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CMN 571 Module 2 Exam/266 Accurate Questions and Answers
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CMN 571 Module 2 Exam/266Accurate Questions and Answers
What is the typical range of age for adolescence - -10 - 19
(typically puberty to adulthood)
- Examples of areas of life that 5-10 year olds need to gain confidence in? -
-friends, schoolwork, sports
- This age group can tie their own shoes, catch a ball with only their hands,
and tie their shoes - -5-10 Middle Childhood
- What does kindergarten mark for the 5 year old - -acceleration in the
seperation-individuation theme initiated in preschool years.
- Milestones for 5 year old - -Kindergarten attendance.
Ready to relate to peers- interact
Sensorimotor coordination matured, (paper/pencil task, sports)
- What is the cognitive ability stage of a 5 year old - -Preoperational stage
- T/F Can a 5-1/2 have a conversation of length - -yes
- Milestones of a 6 year old - -*recognize numbers, letters, words, learns to
write
*Can order, number, classify (relating concrete objects in the environment)
*Reality of cause-effect relationships better understood
*fantasy & imagination are still reflected in themes of play
- At what age does magical thinking diminish - -6 years old
- What age range includes a child who can draw a triangle, distinguish
between morning or afternoon, draw a person with 12 details and read
several 1 syllable printed words. - -6-7 years
- What age range includes a child who can catch a ball, copy a plus sign
already drawn, knows right and left hand, and tell their age . - -5-6 years
- What age range has approximately 2260 words , intelligible 6 or 7 word
sentences - -6-7 years
- Where do 7-10 year olds devote most of their energies - -school and peer
group
, - What are the major developmental tasks of a 7 year old - -achievement in
school
acceptance by peers
- At what age do academic expectations start to intensify, become MORE
ABSTRACT, require child to concentrate on, attend to, and process
increasingly complex auditory/visual info? - -7 year old
- What level language does a 7 year old have - -Adult proficiency
- What age range can a child count by 2s and 5s, subtract by 1 digit
numbers, tie shoes, copy a diamond, knows what day of the week it is but
not date or year, and draw a man with 16 details - -7 year old.
- What age does a child master conservation of volume - -8
- What are some consequences of learning disabilities or attention,
organization, and impulsivity problems - -they may receive negative
reinforcements from teachers/parents- poor self-image manifested by
behavioral difficulties.
* pediatrician must evaluate for potential learning disabilities in any child not
developing adequately at this stage or present w/emotional/behavioral
issues
- What makes the developmental status of a school-aged child more difficult
to document - -the complexity of milestones
*quality of response, attentional abilities, child's emotional approach to the
task can make a dramatic difference in success at school.
* the clinician must consider all these aspects in the differential diagnosis of
learning disabilities and behavioral disorders.
- What age group can define words better than by use (What is an orange -
"a fruit")
Can answer appropriately to "what is the thing for you to do if
-youve broken something that belongs to someone else?"
-a playmate hits you without meaning to do so?" - -8-9 year old
- What age group knows the month, day, year, months in order (in 15
seconds with 1 error) and makes a sentences with these 3 words in it (work,
money, men, OR boy, river, ball.) - -9-10 year old
- When a 9-10 year old reads and comprehends this passage
" Six boys put up a tent by the side of a river. They took things to eat with
them. When the sun went down, they went into the tent to sleep. In the
night, a cow came and began to eat grass around the tent. The boys were
afraid, They thought it was a bear."
, What question should the child be able to answer. - -What was the cow
doing?
- Which disorder is defined as repeated urination into clothing during the
day and into the bed at night by the child who is chronologically and
developmentally older than 5 years old?
How often must this occur before diagnosis? - -Enuresis
Twice a week for 3 months
- What type of disorder is monosymptomatic enuresis - -Maturational (delay
in the maturation of the urologic and neurologic systems) with no underlying
organic problem
- At what age are children usually continent at night - -within 2 years of
achieving daytime control.
- What are some causes monosymptomatic enuresis - -Genetic
Higher threshold for for arousal (not waking for full bladder sensation)
Overproduction of urine r/t decreased production of desmopressin or
resistance to ADH
- What lab work should be obtained if a child is experiencing enuresis - -
Every child- u/a including specific gravity
*add culture in girls.
- What is the treatment for monosymptomatic enuresis - -Behavioral
strategies x 3 months every night (limit liquids before bed, wake child at
night, bedwetting alarms)
educate guardian r/t judgement/shame toward child
*parents need to be active participants
- What medication can be used if behavioral strategies fail when treating
monosymptomatic enuresis? - -Desmopressin acetate (DDAVP)- decreases
urine production but if meds stopped high relapse rate
- Age of daytime continence achievement of child - -70% by age 3
90% age 6
- What does complicated/non-monosymptomatic enuresis suggest? - -
underlying disorder.
- What history does the FNP need to ask for if patient is experiencing non-
monosymptmatic enuresis? - -Medical history, physical exam, and Diary of
daily records of voiding and fecal elimination
- What age range most often experiences encopresis - -5-6 year olds
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