Answers
A 6-year-old child is found to have type 1 diabetes. In light of the child's
cognitive developmental level, which explanation of the illness is most
appropriate? correct answer -"Taking insulin for your diabetes is like
getting new batteries for your superhero toys
A parent brings an 18-month-old toddler to the clinic. The parent reports, "My
child is so difficult to please! He has temper tantrums and annoys me by
throwing food from the table." What is the best response by the nurse?
correct answer -"Toddlers are learning to assert independence, and this
behavior is expected at this age
While assessing a group of children, which child is underdeveloped according
to the table? correct answer -Child D
Child D is underdeveloped because the average height and weight of a 5-year-
old child should be 110 cm and 19 kg. The average height of and weight of a 3-
year-old child is 95 cm and 14.5 kg. Therefore, child A and child B show
normal growth and development. The average height and weight of a 4-year-
old child is 103 cm and 16.7 kg. Therefore, child C is not underdeveloped
What type of play does a nurse expect to see while observing a toddler in a
playroom with other children? correct answer -Parallel
Incidences of child molestation often are revealed years later when the victim
is an adult. Which defense mechanism reflects this situation? correct answer
-Repression
The mother of an 18-year-old man comes to the local mental health center.
She is extremely upset because of her son's behavior since the young man
returned from his freshman year at college. He takes his brother's clothing,
comes in at all hours, and refuses to get a job. Sometimes he is happy and
outgoing, but at other times he is withdrawn. The mother asks why her son is
like this. While contemplating this situation, the nurse considers that
adolescents are usually: correct answer -Impulsive and self-centered
,Before surgery to relieve an intestinal obstruction, a 3-month-old infant is
kept on nothing-by-mouth status and has a nasogastric tube in place. Which
nursing intervention will help calm the infant and meet developmental needs?
correct answer -Providing a pacifier for the infant to suck
When planning activities for a child with autism, the nurse remembers that
autistic children respond best to: correct answer -Their own self-
stimulating acts
The nurse is assessing head growth in a 7-month-old infant. The nurse
observes that the rate of the growth has been 0.5 cm since the 6-month check-
up. What does the nurse tell the parents about the child's development? mal.
correct answer -"The child's head growth is normal.
A nurse becomes aware of an older client's feeling of loneliness when the
client states, "I only have a few friends. My daughter lives in another state and
couldn't care less whether I live or die. She doesn't even know I'm in the
hospital." The nurse identifies the client's communication as a: correct
answer -Reflection of depression that is causing feelings of hopelessness
A mother brings her 7-year-old son into an outpatient clinic for a follow-up
appointment. The mother appeared angry and agitated with the boy. Looking
at the boy's medical chart, the nurse notes that the boy has a diagnosis of
encopresis. The primary symptom of encopresis is: correct answer -
Passing feces either voluntarily or involuntarily into inappropriate places
While assessing an 18-month-old child a nurse observes that the toddler can
crawl up stairs but needs assistance when climbing the stairs upright. What
does this indicate to the nurse? correct answer -Expected behavior in a
toddler of this age
On the afternoon of admission to a psychiatric unit, an adolescent boy with the
diagnosis of schizophrenia exposes his genitals to a female nurse. What should
the nurse's immediate therapeutic response be? correct answer -Stating
that this behavior is unacceptable
A 16-year-old high school student who has anorexia nervosa tells the school
nurse that she thinks she that is pregnant even though she has had
intercourse only once, more than a year ago. What is the most appropriate
, inference for the nurse to make about the student? correct answer -
Lacking knowledge that anorexia can cause amenorrhea
While in the playroom of a pediatric unit the nurse sees several toddlers
seated at a table trying to copy the same picture from a book. They are not
talking to each other or sharing their crayons. What does the nurse conclude
about this behavioral interaction? correct answer -It is a typical
expression of toddlers' social development
A 15-year-old adolescent with Down syndrome is scheduled for surgery. The
parents inform the nurse that their child has a mental age of 8 years. At what
age level should the nurse prepare the child's preoperative teaching plan?
correct answer -School-age, because this is the child's developmental age
A 7-month-old infant is brought to the pediatric clinic for a well-child visit.
The nurse assesses several of the infant's behaviors. What behavior is most
unusual for an infant of this age? correct answer -A 7-month-old infant is
brought to the pediatric clinic for a well-child visit. The nurse assesses several
of the infant's behaviors. What behavior is most unusual for an infant of this
age?
Correct1
Putting clothespins in a plastic bottle
A nurse is caring for a 4-year-old child who is terminally ill. The 4-year-old
child's concept of death is based on a sense of causality. In what stage of
Piaget's cognitive development is this child?
1
Formal operations
Correct2
Preoperational thought correct answer -Preoperational thought
For which clinical indication should a nurse observe a child in whom autism is
suspected? correct answer -Lack of eye contact
An adolescent who is extremely underweight and disappears into the
bathroom after meals angrily says to the nurse, "I don't need to be here. I
don't have any problems. Stop watching me." The most therapeutic response
by the nurse, aimed at reducing the client's feeling of being threatened, is:
correct answer -"I hear how frustrated you are to be here