NURSING EXAM 3: GROWTH AND DEVELOPMENT QUESTIONS WITH LATEST SOLUTIONS

NURSING EXAM 3: GROWTH AND DEVELOPMENT QUESTIONS WITH LATEST SOLUTIONS What is the role of the RN? (4) correct answer ---Creating a safe and effective care environment -Health promotion and maintenance -Psychosocial integrity -Physiological integrity Nursing Assessment: should include? (5) correct answer Height and weight -History and observation of developmental milestones (major markers of normal development) -Nutrition intake -Description of psychosocial behaviors -Developmental stages assessed through observation and listening Nursing Diagnoses for Development (5) correct answer Risk for disproportionate growth -Adult failure to thrive -Delayed growth and development -Risk for delayed development -Age specific problems Planning should consider correct answer All aspects of health and holistic care -Each persons progress is unique -A child cannot be forced to reach milestones faster -Through guidance a child can be encouraged to reach full potential -Privacy with adolescents Implamentation should consider correct answer Encouraging age -appropriate self -care -Suggesting age -appropriate toy s for kids to parents -Nurse should role model Evaluation should consider correct answer being tailored to milestones -must be ongoing and useful (most children don't test well until school age and provides chance for early detection) -effectiveness of interven tions -next steps Freud correct answer Unconscious mind -Id -Ego -Superego -5 stages Freud's 5 stages - ans--Oral Anal Phallic Latency Genital Oral - ans--Birth-18 mo infants primary needs are centered around oral zone Anal - ans--18 mo -3 yr control over toileting Phallic - ans--3-6 yr focus on genitals, gender identity develops Latency - ans--6-12 yr ego functioning matures, sexual urges demenish, same sex relationships important Genital - ans--13-20 yr Puberty leads to intensification of instinctual drives, particularly sexual. Adaptation - ans--ability to adjust and interact with ones environment Assimilation - ans--integration of new experiences with one's own system of knowledge Accomodation - ans--change in one's system of knowledge that results in processing new info Defense mechanisms - ans--Protect us from excess anxiety, created by our ego Id - ans--instinctual urges, pleasure, and gratification Ego correct answer thought to represent reality -strives to balance what's wanted (id) and what's possible -develops around 4 -6 mo Super ego correct answer subconscious (internalization of primary care giver repsonses to environmental events) -develops around 5 or 6 yr Unconscious mind - ans--composed of tho ughts and memories that are not readily recalled but unconsciously influence behavior