Class notes
NUR 411 Chapter 21 Notes
- Course
- Nursing 411
- Institution
- Borough Of Manhattan Community College
This is a comprehensive and detailed note on Chapter 21; Developmental Concept.
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Chapter 21: Developmental ConceptNPRO 1100 JILL
A nursing student is visiting a day care to observe growth and development in action. The nursing student completes screening assessments on preschoolers who are
learning to feed, dress, and toilet themselves, as well as expanding their motor and verbal abilities. According to Piaget, in what development stage are they?
Preoperational
A nurse is reviewing developmental theories for class discussion. The nurse knows that Freud's theory emphasizes the effect of instinctual human drives on behavior.
He identified the underlying stimulus for human behavior as sexuality, which he called libido. Freud defined libido as which of the following?
General pleasure-seeking instincts
A nurse is providing anticipatory guidance to the parents of a 2 1/2-year-old girl. To foster the development of autonomy, which instruction would the nurse include?
"Encourage the child to dress herself."
A nurse is presenting a workshop for a group of young women. Part of the workshop focuses on the moral development of women. The nurse integrates information
about Gilligan's theory into the presentation, describing the various levels that a woman goes through as morality develops. When describing level 1, the nurse
would focus on which area?
Woman's own needs
A nurse is preparing a program for a group of staff nurses on growth and development. As part of the program, the nurse will be discussing the various theories of
growth and development. When describing Freud's theory, the nurse includes the concept of the ego. Which component would the nurse identify as being part of
the ego? Select all that apply.
Intelligence
Memory
Problem solving
A nurse assesses the effect of the environment and nutrition on clients visiting a walk-in clinic in a low-income community. Which statements accurately describe
these effects? Select all that apply.
Substance use by a pregnant woman increases the risk for congenital anomalies in the developing fetus.
Use of alcohol and drugs is more prevalent in teenagers who have poor family relationships.
An increased incidence of teenage pregnancy can be linked to substance use by adolescents.
The nurse assesses that a child is in Piaget's preoperational stage of cognitive development. The nurse anticipates which behaviors from Erikson's psychosocial stages
in this child? Select all that apply.
Beginning interpersonal skills
Development of purpose
A nurse is reading a journal article about Freud's Theory of Psychoanalytic Development and the stages associated with it. Place the stages listed below in the
sequence that would demonstrate the nurse's understanding of the information in the article.
Oral stage
Anal stage
Phallic stage
Latency stage
Genital stage
A nurse is reviewing the stages of Kohlberg's theory of moral development. Place the key elements of the stages listed below in the order in which they would occur
that would the demonstrate the nurse's understanding of this theory.
Punishment and obedience
Instrumental-relativist
Interpersonal concordance
Law and order
Social contract
Universal ethical principle
The parents of a 4-year-old girl bring the child to the clinic for the first time. During the assessment, the nurse asks the parents about any religious beliefs. The
parents tell the nurse that they are Christian. The mother says, "We take her to church with us. She's really well-behaved. She even tries to imitate what we do,
standing, kneeling, folding her hands, and such." The nurse interprets this behavior as reflecting which stage of faith development?
Intuitive-projective faith
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A 10-year-old boy tells his mother that he is going to be just like his father when he grows up. According to Freud, what stage of development is this child
experiencing?
latency
,Chapter 21: Developmental Concept
NPRO 1100 JILL
A nurse is working with a child on a pediatric unit. Based on the age of the child, the nurse understands the child should be in Piaget's Concrete Operational stage.
Which of the following activities should the nurse plan to include in the plan of care to evaluate if the child has achieved this stage?
Classifying and sorting coins
A nurse is caring for a toddler in a pediatric clinic. Based on the age of the child, the nurse understands the child should be in Piaget's Preoperational stage. Which of
the following activities should the nurse anticipate observing in this stage?
The child rides a broom like a horse
A student nurse is visiting a day care, where the focus is to observe "object permanence." According to Piaget, "object permanence" does not occur until which of
the following ages?
12 months
A nurse is caring for a pediatric client on an oncology unit. The family has asked that faith be included in developing the plan of care. The nurse understands that
Fowler's Theory of Faith Development includes which of the following beliefs? (Select all that apply.)
Children imitate religious behaviors of others
Courage, hope, and love compete with threats of abandonment
The synthetic stage is seen as conventional faith demonstrated by young adults becoming responsible for their own beliefs
A nurse is assessing older adults in a long-term care facility. According to Havighurst, what is a developmental task of this generation?
Adjusting to decreasing physical status and wealth
A pediatric nurse practitioner is assessing the development of a child. The nurse's assessment of development will focus on which of the following?
Changes in thoughts, feelings, and behaviors
The nurse is caring for a boy 4 years of age who has gone through a painful surgery. During the hospitalization the child has been wetting his bed. The child's mother
expresses dismay and anger, saying that her son has been toilet trained for over a year. The nurse needs to recall which of the following general principles of growth
and development when responding to the mother?
Anticipate possible regression during difficult periods.
Based on Havighurst's theory, the nurse recognizes which of the following is one of the developmental tasks of middle adulthood?
Adjusting to physical changes
A nurse is observing interactions between a new mother and her newborn. The nurse observes the mother not responding to her newborn's cries. Which of the
following growth and development theories does the nurse understand this observation addresses?
Erik Erikson's Trust vs Mistrust stage
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According to Havighurst, learning behaviors are based upon developmental tasks. In assessing an adult patient, the nurse is aware that a common developmental
task of middle adulthood includes:
assisting children to become responsible adults.
preparing for a career.
learning to live with a marriage partner.
adjusting to retirement and reduced income.
assisting children to become responsible adults.
According to Freud, which of the following influences is the primary force that drives an individual's development?
Sexuality
Security
Autonomy
Faith
Sexuality
What are the two factors that drive growth and development?
Nutrition and exercise
Environment and fertility
Healthcare and perception
Genetics and environment
, Chapter 21: Developmental Concept
NPRO 1100 JILL
Genetics and environment
The school nurse is teaching growth and development in a health class. What should the nurse teach the students about development?
It is the process of ongoing change
It centers around an increase in body's size
It is best defined as intellectual growth
It is influenced by genetically predisposed alterations
It is the process of ongoing change
Which developmental theorist created the psychosocial theory of development?
Erikson
Freud
Piaget
Maslow
Erikson
The nurse is seeing a male client 6 years of age in the clinic. As the nurse is measuring height and weight for the client, his mother comments on how coordinated he
is becoming. The nurse knows that this increase in coordination is which of the following?
Due to growth
Related to development
Part of being prepubescent
A reflex
Related to development
The nurse is seeing 6-year-old Patrick in the clinic. As the nurse is measuring height and weight for Patrick, his mother comments on how much he has grown since
his last checkup. The nurse knows that this increase in size is which of the following?
Growth
Development
Prepubescent
Cephalocaudal
Growth
A nurse is working in a pediatric clinic. The parent has brought in the 2-year-old toddler for a well-child checkup. The parent asks what the common health problems
are common for this age. The nurse's correct reply includes which of the following?
Food allergies
Accidents
Lice infestation
Scoliosis
Accidents
As a nursing student is visiting a day care to observe growth and development in action. The nursing student completes assessments on infants and toddlers who are
learning to walk, talk, and control elimination. According to Freud, in what developmental stage are they?
Trust versus mistrust
Relationships and events
Oral; anal
Phallic; genital
Oral; anal
A student nurse is assisting the school nurse with a health fair at a middle school. The student nurse assesses the students' height and weight as they file through her
station, where she observes that there is a large variation in physical size and emotional maturity. Which of the following factors may affect physical growth of
children? Choose all that apply.
Heredity
Colorful toys
Prenatal nutrition
Physical activity
Availability of books
Heredity
Prenatal nutrition
Physical activity
The nurse sees a client age 4 years and her mother at the pediatric clinic. The client is here for immunizations. She is bubbly and talkative, and tells you about her
dance lessons and her new baby brother. Her mother tells you she encourages her daughter to try new experiences and enjoy life. You know that according to
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