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NR605 WEEK 8 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR605 WEEK 8 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR605 WEEK 8 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
Psychotherapy with older adults considerations - ANSWER -higher prevalence of dementia
•raises need for neuropsychological screening
-higher prevalence of medical disorders
• req careful consideration of physical causes of symptoms & effects of meds
Child Development: - ANSWER -Physical Development
• by three months, infants can lift their heads and clasp their hands
• by six months, they may roll over, sit with support, and reach for objects and transfer them from hand
to hand
• by one year, infants can stand and start to take steps
• by one year, birth weight triples and height increases by 50%
-Cognitive and Language Development
• by two months, infants start to coo
• by six months, infants begin to babble
• by nine months, infants imitate sounds and know their name
• by one year, infants begin to say words and can follow one-step commands
-Psychosocial Development
• by four months, infants socially smile
• by six months, infants enjoy their reflection in a mirror.
• by nine months, infants enjoy peekaboo and often develop stranger anxiety
-Health History
• obtain information from the parent or caregiver observation and report of infant behavior and activity
-Physical Exam
• perform as much of the exam with the infant in parent or caregiver's lap as possible
• keep familiar toys or blankets with infant
• feed hungry infants before examining them
,• use a toy or object or play for distraction
-Health Promotion
• administer immunizations per the recommended schedule
• newborn screens: genetic and metabolic screening; hearing screen, screen for congenital heart
disease; bilirubin screening
• anticipatory guidance: illness prevention; anticipated growth and development; and when to call for
advice
Child Development: Toddler (1 to 4 years) - ANSWER -Physical Development
• after age 2, growth is about 5 centimeters (cm) and gain about 2-3 kilograms (kg) per year
• gross motor skills develop from walking to running, jumping, climbing, and riding a tricycle
• fine motor skills develop from beginning to feed self, to scribbling, to drawing a person and writing
letters
-Cognitive and Language Development
• by two years, toddlers can speak in two to three-word sentences and have a vocabulary of up to 300
words
• by four years, preschoolers form complex sentences
-Psychosocial Development
• toddlers develop from pretend play, to parallel play, to actual play
• toddlers have a desire for independence
• toddlers are impulsive with poor self-regulation and may have temper tantrums
-Health History
• obtain information from the parent or caregiver observation and report of toddler behavior and
activity
• during the health history assessment, the nurse practitioner (NP) can establish rapport with the child
and parent or caregiver
-Physical Exam
• toddlers may be alarmed at the examiner and may be uncooperative
• engage children in age-appropriate conversation to gain trust
• complete most of the exam with the child in the parent or caregiver's lap
, • when examining siblings during the same appointment, approach the oldest child first because they
may be more cooperative
• conduct the exam with the least distressing procedures (i.e., eyes and neck) to the most distressing
procedures (i.e., throat and ears)
• utilize patience, distraction, and play
-Health Promotion
• administer immunizations per the recommended schedule
• injury and illness prevention: use of car seats, tobacco exposure, supervision
• nutrition and exercise: obesity assessment, healthy meals, and snacks
• oral health: teeth brushing and dental visits
• screening tests: vision starting at ag
Child Development: Children (5 to 10 years) - ANSWER -Physical Development
• develops enhanced strength and coordination
• growth is steady but slower
-Cognitive Development
• become more "concrete operational" and are capable of limited logic and more complex learning
• focus on the present and achievement of knowledge and skills
-Psychosocial Development
• desire to "fit in" evolving self-identity and self-esteem
• development of belief in their ability to thrive in different situations
-Health History
• obtain information from both the child and the parent or caregiver
• during the health history assessment, the NP can establish rapport with the child and parent or
caregiver
• engage in conversation by discussing what interests them, such as favorite toys, books, or television
shows
-Physical Exam
• parents or caregivers of children younger than 11 should stay in the room
-Health Promotion
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