PN 3003 MAT PED FINAL EXAM test bank
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Which theory states that a child's growth pattern is related to gene activity?
1 Gesell's theory
2 Piaget's theory
3 Erikson's theory
4 Havinghurst's theory –
Correct Answer :1
Gesell's theory of development states that each child's pattern of growth is unique and that this
pattern is directed by gene activity. Piaget's theory of cognitive development comprises four periods
related to age: sensorimotor, preoperational, concrete operations, and formal operations. Erikson's
theory of psychosocial development states that an individual needs to accomplish a particular task
before mastering the stage and progressing to the next one. Havinghurst's theory of stage crisis is
based on developmental tasks. This theory incorporates three primary sources for developmental
tasks: tasks that surface because of physical maturation, tasks that evolve from personal values, and
tasks that are a result of pressures from society.
What stage of Kohlberg's theory of moral development defines "right" by the decision of the
conscience?
1 Social contract orientation
2 Society-maintaining orientation
3 Instrumental relativist orientation
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, PN 3003 MAT PED FINAL EXAM
4 Universal ethical principle orientation
- Correct Answer :4
Kohlberg's theory of moral development consists of six stages. Universal ethical principle orientation
is the sixth stage. It defines "right" by the decision of the conscience in accordance with self-chosen
ethical principles. Social contract orientation is the fifth stage of Kohlberg's theory. During this stage,
an individual follows societal law but recognizes the possibility of changing the law to improve
society. Society-maintaining orientation stage is the fourth stage. Individuals expand their focus from
a relationship with others to societal concerns during this stage. Instrumental relativist orientation is
the second stage. In this stage, the child recognizes that there is more than one right view.
A nurse is educating the parents of a preschooler about the importance of play in the development
of their child. Which statements should the nurse include for adequate teaching? Select all that
apply.
1 "Playing helps the child to socialize with others."
2 "Pretend play allows children to learn to understand others."
3 "Playing helps the child to release frustration."
4 "If the child fantasizes about imaginary playmates, introduce him or her to reality."
5 "The child should completely avoid television, video games, and computer programs."
- Correct Answer :1, 2, 3
A child should be encouraged to play because this activity helps the child to socialize with others,
learn to understand other points of view, develop skills in solving social problems, and release
frustration. Imaginary playmates are a sign of health and allow the child to distinguish between
reality and fantasy; this type of play should not be discouraged. Television, video games, and
computer programs also support development and the learning of basic skills.
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, PN 3003 MAT PED FINAL EXAM
The nurse is conducting a health assessment for a school-age child who is new to the pediatric
practice. Which questions should the nurse ask the child and parents related to growth? Select all
that apply.
1 "What grade are you currently attending?"
2 "At what age did your child cut his or her first tooth?"
3 "Do you have a best friend at your new school?"
4 "What was your child's approximate length at 1 year of age?"
5 "What was your child's approximate weight at 6 months, 1, 2, and 5 years of age?"
- Correct Answer :2, 4, 5
All of these questions are appropriate when conducting an assessment for a child who is new to the
pediatric practice to collect information regarding the child's history. The questions that are
appropriate to assess growth include: asking the parents when the child cut his or her first tooth;
asking the parents the child's approximate length at 1 year of age; and asking the parents the child's
approximate weight at 6 months, 1, 2, and 5 years of age. Asking the child what grade he or she is in
and if he or she has a best friend is more appropriate when collecting information about the child's
development.
The nurse is planning care for a 2-month-old infant who is diagnosed with bronchopulmonary
dysplasia (BPD). Which activities may inhibit the infant's ability to learn through sensorimotor
experiences? Select all that apply.
1 Oxygen therapy by tent
2 Frequent arterial blood gases (ABG)
3 Overinvolvement of the parent in care
4 Multiple caregivers during hospitalization
5 Contact isolation due to respiratory syncytial virus (RSV)
- Correct Answer :1, 2, 5
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A chronic illness experienced by an infant can inhibit the ability to learn through sensorimotor
experiences. This often occurs with an increased exposure to painful experiences (frequent ABGs)
rather than pleasurable ones and through limited contact with the environment from restricted
movement (oxygen therapy by tent) or confinement (contact isolation for RSV). Overinvolvement of
the parent in care may inhibit the infant from beginning to develop a sense of separateness from his
or her parent. Multiple caregivers during hospitalization may impact the infant's ability to bond or
attach to his or her parent.
How many words in the vocabulary of a 3-year-old client would indicate the need for further
assessment by the nurse?
1. 500 words
2. 900 words
3. 1500 words
4. 2100 words
Correct Answer :1
A vocabulary of 500 words at the age of 3 would indicate the need for the nurse to further assess the
client's language development. Nine hundred words are expected and would not require further
investigation by the nurse. Fifteen hundred words is expected by the age of 4 and 2100 words is
expected by 5 years of age; therefore, these findings would not indicate the need for further
assessment by the nurse.
What developmental skills does a preschooler exhibit? Select all that apply.
1 Personal identity
2 Specific reasoning
3 Increased curiosity
4 Magical thinking
5 Understanding of others - Correct Answer :2, 3, 4
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