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Wong's Nursing Care of Infants and Children

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Wong's Nursing Care of Infants and Children

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  • September 7, 2024
  • 18
  • 2024/2025
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Wong's Nursing Care of Infants and Children, 11th Edition
TEST BANK by Marilyn J. Hockenberry, Verified Chapters 1 - 34,
Complete Newest Version
Which accomplishment would the nurse expect of a healthy 3-year-old child?

a. Jump rope
b. Ride a two-wheel bicycle
c. Skip on alternate feet
d. Balance on one foot for a few seconds - ANSWER: D

Three-year-olds are able to accomplish the gross motor skill of balancing on one
foot. Jumping rope, riding a two-wheel bike, and skipping on alternate feet are gross
motor skills of 5-year-old children.

imitation of household activity - ANSWER: domestic mimicry

persistant negative response to request; characteristic of toddler behavior -
ANSWER: negativismn

The developmental task of toddlers - ANSWER: autonomy vs shame and doubt

The toddler's need to maintain sameness and reliability; provides a sense of comfort
- ANSWER: ritualism

The fifth stage of the sensorimotor phase of development, when the child uses active
experimentation to achieve previously unattainable goals - ANSWER: tertiary circular
reactions

the final sensirimotor phase that occurs during ages 19-24 months - ANSWER:
inventions of new means through mental combinations

the inability to invision situations from another perspective other than one's self -
ANSWER: egocentrisim

consists of repeating words and sounds for the pleasure of hearing oneself and not
intended for communication - ANSWER: egocentric speech

Spans ages 2 to 7 years; characterized by egocentrism, transductive reasoning,
magical thinking and inability to conserve - ANSWER: preoperational phase

Those achievements that mark children's assumption of their individual
characteristics in the environment. - ANSWER: individuation

,The child's emergence from a symbiotic fusion with the mother. - ANSWER:
seperation

play alongside, not with, other children - ANSWER: parallel play

natural jealousy and resentment of children to a new child in the family - ANSWER:
sibling rivalry

Implies that children think primarily based on their own perception of an event;
phase in which problem solving is based on what children see or hear directly, rather
than on what they recall about objects and events. - ANSWER: preoperational
thinking

A retreat from a present pattern of functioning to past levels of behavior; usually
occurs in instance of stress, when the child attempts to cope by reverting to patterns
of behavior that were succesful in earlier stages of development; common in
toddlers - ANSWER: regression

One of the two types of speech used by children in the toddler years; used for
communication; egocentric in that children communicate about themselves to
others. - ANSWER: socialized speech

The toddler years cover the period from ________ to ________ months of age -
ANSWER: 12-36

In terms of fine motor development, what could the 3-year-old child be expected to
do?

a. Tie shoelaces.
b. Use scissors or a pencil very well.
c. Draw a person with seven to nine parts.
d. Copy (draw) a circle. - ANSWER: D

Three-year-olds are able to accomplish the fine motor skill of drawing a circle. Tying
shoelaces, using scissors or a pencil very well, and drawing a person with multiple
parts are fine motor skills of 5-year-old children.

According to Piaget, magical thinking is the belief of which?

a. Thoughts are all powerful.

b. God is an imaginary friend.

c. Events have cause and effect.

d. If the skin is broken, the insides will come out. - ANSWER: ANS: A

, Because of their egocentrism and transductive reasoning, preschoolers believe that
thoughts are all powerful. Believing God is an imaginary friend is an example of
concrete thinking in a preschoolers spiritual development. Cause-and-effect implies
logical thought, not magical thinking. Believing that if the skin is broken, the insides
will come out is an example of concrete thinking in development of body image.

In terms of cognitive development, the 5-year-old child would be expected to:

a. Use magical thinking.
b. Think abstractly.
c. Understand conservation of matter.
d. Be able to comprehend another person's perspective. - ANSWER: A

Magical thinking is believing that thoughts can cause events. Abstract thought does
not develop until school-age years. The concept of conservation is the cognitive task
of school-age children ages 5 to 7 years. Five-year-olds cannot understand another's
perspective.

What is descriptive of the preschooler's understanding of time?

a. Has no understanding of time
b. Associates time with events
c. Can tell time on a clock
d. Uses terms like "yesterday" appropriately - ANSWER: B

In a preschooler's understanding, time has a relation with events such as, "We'll go
outside after lunch." Preschoolers develop an abstract sense of time at age 3 years.
Children can tell time on a clock at age 7 years. Children do not fully understand use
of time-oriented words until age 6 years.

The nurse is caring for a hospitalized 4-year-old boy, Ryan. His parents tell the nurse
that they will be back to visit at 6 PM. When Ryan asks the nurse when his parents
are coming, the nurse's best response is:

a. "They will be here soon."
b. "They will come after dinner."
c. "Let me show you on the clock when 6 PM is."
d. "I will tell you every time I see you how much longer it will be." - ANSWER: B

A 4-year-old understands time in relation to events such as meals. Children perceive
"soon" as a very short time. The nurse may lose the child's trust if his parents do not
return in the time he perceives as "soon." Children cannot read or use a clock for
practical purposes until age 7 years. This answer assumes that the child understands
the concept of hours and minutes, which is not developed until age 5 or 6 years.

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