NSG 5905: MODELS OF CARE ACROSS THE LIFESPAN: CHILDREN, ADOLESCENTS, AND
YOUNG ADULTS – COMPREHENSIVE QUESTIONS
AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND
RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS |
LATEST EXAM UPDATE
• CORE DOMAINS*
•
1. Growth and Development Across Childhood, Adolescence, and Young Adulthood
2. Family-Centered and Developmentally Appropriate Nursing Care
3. Pediatric and Adolescent Health Assessment
4. Health Promotion, Prevention, Screening, and Anticipatory Guidance
5. Acute and Chronic Pediatric and Adolescent Conditions
6. Psychosocial, Behavioral, Mental Health, and Substance-Use Considerations
7. Cultural, Ethical, Legal, and Social Determinants of Health
8. Transition of Care and Emerging Adult Health
9. Safety, Injury Prevention, Advocacy, and Interprofessional Care
10. Evidence-Based Models of Care Across the Lifespan
• INTRODUCTION*
•
This examination-preparation assessment is designed to evaluate comprehensive knowledge
of models of care for children, adolescents, and young adults. The questions assess
developmental principles, health assessment, family-centered care, prevention, acute and
chronic illness management, behavioral health, safety, ethics, cultural considerations, and
transition to adult-oriented services. Multiple-choice questions are used to test foundational
knowledge as well as interpretation, clinical reasoning, prioritization, and practical
application. Understanding developmental differences is essential because effective care
must be individualized according to age, maturity, family context, health status, and social
environment. The assessment therefore emphasizes both knowledge and sound decision-
making in developmentally appropriate nursing practice.
SECTION ONE:
Question 1. Which principle best describes family-centered care in pediatric nursing?
A. The healthcare professional makes all decisions independently
B. Parents are excluded to promote adolescent independence
C. The child and family are treated as partners in planning and delivering care
D. The family participates only when the child is unable to communicate
,Correct Answer: C. The child and family are treated as partners in planning and delivering
care
Explanation: Family-centered care recognizes the family as an essential component of the
child's health and incorporates family preferences, strengths, knowledge, and participation
into care planning and delivery.
Question 2. Which developmental domain primarily concerns a child's ability to reason,
learn, remember, and solve problems?
A. Cognitive development
B. Psychosocial development
C. Moral development
D. Physical development
Correct Answer: A. Cognitive development
Explanation: Cognitive development involves intellectual processes such as thinking,
memory, language, learning, reasoning, and problem-solving.
Question 3. According to Erikson's theory, the major psychosocial developmental task of
adolescence is:
A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Identity versus role confusion
Correct Answer: D. Identity versus role confusion
Explanation: Adolescence is characterized by exploration of personal identity, values,
relationships, sexuality, goals, and social roles. Successful resolution supports a coherent
sense of identity.
Question 4. A nurse is assessing a toddler. Which behavior is most consistent with normal
toddler development?
A. Complete dependence on caregivers for all activities
B. Increasing desire for autonomy and independence
C. Advanced abstract reasoning
D. Stable peer-centered identity
Correct Answer: B. Increasing desire for autonomy and independence
Explanation: Toddlers commonly seek independence and control over their environment.
This corresponds with Erikson's autonomy versus shame and doubt stage.
, Question 5. Which approach is most appropriate when communicating with a preschool-age
child?
A. Use concrete language and simple explanations
B. Provide lengthy explanations using medical terminology
C. Direct all communication exclusively to the caregiver
D. Ask only yes-or-no questions
Correct Answer: A. Use concrete language and simple explanations
Explanation: Preschool children benefit from simple, concrete, age-appropriate explanations.
Medical terminology and abstract concepts may be difficult for this developmental stage.
Question 6. Which assessment finding is most concerning in an infant?
A. Stranger anxiety
B. Brief periods of crying
C. Poor feeding accompanied by lethargy
D. Preference for a familiar caregiver
Correct Answer: C. Poor feeding accompanied by lethargy
Explanation: Poor feeding and lethargy may indicate significant illness in an infant. Because
infants can deteriorate rapidly, these findings require prompt evaluation.
Question 7. What is the primary purpose of developmental surveillance?
A. To diagnose every developmental disorder during infancy
B. To continuously monitor development and identify concerns requiring further evaluation
C. To replace standardized developmental screening
D. To determine a child's future academic performance
Correct Answer: B. To continuously monitor development and identify concerns requiring
further evaluation
Explanation: Developmental surveillance is an ongoing process involving observation,
history, caregiver concerns, and clinical judgment. Concerns may prompt formal
developmental screening or further assessment.
Question 8. Which factor most strongly supports effective communication with an
adolescent?
A. Speaking only with the parents
B. Avoiding discussions of sensitive topics
C. Using age-appropriate language and providing appropriate privacy
D. Assuming adolescents will disclose everything voluntarily
Correct Answer: C. Using age-appropriate language and providing appropriate privacy
YOUNG ADULTS – COMPREHENSIVE QUESTIONS
AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS | DETAILED EXPLANATIONS AND
RATIONALES | COMPLETE EXAM PREPARATION STUDY GUIDE | PRACTICE QUESTIONS |
LATEST EXAM UPDATE
• CORE DOMAINS*
•
1. Growth and Development Across Childhood, Adolescence, and Young Adulthood
2. Family-Centered and Developmentally Appropriate Nursing Care
3. Pediatric and Adolescent Health Assessment
4. Health Promotion, Prevention, Screening, and Anticipatory Guidance
5. Acute and Chronic Pediatric and Adolescent Conditions
6. Psychosocial, Behavioral, Mental Health, and Substance-Use Considerations
7. Cultural, Ethical, Legal, and Social Determinants of Health
8. Transition of Care and Emerging Adult Health
9. Safety, Injury Prevention, Advocacy, and Interprofessional Care
10. Evidence-Based Models of Care Across the Lifespan
• INTRODUCTION*
•
This examination-preparation assessment is designed to evaluate comprehensive knowledge
of models of care for children, adolescents, and young adults. The questions assess
developmental principles, health assessment, family-centered care, prevention, acute and
chronic illness management, behavioral health, safety, ethics, cultural considerations, and
transition to adult-oriented services. Multiple-choice questions are used to test foundational
knowledge as well as interpretation, clinical reasoning, prioritization, and practical
application. Understanding developmental differences is essential because effective care
must be individualized according to age, maturity, family context, health status, and social
environment. The assessment therefore emphasizes both knowledge and sound decision-
making in developmentally appropriate nursing practice.
SECTION ONE:
Question 1. Which principle best describes family-centered care in pediatric nursing?
A. The healthcare professional makes all decisions independently
B. Parents are excluded to promote adolescent independence
C. The child and family are treated as partners in planning and delivering care
D. The family participates only when the child is unable to communicate
,Correct Answer: C. The child and family are treated as partners in planning and delivering
care
Explanation: Family-centered care recognizes the family as an essential component of the
child's health and incorporates family preferences, strengths, knowledge, and participation
into care planning and delivery.
Question 2. Which developmental domain primarily concerns a child's ability to reason,
learn, remember, and solve problems?
A. Cognitive development
B. Psychosocial development
C. Moral development
D. Physical development
Correct Answer: A. Cognitive development
Explanation: Cognitive development involves intellectual processes such as thinking,
memory, language, learning, reasoning, and problem-solving.
Question 3. According to Erikson's theory, the major psychosocial developmental task of
adolescence is:
A. Trust versus mistrust
B. Initiative versus guilt
C. Industry versus inferiority
D. Identity versus role confusion
Correct Answer: D. Identity versus role confusion
Explanation: Adolescence is characterized by exploration of personal identity, values,
relationships, sexuality, goals, and social roles. Successful resolution supports a coherent
sense of identity.
Question 4. A nurse is assessing a toddler. Which behavior is most consistent with normal
toddler development?
A. Complete dependence on caregivers for all activities
B. Increasing desire for autonomy and independence
C. Advanced abstract reasoning
D. Stable peer-centered identity
Correct Answer: B. Increasing desire for autonomy and independence
Explanation: Toddlers commonly seek independence and control over their environment.
This corresponds with Erikson's autonomy versus shame and doubt stage.
, Question 5. Which approach is most appropriate when communicating with a preschool-age
child?
A. Use concrete language and simple explanations
B. Provide lengthy explanations using medical terminology
C. Direct all communication exclusively to the caregiver
D. Ask only yes-or-no questions
Correct Answer: A. Use concrete language and simple explanations
Explanation: Preschool children benefit from simple, concrete, age-appropriate explanations.
Medical terminology and abstract concepts may be difficult for this developmental stage.
Question 6. Which assessment finding is most concerning in an infant?
A. Stranger anxiety
B. Brief periods of crying
C. Poor feeding accompanied by lethargy
D. Preference for a familiar caregiver
Correct Answer: C. Poor feeding accompanied by lethargy
Explanation: Poor feeding and lethargy may indicate significant illness in an infant. Because
infants can deteriorate rapidly, these findings require prompt evaluation.
Question 7. What is the primary purpose of developmental surveillance?
A. To diagnose every developmental disorder during infancy
B. To continuously monitor development and identify concerns requiring further evaluation
C. To replace standardized developmental screening
D. To determine a child's future academic performance
Correct Answer: B. To continuously monitor development and identify concerns requiring
further evaluation
Explanation: Developmental surveillance is an ongoing process involving observation,
history, caregiver concerns, and clinical judgment. Concerns may prompt formal
developmental screening or further assessment.
Question 8. Which factor most strongly supports effective communication with an
adolescent?
A. Speaking only with the parents
B. Avoiding discussions of sensitive topics
C. Using age-appropriate language and providing appropriate privacy
D. Assuming adolescents will disclose everything voluntarily
Correct Answer: C. Using age-appropriate language and providing appropriate privacy
