Chapter 17: Developmental Concepts

Question 1 of 33

1

A nurse examining a toddler in a pediatric office documents that the child is in the 90th percentile for height and weight and has blue eyes. These physical characteristics are primarily determined by:

Select one of the following:

Socialization with caregivers
Maternal nutrition during pregnancy
Genetic information on chromosomes
Meeting developmental tasks

Explanation

Question 2 of 33

1

The nurse caring for infants in a hospital nursery knows that newborns continue to grow and develop according to individual growth patterns and developmental levels. Which terms describe these patterns?

Select one or more of the following:

Orderly
Simple
Sequential
Unpredictable
Differentiated
Integrated

Explanation

Question 3 of 33

1

A 2-year old grabs a handful of cake from the table and stuff it in his mouth. According to Freud, what part of the mind is the child satisfying?

Select one of the following:

Id
Superego
Ego
Unconscious mind

Explanation

Question 4 of 33

1

A nurse is teaching parents of preschoolers what type of behavior to expect from their children based on developmental theories. Which statements describe this stage of development?

Select one or more of the following:

According to Freud, the child is in the phallic stage
According to Erikson, the child is in the trust versus mistrust stage
According to Havighurst, the child is learning to get along with others
According to Fowler, the child imitates religious behavior of others
According to Kohlberg, the child defines satisfying acts as right
According to Havighurst, the child is achieving gender-specific roles

Explanation

Question 5 of 33

1

A nurse caring for elderly patients in a long-term care facility encourages an older adult to reminisce about her past life events. This life review, according to Erikson, is demonstrating what developmental stage of the later adult years?

Select one of the following:

Ego integrity
Generativity
Intimacy
Initiative

Explanation

Question 6 of 33

1

A nurse researcher studies the effects of genomics on current nursing practice. Which statements identify genetic principles that will challenge nurses to integrate genomics in their research, education, and practice?

Select one or more of the following:

Genetic tests plus family history tools have the potential to identify people at risk for diseases
Pharmacogenetic test can determine if a patient is likely to have a strong therapeutic response to a drug or suffer adverse reactions form the medication
Evidence-based review panels are in place to evaluate the possible risks and benefits related to genetic testing
Valid and reliable national data are available to establish baseline measures and track progress toward targets
Genetic variation can either accelerate or slow the metabolism of many drugs
It is beyond the role of the nurse to answer questions and discuss the impact of genetic findings on health and illness

Explanation

Question 7 of 33

1

A nurse who is working with women in a drop-in shelter studies Carol Gilligan's theory of morality in women to use when planning care. According to Gilligan, what is the motivation for female morality?

Select one of the following:

Law and justice
Obligations and rights
Response and care
Order and selfishness

Explanation

Question 8 of 33

1

Which factor initially influences moral development as described in Kohlberg's theory?

Select one of the following:

Parent-child communications
Societal rules and regulations
Social and religious rules
One's belief and values

Explanation

Question 9 of 33

1

The school nurse uses the principle and theories of growth and development when planning programs for high school students. According to Havighurst, what is developmental task for this age group?

Select one of the following:

Finding a congenial social group
Developing a conscience, morality, and a scale of values
Achieving personal independence
Achieving a masculine or feminine gender role

Explanation

Question 10 of 33

1

A nurse is interviewing Anthony, a 42 year old patient who visits his internist for a blood pressure screening. Anthony tells the nurse that he is currently a sales associate but is considering a different career. He states that he is a little anxious about the process. According to Levinson, what phase of adult life is Anthony experiencing?

Select one of the following:

Entering the adult world
Settling down
Midlife transition
The pay-off years

Explanation

Question 11 of 33

1

The nurse is caring for a boy 4 years of age who has gone through a painful surgery. During the hospitalization the child has been wetting his bed. The child's mother expresses dismay and anger, saying that her son has been toilet trained for about a year. The nurse needs to recall which of the following general principles of growth and development when responding to the mother?

Select one of the following:

Anticipate possible regression during difficult times
Children most often develop at their own pace
Male children often have difficulty maintaining urinary incontinence
Parents often expect perfection from their children

Explanation

Question 12 of 33

1

A boy 8 years of age is looking at his father's razor and shaving cream in the bathroom medicine cabinet. He watches his father shave daily and asks his father when he will need to start shaving. This child is demonstrating characteristics common during which of Freud's psychoanalytical developmental stages?

Select one of the following:

Genital stage
Anal stage
Phallic stage
Latency stage

Explanation

Question 13 of 33

1

Which of the following actions should a nurse take in order to apply theories of development into nursing care?

Select one of the following:

Maintain separation between clients with widely varying developmental stages
Grant autonomy to clients who in later developmental stages but make decisions for those in earlier stages
Choose outcomes that are reflective of client's developmental stages
Consistently ask clients what developmental stage they care currently experiencing

Explanation

Question 14 of 33

1

A student nurse is visiting a day care, where the focus is to observe object permanence. According to Piaget, object permanence does not occur until which of the following ages?

Select one of the following:

8 months
24 months
12 months
6 months

Explanation

Question 15 of 33

1

The nurse is caring for a woman 40 years of age, who is admitted for fixation of an ankle fracture related to a rollerblading accident. She comments to the nurse that she plans on giving up rollerblading, because her balance and reflexes are not as good as they once were. She sounds accepting of this. According to Robert Havighurst in which of the following developmental stages is this client?

Select one of the following:

Middle adulthood
Ego integrity versus despair
Generativity versus stagnation
Midlife transition

Explanation

Question 16 of 33

1

A student nurse is assisting the school nurse with a health fair at a middle school. The student nurse assesses the student's heights and weights as they file through the station, observing that there is a large variation in physical size and emotional maturity. Which of the following factors may affect emotional growth of children?

Select one or more of the following:

Development of trust
Loving caregivers
Colorful toys
Availability of books
Praise for doing well

Explanation

Question 17 of 33

1

The school nurse is teaching growth and development in a health class. What should the nurse teach the students about development?

Select one of the following:

It is best defined as intellectual growth
It centers around an increase in body size
It is the process of ongoing change
It is influenced by genetically predisposed alterations

Explanation

Question 18 of 33

1

The nurse is providing prenatal education for a group of pregnant teenagers. The nurse talks about substance abuse during pregnancy and relates which of the following possible newborn consequences?

Select one or more of the following:

Development of mistrust
Low birth weight
Congenital anomolies
Premature birth
Poor development of super ego

Explanation

Question 19 of 33

1

As the nurse is preparing an immunization for a male client 2 years of age, his mother discovers that he has soiled his underpants. She scolds him and calls him a bad boy because he dirtied his underwear. The nurse gives the immunization and provides some education to the mother about appropriate expectations for this age group. The nurse knows that according to Erikson's theory for this client's age group, he is at risk to develop which of the following?

Select one of the following:

isolation
shame and doubt
inferiority
guilt

Explanation

Question 20 of 33

1

Newborns are capable of activities such as grasping objects and displaying basic reflexes. To which of the following of Piaget's cognitive developmental stages do the newborns belong?

Select one of the following:

Sensorimotor
Formal operational
Concrete operational
Preoperational

Explanation

Question 21 of 33

1

The nurse is seeing a male client 6 years of age. As the nurse is measuring the height and weight, his mother comments on how coordinated he is becoming. The nurse knows that this increase in coordination is which of the following?

Select one of the following:

Part of being prepubescent
due to growth
related to development
a reflex

Explanation

Question 22 of 33

1

Cognitive theory states that human nature is essentially rational and that the individual's basic goal is to learn to master the environment. Which of the following cognitive processes involve the rearranging and structuring of one's knowledge and thoughts.

Select one of the following:

accomodation
assimilation
organization
adaptation

Explanation

Question 23 of 33

1

The nurse is caring for a man 79 years of age who was admitted for a hip replacement. He visits with the nurse every chance he gets, he seems lonely. He tells the nurse his wife died two years ago. He has children in nearby cities, and has nine grandchildren. He says his life has been good and he is content, even though he misses his wife. The nurse assesses him for developmental issues and knows that he fits well into which of Erik's stages of development?

Select one of the following:

Intimacy versus isolation
Mental health vs instability
Generativity vs stagnation
Ego integrity vs despair

Explanation

Question 24 of 33

1

The nurse sees a client age 4 years and her mother at the pediatric clinic. The client is here for immunizations. She is bubbly and talkative, and tell you about her dance lessons and her new baby brother. Her mother tells you she encourages her daughter to try new experiences and enjoy life. You know that according to Erikson's developmental theory the client is well on her way to achieving which of the following?

Select one of the following:

Self-identity
autonomy
initiative
industry

Explanation

Question 25 of 33

1

A mother brings her toddler age 20 months to the clinic for immunizations. She talks about trying to initiate toilet training but her son was not interested. She decided to put it off for a while. She told her son he was a good boy and they would try again another time. According to Erikson's theory what is the likely outcome for his developmental stage?

Select one of the following:

intimacy
initiative
autonomy
identity

Explanation

Question 26 of 33

1

A nurse is reviewing developmental theories for class discussion. The nurse knows that Freud's theory emphasizes the effect of instinctual human drives on behavior. He identified the underlying stimulus for human behavior as sexuality, which he called libido. Freud defined libido as which of the following?

Select one of the following:

General pleasure seeking instincts
Pure genital gratification
Seeking sexual gratification
Seeking sexual stimulation

Explanation

Question 27 of 33

1

The nurse is caring for a woman 69 years of age who is admitted for fixation for an ankle fracture related to a fall at home. The client states that she is thinking of selling her home and moving to a smaller place. Her husband died 6 months ago and she is unable to physically maintain her home without him. She sounds accepting of this. According to Robert Havighurst, in which of the following developmental stages is the client?

Select one of the following:

Midlife transition
Later Maturity
Generativity vs stagnation
Ego integrity vs despair

Explanation

Question 28 of 33

1

A pediatric nurse practitioner is assessing the development of a child. The nurses's assessment of development will focus on which of the following?

Select one of the following:

A static process that occurs during childhood
Increases in the child's boy size
Changes in thoughts, feelings and behaviours
Changes in the body's cell structure, function and complexity

Explanation

Question 29 of 33

1

According to Kohlberg, which of the following considerations is central to human development?

Select one of the following:

Influence
Morality
Agency
Safety

Explanation

Question 30 of 33

1

Following Gilligan's theory of moral development, which woman characterizes Level 1 - Selfishness?

Select one of the following:

A woman who volunteers at a local shelter
A woman involved in various sports activity of her children
A woman who begins to exercise to achieve greater health
A woman avoiding dating after ending an 8 year relationship

Explanation

Question 31 of 33

1

A resident of a long-term care facility, age 82 years, often tells stories of the role that he played in the Korean War. According to Erikson, which of the following needs may underlie the resident's storytelling?

Select one of the following:

The need to demonstrate that he was capable of aggression in earlier adulthood
The need to show that others where dependent of him in earlier stages of life
The need to demonstrate that his life was meaningful and purposeful
The need to show that his life was characterized by moral integrity

Explanation

Question 32 of 33

1

A mother 13 years of age delivers a low birth weight neonate, and the neonate is transferred to the ICU. The mother reports receiving occasional prenatal care and has a history of excessive alcohol consumption. The growth and development of this neonate has been influenced by which of the following?

Select one of the following:

caregiver factors
individual factors
spiritual factors
prenatal factors

Explanation

Question 33 of 33

1

Gould's theory of transformation in adults included which developmental phase for those between 50 and 60?

Select one of the following:

Challenging false assumptions
Accepting life is neither simple nor controllable
Questioning self and values
Having increased self-approval and acceptance

	Created by Alexandra Bozan about 7 years ago

Unit IV: Promoting Health Across the Lifespan Chapter 17: Developmental Concepts

Chapter 17: Developmental Concepts

Question 1 of 33

A nurse examining a toddler in a pediatric office documents that the child is in the 90th percentile for height and weight and has blue eyes. These physical characteristics are primarily determined by:

Select one of the following:

Explanation

Question 2 of 33

The nurse caring for infants in a hospital nursery knows that newborns continue to grow and develop according to individual growth patterns and developmental levels. Which terms describe these patterns?

Select one or more of the following:

Explanation

Question 3 of 33

A 2-year old grabs a handful of cake from the table and stuff it in his mouth. According to Freud, what part of the mind is the child satisfying?

Select one of the following:

Explanation

Question 4 of 33

A nurse is teaching parents of preschoolers what type of behavior to expect from their children based on developmental theories. Which statements describe this stage of development?

Select one or more of the following:

Explanation

Question 5 of 33

A nurse caring for elderly patients in a long-term care facility encourages an older adult to reminisce about her past life events. This life review, according to Erikson, is demonstrating what developmental stage of the later adult years?

Select one of the following:

Explanation

Question 6 of 33

A nurse researcher studies the effects of genomics on current nursing practice. Which statements identify genetic principles that will challenge nurses to integrate genomics in their research, education, and practice?

Select one or more of the following:

Explanation

Question 7 of 33

A nurse who is working with women in a drop-in shelter studies Carol Gilligan's theory of morality in women to use when planning care. According to Gilligan, what is the motivation for female morality?

Select one of the following:

Explanation

Question 8 of 33

Which factor initially influences moral development as described in Kohlberg's theory?

Select one of the following:

Explanation

Question 9 of 33

The school nurse uses the principle and theories of growth and development when planning programs for high school students. According to Havighurst, what is developmental task for this age group?

Select one of the following:

Explanation

Question 10 of 33

Select one of the following:

Explanation

Question 11 of 33

Select one of the following:

Explanation

Question 12 of 33

Select one of the following:

Explanation

Question 13 of 33

Which of the following actions should a nurse take in order to apply theories of development into nursing care?

Select one of the following:

Explanation

Question 14 of 33

A student nurse is visiting a day care, where the focus is to observe object permanence. According to Piaget, object permanence does not occur until which of the following ages?

Select one of the following:

Explanation

Question 15 of 33

Select one of the following:

Explanation

Question 16 of 33

Select one or more of the following:

Explanation

Question 17 of 33

The school nurse is teaching growth and development in a health class. What should the nurse teach the students about development?

Select one of the following:

Explanation

Question 18 of 33

The nurse is providing prenatal education for a group of pregnant teenagers. The nurse talks about substance abuse during pregnancy and relates which of the following possible newborn consequences?

Select one or more of the following:

Explanation

Question 19 of 33

Select one of the following:

Explanation

Question 20 of 33

Newborns are capable of activities such as grasping objects and displaying basic reflexes. To which of the following of Piaget's cognitive developmental stages do the newborns belong?

Select one of the following:

Explanation

Question 21 of 33

The nurse is seeing a male client 6 years of age. As the nurse is measuring the height and weight, his mother comments on how coordinated he is becoming. The nurse knows that this increase in coordination is which of the following?

Select one of the following:

Explanation