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When caring for a middle-aged adult exhibiting maladaptive coping skills, the nurse is
trying to determine the cause of the patient's behavior. From a growth and development
perspective, what should the nurse recall?
a. Individuals have uniform patterns of growth and development.
b. Health is promoted based on how many developmental failures a patient
experiences.
c. Culture usually has no effect on predictable patterns of growth and development.
d. When individuals experience repeated developmental failures, inadequacies
sometimes result. - ANS-ANS: D
"If individuals experience repeated developmental failures, inadequacies sometimes
result" is a true statement. Developmental failures could manifest with ineffective coping
skills. However, when an individual experiences successes, health is promoted.
Patients have unique patterns of growth and development that are not uniform. Nurses
must consider the influence of culture and context on growth and development.
The nursing instructor will need to provide further instruction to the student who states
a. "Intellectual development is affected by cognitive processes."
b. "Socioemotional processes can influence an individual's growth and development."
c. "Breast development is an example of a change resulting from biological processes."
d. "An individual's biological processes determine physical characteristics and do not
affect growth and development." - ANS-ANS: D
Human growth and development is a complex pattern of movement that involves
changes in biological, cognitive, and socioemotional processes. Cognitive processes
comprise changes in intelligence, use of language, and development of thinking.
Socioemotional processes consist of variations in personality, emotions, and
relationships with others. Height and weight, development of gross and fine motor skills,
and sexual maturation resulting from hormonal changes during puberty are examples of
changes resulting from biological processes.
, Which of these statements would be most appropriate for a nurse to state when
assessing an adult patient for growth and developmental delays?
a. "How many times per week do you exercise?"
b. "Are you able to stand on one foot for 5 seconds?"
c. "Would you please describe your usual activities during the day?"
d. "How many hours a day do you spend watching television or sitting in front of a
computer?" - ANS-ANS: C
Understanding normal growth and development helps nurses predict, prevent, and
detect deviations from patients' own expected patterns. The nurse can then compare
expected patterns of activity based on age with the patient's stated activity patterns to
determine deviations from the patient's own expected patterns. Asking the patient to
describe his/her usual daily activities will provide the nurse with useful information about
the patient's own expected patterns. How many hours are spent watching television or
in front of a computer and how many times the patient exercises in a week are closed-
ended questions. These questions would not provide the nurse with as much
information about the patient's expected patterns when his/her stated patterns are
compared with expected patterns for the patient's age group to detect delays.
closed-ended questions - ANS-questions that are followed by a list of possible answers
to be selected by the respondent,
questions a person must answer by choosing from a limited, predetermined set of
responses
The nurse knows that a priority reason for being knowledgeable about biophysical
developmental theories is to
a. Understand how the physical body grows.
b. Predict definite patterns of cognitive development.
c. Anticipate how patients' social behaviors develop.
d. Describe the process of psychological development. - ANS-ANS: A
Biophysical development refers to how our physical bodies grow and change. Nurses
and other health care providers are able to quantify and compare the changes that
occur as a newborn infant grows into adulthood against established norms to detect
abnormalities. Biophysical development refers to physical growth, not cognitive
development, social behaviors, or psychological development.
While assessing an 18-month-old toddler, the nurse distinguishes normal from abnormal
findings by remembering that Gesell's theory of development states
a. "The developmental stage of the toddler is affected solely by environmental
influence."
b. "Developmental patterns are not affected by gene activity."
c. "Skill development should be identical to that of other toddlers in the playroom."
d. "Environmental influence does not affect the sequence of development." - ANS-ANS:
D
Gesell's theory of development states that environment plays a part in child
development, but it does not have any part in the sequence of development. Other