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

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Alexandra Bozan
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Chapter 17: Developmental Concepts

Pregunta 1 de 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:

Selecciona una de las siguientes respuestas posibles:

  • Socialization with caregivers

  • Maternal nutrition during pregnancy

  • Genetic information on chromosomes

  • Meeting developmental tasks

Explicación

Pregunta 2 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • Orderly

  • Simple

  • Sequential

  • Unpredictable

  • Differentiated

  • Integrated

Explicación

Pregunta 3 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Id

  • Superego

  • Ego

  • Unconscious mind

Explicación

Pregunta 4 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 5 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Ego integrity

  • Generativity

  • Intimacy

  • Initiative

Explicación

Pregunta 6 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 7 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Law and justice

  • Obligations and rights

  • Response and care

  • Order and selfishness

Explicación

Pregunta 8 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • Parent-child communications

  • Societal rules and regulations

  • Social and religious rules

  • One's belief and values

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Finding a congenial social group

  • Developing a conscience, morality, and a scale of values

  • Achieving personal independence

  • Achieving a masculine or feminine gender role

Explicación

Pregunta 10 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Entering the adult world

  • Settling down

  • Midlife transition

  • The pay-off years

Explicación

Pregunta 11 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 12 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Genital stage

  • Anal stage

  • Phallic stage

  • Latency stage

Explicación

Pregunta 13 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 14 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 8 months

  • 24 months

  • 12 months

  • 6 months

Explicación

Pregunta 15 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Middle adulthood

  • Ego integrity versus despair

  • Generativity versus stagnation

  • Midlife transition

Explicación

Pregunta 16 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • Development of trust

  • Loving caregivers

  • Colorful toys

  • Availability of books

  • Praise for doing well

Explicación

Pregunta 17 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 18 de 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?

Selecciona una o más de las siguientes respuestas posibles:

  • Development of mistrust

  • Low birth weight

  • Congenital anomolies

  • Premature birth

  • Poor development of super ego

Explicación

Pregunta 19 de 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?

Selecciona una de las siguientes respuestas posibles:

  • isolation

  • shame and doubt

  • inferiority

  • guilt

Explicación

Pregunta 20 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Sensorimotor

  • Formal operational

  • Concrete operational

  • Preoperational

Explicación

Pregunta 21 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Part of being prepubescent

  • due to growth

  • related to development

  • a reflex

Explicación

Pregunta 22 de 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.

Selecciona una de las siguientes respuestas posibles:

  • accomodation

  • assimilation

  • organization

  • adaptation

Explicación

Pregunta 23 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Intimacy versus isolation

  • Mental health vs instability

  • Generativity vs stagnation

  • Ego integrity vs despair

Explicación

Pregunta 24 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Self-identity

  • autonomy

  • initiative

  • industry

Explicación

Pregunta 25 de 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?

Selecciona una de las siguientes respuestas posibles:

  • intimacy

  • initiative

  • autonomy

  • identity

Explicación

Pregunta 26 de 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?

Selecciona una de las siguientes respuestas posibles:

  • General pleasure seeking instincts

  • Pure genital gratification

  • Seeking sexual gratification

  • Seeking sexual stimulation

Explicación

Pregunta 27 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Midlife transition

  • Later Maturity

  • Generativity vs stagnation

  • Ego integrity vs despair

Explicación

Pregunta 28 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 29 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • Influence

  • Morality

  • Agency

  • Safety

Explicación

Pregunta 30 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 31 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 32 de 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?

Selecciona una de las siguientes respuestas posibles:

  • caregiver factors

  • individual factors

  • spiritual factors

  • prenatal factors

Explicación

Pregunta 33 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

  • Challenging false assumptions

  • Accepting life is neither simple nor controllable

  • Questioning self and values

  • Having increased self-approval and acceptance

Explicación