Test Bank Nursing Health DAmicoBarbarito and edition Assessment Physical 2nd in

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Sample Provided Below:

Chapter 3
Question 1
Type: MCMA
The nurse is conducting a prenatal class to expectant parents. When one of the couples asks how children grow, the nurse explains that growth and development proceeds in a number of ways. Which of the following descriptions will the nurse use to accurately reflect normal growth and development?
Standard Text: Select all that apply.
1. Cephalocaudal direction
2. Simple to complex
3. Distal to proximal direction
4. Generalized response to specific response
5. Anterior to posterior
Correct Answer: 1,2,4
Rationale 1: Cephalocaudal direction. Growth and development occurs in a cephalocaudal direction; from head to toe.
Rationale 2: Simple to complex. Growth and development proceeds from simple to complex; an infant will reach out for an object before actually being able to grasp the object.
Rationale 3: Distal to proximal direction. Growth and development does not proceed from distal to proximal but rather from proximal to distal; i.e., from the center of the body outward.
Rationale 4: Generalized response to specific response. Growth and development progresses from general to specific responses; an infant responds to stimuli with the entire body, and older child will respond more specifically, for example, with a smile.
Rationale 5: Anterior to posterior. Anterior to posterior does not describe a pattern of normal growth and development.
Global Rationale: Growth and development (G and D) occurs in a cephalocaudal direction; from head to toe. G and D proceeds from simple to complex; an infant will reach out for an object before actually being able to grasp the object. G and D progresses from general to specific responses; an infant responds to stimuli with the entire body, and older child will respond more specifically, for example with a smile. G and D does not proceed from distal to proximal but rather from proximal to distal; i.e., from the center of the body outward. Anterior to posterior does not describe a pattern of normal growth and development.

Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 3.1: Identify the principles of growth and development.

Question 2
Type: MCMA
The nurse identifies which of the following as environmental factors that can influence the growth and development of an individual?
Standard Text: Select all that apply.
1. Nutrition
2. Climate
3. Heredity
4. Culture
5. Religion
Correct Answer: 1,2,4
Rationale 1: Nutrition. Nutrition is an environmental factor that can affect the growth and development of an individual.
Rationale 2: Climate. Climate is an environmental factor that can affect the growth and development of an individual.
Rationale 3: Heredity. Heredity drives the physical attributes of growth and development such as stature, gender, and race.
Rationale 4: Culture. Culture is an environmental factor that can affect the growth and development of an individual.
Rationale 5: Religion. Religion is an environmental factor that can affect the growth and development of an individual.
Global Rationale: Nutrition, climate, culture, and religion are all external, environmental factors that can affect how an individual grows and develops over time. Heredity drives the physical attributes of growth and development such as stature, gender, and race.

Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 3.1: Identify the principles of growth and development.

Question 3
Type: MCSA
The nurse is teaching the parents of a child who is in Piaget’s sensorimotor stage of development. Which statement, made by the parents, indicates to the nurse that they understand the teaching and are working appropriately to help the child accomplish developmental tasks of this stage?
1. “We have started buying more colorful toys.”
2. “We play with water toys in the bathtub.”
3. “We bought some blocks with numbers.”
4. “We have been playing peek-a-boo.”
Correct Answer: 4
Rationale 1: Buying more colorful toys fosters visual stimulation as the child experiences physiologic growth and development (nervous system), but does not help the child with cognitive development.
Rationale 2: Playing with water toys in the bathtub helps a child to develop motor. not cognitive. skills.
Rationale 3: Providing a child with numbered blocks targets motor skill development, not cognitive development.
Rationale 4: Playing peek-a-boo helps the infant begin to understand that someone is there even when that person is not visible. Piaget’s theory explores how thinking, reasoning, and language develop (cognitive skills). In the sensorimotor stage (birth to 2 years) the infant progresses from responding primarily through reflexes, to purposeful movement and organized activity. It is during this stage that the infant begins to recognize objects and develop object permanence, the knowledge that objects continue to exist even though they are not seen.
Global Rationale: Playing the game “peek-a-boo” helps the child to understand that someone is there even when they are not visible. Piaget’s theory explores how thinking, reasoning, and language develop (cognitive skills). In the sensorimotor stage (birth to 2 years) the child progresses from responding primarily through reflexes, to purposeful movement and organized activity. It is during this stage that the child begins to recognize objects and develop object permanence, the knowledge that objects continue to exist even though they are not seen. Buying more colorful toys fosters visual stimulation as the child experiences physiologic growth and development (nervous system), but does not help the child with cognitive development. Playing with water toys in the bathtub helps a child to develop motor not cognitive skills. Providing a child with numbered blocks targets motor skill development, not cognitive development.

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