Nokea
What signals the resolution of the Oedipus or Electra complex?
- A. Learns sex differences
- B. Learns sexually appropriate behavior
- C. Identifies with the same-sex parent
- D. Has guilt over feelings toward the father or mother
Correct Answer: C
Rationale: The resolution of the Oedipus or Electra complex is identification with the same-sex parent. Learning sex differences and sexually appropriate behavior is a goal in further differentiation of oneself but does not signal the resolution of the Oedipus or Electra complex. Guilt over feelings toward the father or mother is seen as a stage in the complex, not the resolution.
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The nurse is conducting an assessment of fine motor development in a 3-year-old child. Which is the expected drawing skill for this age?
- A. Can draw a complete stick figure
- B. Holds the instrument with the fist
- C. Can copy a triangle and diamond
- D. Can copy a circle and imitate a cross
Correct Answer: D
Rationale: A 3-year-old child copies a circle and imitates a cross and vertical and horizontal lines. He or she holds the writing instrument with the fingers rather than the fist. A 3-year-old is not able to draw a complete stick figure but draws a circle, later adds facial features, and by age 5 or 6 years can draw several parts (head, arms, legs, body, and facial features). Copying a triangle and diamond are mastered sometime between ages 5 and 6 years.
A 4-year-old child tells the nurse that she doesnt want another blood sample drawn because I need all of my insides and I dont want anyone taking them out. What is the nurses best interpretation of this?
- A. The child is being overly dramatic.
- B. The child has a disturbed body image.
- C. Preschoolers have poorly defined body boundaries.
- D. Preschoolers normally have a good understanding of their bodies.
Correct Answer: C
Rationale: Preschoolers have little understanding of body boundaries, which leads to fears of mutilation. The child is not capable of being dramatic at this age. She truly has fear. Body image is just developing in school-age children. Preschoolers do not have good understanding of their bodies.
In terms of fine motor development, what should the 3-year-old child be expected to do?
- A. Tie shoelaces.
- B. Copy (draw) a circle.
- C. Use scissors or a pencil very well.
- D. Draw a person with seven to nine parts.
Correct Answer: B
Rationale: Three-year-old children are able to accomplish the fine motor skill of copying (drawing) a circle. The ability to tie shoelaces, to use scissors or a pencil very well, and to draw a person with seven to nine parts are fine motor skills of 5-year-old children.
What is descriptive of the nutritional requirements of preschool children?
- A. The quality of the food consumed is more important than the quantity.
- B. The average daily intake of preschoolers should be about 3000 calories.
- C. Nutritional requirements for preschoolers are very different from requirements for toddlers.
- D. Requirements for calories per unit of body weight increase slightly during the preschool period.
Correct Answer: A
Rationale: Parents need to be reassured that the quality of food eaten is more important than the quantity. Children are able to self-regulate their intake when offered foods high in nutritional value. The average daily caloric intake should be approximately 1800 calories. Toddlers and preschoolers have similar nutritional requirements. There is an overall slight decrease in needed calories and fluids during the preschool period.
A child age 4 1/2 years sometimes wakes her parents up at night screaming, thrashing, sweating, and apparently frightened, yet she is not aware of her parents presence when they check on her. She lies down and sleeps without any parental intervention. This is most likely what?
- A. Nightmare
- B. Sleep terror
- C. Sleep apnea
- D. Seizure activity
Correct Answer: B
Rationale: This is a description of a sleep terror. The child is observed during the episode and not disturbed unless there is a possibility of injury. A child who awakes from a nightmare is distressed. She is aware of and reassured by the parents presence. This is not the case with sleep apnea. This behavior is not indicative of seizure activity.