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Term 6: Pediatrics > Seana's Midterm Review > Flashcards

Flashcards in Seana's Midterm Review Deck (110)
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1

According to Erickson, the psychosocial task of adolescence is developing:

a. Intimacy.

b. Identity.

c. Initiative.

d. Independence.

b. Identity.

2

According to Piaget, the adolescent is in the fourth stage of cognitive development, or period of:

a. Formal operations.

b. Concrete operations.

c. Conventional thought.

d. Postconventional thought.

a. Formal operations.

3

The most common cause of death in the adolescent age-group involves:

a. Drownings.

b. Firearms.

c. Drug overdoses.

d. Motor vehicles.

d. Motor vehicles.

4

Which statement is correct about childhood obesity?

a. Heredity is an important factor in the development of obesity.

b. Childhood obesity in the United States is decreasing.

c. Childhood obesity is the result of inactivity.

d. Childhood obesity can be attributed to an underlying disease in most cases.

a. Heredity is an important factor in the development of obesity.

5

The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?

a. Predictable stages of puberty that are based on chronological age

b. Staging of puberty based on the initiation of menarche and nocturnal emissions

c. Predictable stages of puberty that are based on primary and secondary sexual characteristics

d. Staging of puberty based on the initiation of primary sexual characteristics

c. Predictable stages of puberty that are based on primary and secondary sexual characteristics

6

Which behavior suggests appropriate psychosocial development in the adolescent?

a. The adolescent seeks validation for socially acceptable behavior from older adults.

b. The adolescent is self-absorbed and self-centered and has sudden mood swings.

c. Adolescents move from peers and enjoy spending time with family members.

d. Conformity with the peer group increases in late adolescence.

b. The adolescent is self-absorbed and self-centered and has sudden mood swings.

7

A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry. This response indicates that the adolescent has a developmental lag in which area?

a. Cognitive development

b. Moral development

c. Psychosocial development

d. Psychosexual development

b. Moral development

8

Generally the earliest age at which puberty begins is:

a. 13 years in girls, 13 years in boys.

b. 11 years in girls, 11 years in boys.

c. 10 years in girls, 12 years in boys.

d. 12 years in girls, 10 years in boys.

c. 10 years in girls, 12 years in boys.

9

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for “being bad.” She shares her concern that, if she dies, she will go to hell. The nurse should interpret this as being:

a. A belief common at this age.

b. A belief that forms the basis for most religions.

c. Suggestive of excessive family pressure.

d. Suggestive of a failure to develop a conscience.

a. A belief common at this age.

10

The role of the peer group in the life of school-age children is that it:

a. Gives them an opportunity to learn dominance and hostility.

b. Allows them to remain dependent on their parents for a longer time.

c. Decreases their need to learn appropriate sex roles.

d. Provides them with security as they gain independence from their parents.

d. Provides them with security as they gain independence from their parents.

11

What is descriptive of the play of school-age children?

a. Individuality in play is better tolerated than at earlier ages.

b. Knowing the rules of a game gives an important sense of belonging.

c. They like to invent games, making up the rules as they go.

d. Team play helps children learn the universal importance of competition and winning.

b. Knowing the rules of a game gives an important sense of belonging.

12

What is characteristic of dishonest behavior in children ages 8 to 10 years?

a. Cheating during games is now more common.

b. Lying results from the inability to distinguish between fact and fantasy.

c. They may steal because their sense of property rights is limited.

d. They may lie to meet expectations set by others that they have been unable to attain.

d. They may lie to meet expectations set by others that they have been unable to attain.

13

Which statement best describes fear in school-age children?

a. They are increasingly fearful for body safety.

b. Most of the new fears that trouble them are related to school and family.

c. They should be encouraged to hide their fears to prevent ridicule by peers.

d. Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.

b. Most of the new fears that trouble them are related to school and family.

14

Which behavior is not normally demonstrated in the 8-year-old child?

a. Understands that his or her point of view is not the only one

b. Enjoys telling riddles and silly jokes

c. Understands that pouring liquid from a small to a large container does not change the amount

d. Engages in fantasy and magical thinking

d. Engages in fantasy and magical thinking

15

The ability to mentally understand that 1 + 3 = 4 and 4 – 3 = 1 occurs in which stage of cognitive development?

a. Concrete operations stage

b. Formal operations stage

c. Intuitive thought stage

d. Preoperations stage

a. Concrete operations stage

16

Which activity is most appropriate for developing fine motor skills in the school-age child?

a. Drawing

b. Singing

c. Soccer

d. Swimming

a. Drawing

17

Which demonstrates the school-age child’s developing logic in the stage of concrete operations (select all that apply)?

a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.

b. The school-age child understands the principles of adding, subtracting, and reversibility.

c. The school-age child understands the principles of adding, subtracting, and reversibility.

d. The school-age child has thinking that is characterized by egocentrism and animism.

a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.

b. The school-age child understands the principles of adding, subtracting, and reversibility.

c. The school-age child understands the principles of adding, subtracting, and reversibility.

18

A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child (select all that apply)?

a. Paper and some paints

b. Board games

c. Jack-in-the-box

d. Stuffed animals

e. Computer games

a. Paper and some paints

b. Board games

e. Computer games

19

Which accomplishment would the nurse expect of a healthy 3-year-old child?

a. Jump rope

b. Ride a two-wheel bicycle

c. Skip on alternate feet

d. Balance on one foot for a few seconds

d. Balance on one foot for a few seconds

20

In terms of fine motor development, what could the 3-year-old child be expected to do?

a. Tie shoelaces.

b. Use scissors or a pencil very well.

c. Draw a person with seven to nine parts.

d. Copy (draw) a circle.

d. Copy (draw) a circle.

21

In terms of cognitive development, the 5-year-old child would be expected to:

a. Use magical thinking.

b. Think abstractly.

c. Understand conservation of matter.

d. Be able to comprehend another person’s perspective.

a. Use magical thinking.

22

What is descriptive of the preschooler’s understanding of time?

a. Has no understanding of time

b. Associates time with events

c. Can tell time on a clock

d. Uses terms like “yesterday” appropriately

b. Associates time with events

23

A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was “bad.” The nurse’s best interpretation of this comment is that it is:

a. A sign of stress.

b. Common at this age.

c. Suggestive of maladaptation.

d. Suggestive of excessive discipline at home.

b. Common at this age.

24

Which type of play is most typical of the preschool period?
a. Solitary

b. Parallel

c. Associative

d. Team

c. Associative

25

A normal characteristic of the language development of a preschool-age child is:

a. Lisp.

b. Stammering.

c. Echolalia.

d. Repetition without meaning.

b. Stammering.

26

Which play patterns does a 3-year-old child typically display (select all that apply)?

a. Imaginary play

b. Parallel play

c. Cooperative play

d. Structured play

e. Associative play

a. Imaginary play

b. Parallel play

c. Cooperative play

e. Associative play

27

In terms of language and cognitive development, a 4-year-old child would be expected to have which traits (select all that apply)?

a. Think in abstract terms.

b. Follow directional commands.

c. Understand conservation of matter.

d. Use sentences of eight words.

e. Tell exaggerated stories.

b. Follow directional commands.

e. Tell exaggerated stories.

28

Which toys should a nurse provide to promote imaginative play for a 3-year-old hospitalized child (select all that apply)?

a. Plastic telephone

b. Hand puppets

c. Jigsaw puzzle (100 pieces)

d. Farm animals and equipment

e. Jump rope

a. Plastic telephone

b. Hand puppets

d. Farm animals and equipment

29

The nurse is planning care for a 17-month-old child. According to Piaget, in what stage would the nurse expect the child to be?
a. Trust

b. Preoperations

c. Secondary circular reaction

d. Tertiary circular reaction

d. Tertiary circular reaction

30

What describes a toddler’s cognitive development at age 20 months?

a. Searches for an object only if he or she sees it being hidden

b. Realizes that “out of sight” is not out of reach

c. Puts objects into a container but cannot take them out

d. Understands the passage of time such as “just a minute” and “in an hour”

b. Realizes that “out of sight” is not out of reach