versus role confusion
Answer: 3
3. Parallel play
8) Two 3-year-olds are playing in a hospital playroom together. One is working on a
puzzle while the other is stacking blocks. Which type of play are these children
exhibiting?
1. Cooperative play
2. Associative play
3. Parallel play
4. Solitary play
Answer: 2
2. Autonomy versus shame and doubt
9) The nurse, talking with the parents of a toddler who is struggling with toilet training,
reassures them that their child is demonstrating a typical developmental stage.
According to Erikson, which developmental stage will the nurse document in the
medical record for this toddler?
1. Trust versus mistrust