Children (12TH) by Marilyn J. Hockenberry Complete
Guide Chapter 1-34| LATEST VERSION
Which should 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 - *answers* ANS: D
Three-year-olds are able to accomplish this gross motor skill. Jumping rope, riding a
two-wheel
bicycle, and skipping on alternate feet are gross motor skills of 5-year-olds.
DIF: Cognitive Level: Understand REF: p. 391
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
In terms of fine motor development, which should the 3-year-old child be expected to
do?
a. Lace shoes and tie shoelaces with a bow.
b. Use scissors to cut pictures, and print a few numbers.
c. Draw a person with seven parts and correctly identify the parts.
d. Draw a circle and name what has been drawn. - *answers* ANS: D
Three-year-olds are able to accomplish this fine motor skill. Being able to lace shoes
and tie
shoelaces with a bow, use scissors to cut pictures, and print a few numbers, or draw a
person
with seven parts and correctly identify the parts are fine motor skills of 4- or 5-year-olds.
DIF: Cognitive Level: Understand REF: p. 380
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
A nurse is assessing a preschool-age child and notes the child exhibits magical
thinking. According to Piaget, which describes magical thinking?
a. Events have cause and effect.
b. God is like an imaginary friend.
c. Thoughts are all-powerful.
d. If the skin is broken, the child's insides will come out. - *answers* ANS: C
Because of their egocentrism and transductive reasoning, preschoolers believe that
thoughts
are all-powerful. Cause-and-effect implies logical thought, not magical thinking. Thinking
God is
like an imaginary friend is an example of concrete thinking in a preschooler's spiritual
, development. Thinking that if the skin is broken, the child's insides will come out is an
example
of concrete thinking in development of body image.
DIF: Cognitive Level: Apply REF: p. 381
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
A nurse, instructing parents of a hospitalized preschool child, explains that which 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 - *answers* ANS: B
In a preschooler's understanding, time has a relation with events such as "We'll go
outside after
lunch." Preschoolers develop an abstract sense of time at age 3 years. Children can tell
time on
a clock at age 7 years. Children do not fully understand use of time-oriented words until
age 6
years.
DIF: Cognitive Level: Understand REF: p. 385
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they
will be back to visit at 6 PM. When the child asks the nurse when his parents are
coming, the nurse's best response is
a. "They will be here soon."
b. "They will come after dinner."
c. "Let me show you on the clock when 6 PM is."
d. "I will tell you every time I see you how much longer it will be." - *answers* ANS: B
A 4-year-old child understands time in relation to events such as meals. Children
perceive
"soon" as a very short time. The nurse may lose the child's trust if his parents do not
return in
the time he perceives as "soon." Children cannot read or use a clock for practical
purposes until
age 7 years. I will tell you every time I see you how much longer it will be assumes the
child
understands the concepts of hours and minutes, which are not developed until age 5 or
6 years.
DIF: Cognitive Level: Apply REF: p. 385
TOP: Integrated Process: Nursing Process: Implementation