Nokea
A parent shares with the nurse in the pediatric clinic that their 12-month-old cries when they leave the room or hide a favorite stuffed animal. The nurse explains that object permanence typically occurs in which group?
- A. 0 to 6 months
- B. 12 to 18 months
- C. 24 to 36 months
- D. 36 months to 4 years
Correct Answer: B
Rationale: Object permanence, the understanding that objects continue to exist even when out of sight, typically develops between 12 to 18 months according to Piaget's sensorimotor stage. A 12-month-old crying when a parent leaves or a toy is hidden indicates they are beginning to develop this concept.
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A school nurse uses Kohlberg's theory of moral development as a basis for a roundtable discussion with parents on bullying. According to Kohlberg, what factor initially influences the moral development of propuestas?
- A. Parent/caregiver-child communications
- B. Societal rules and regulations
- C. Social and religious rules
- D. A person's beliefs and values
Correct Answer: A
Rationale: The beginnings of moral development result from parent/caregiver-child communications during early childhood, as the young child tries to please parents and caregivers. Kohlberg's stages of moral development begin in childhood but may continue developing into adolescence and adulthood.
When caring for older adults in a long-term care facility, a nurse encourages an older adult to talk about past life events. One patient tells the nurse they were an angry person, lost many jobs, and ended up alone. According to Erikson, this patient is in what developmental stage?
- A. Despair
- B. Stagnation
- C. Inferiority
- D. Industry
Correct Answer: A
Rationale: Reminiscence during the older years of a person's life provides a sense of fulfillment and purpose (ego integrity). The patient's description of anger, job loss, and loneliness suggests they are experiencing despair, which occurs when a person believes their life has been a series of failures or missed directions.
While assessing a patient in the medical clinic, the patient tells the nurse: 'I'm currently a sales associate, but I'm considering a career move, which makes me somewhat anxious.' According to Levinson, what phase of adult life is this patient experiencing?
- A. Entering the adult world
- B. Settling down
- C. Midlife transition
- D. Entering middle-adulthood
Correct Answer: C
Rationale: Midlife transition (ages 40 to 45 years) involves a reappraisal of goals and values, which may lead to career changes and associated anxiety. Entering the adult world (ages 22 to 28) involves trying different careers and lifestyles. Settling down (ages 33 to 40) focuses on investing energy in personally important areas. Entering middle adulthood (ages 45 to 50) involves committing to new tasks after forming a new life structure.
A nurse assessing a toddler in a pediatric office tells the parents that the child is in the 90th percentile for height and weight and has blue eyes. The nurse explains these physical characteristics are primarily determined by which of the following?
- A. Socialization with caregivers
- B. Maternal nutrition during pregnancy
- C. Genetic information on chromosomes
- D. Meeting developmental tasks
Correct Answer: C
Rationale: Physical appearance and growth have a predetermined genetic base in inheritance patterns carried on the chromosomes.
When teaching parents about achievements in children, the nurse explains that, according to Piaget, children in which age group are able to grasp abstract ideas?
- A. Toddler
- B. Adolescence
- C. Preschool age
- D. School age
Correct Answer: B
Rationale: According to Piaget, children in the formal operational stage (adolescence, typically starting around age 11) develop the ability to grasp abstract ideas and think logically about hypothetical situations. Toddlers, preschoolers, and school-age children are in earlier stages (sensorimotor, preoperational, and concrete operational, respectively) and do not yet have this capacity.