Baby Steps
At approximately what age does an infant sit without support?
What is 6 months?
What developmental stage is characterized by children beginning to assert independence and frequently saying "NO"
What is toddler?
What developmental period is most associated with puberty?
What is adolescence?
According to Erikson, what is the major developmental task of infancy?
What is Trust vs. mistrust?
True or False: The nurse should use the same communication approach with a toddler, adolescent, and older adult.
What is False?
A 9-month-old cries when the parent leaves the room. What developmental behavior is this considered?
What is separation anxiety?
A 2-year-old is upset because the nurse won't allow them to play with medical equipment. What behavior is the 2-year-old demonstrating?
Tantrums/Negativism
What becomes particularly important to many adolescents?
A. Peer relationships
B. Object permanence
C. Parallel play
D. Toilet Training
What is A. Peer relationships?
Which Erikson stage is associated with toddlers?
What is Autonomy vs. shame and doubt?
When communicating with a toddler, the nurse should generally use:
A. Complex explanations
B. Simple words and short statements
C. Abstract concepts
D. Written instructions
What is B. Simple words and short statements?
An infant is hospitalized. The nurse should encourage which person to participate in care when possible?
What is the parent or primary caregiver?
A preschooler tells the nurse "I got sick because I was bad." This is what developmental concept?
What is magical thinking?
Teenagers spending considerable time worrying about appearance and what peers think is attributed to what developmental consideration?
Peer acceptance and body image
Which Erikson stage is associated with school-age children?
What is Industry vs. inferiority?
Which approach is most appropriate when teaching a school-age child?
A. Use concrete explanations and involve the child
B. Speak only to the parent
C. Use abstract concepts
D. Avoid allowing questions
What is A. Use concrete explanations and involve the child?
Which finding in a 12-month-old is most concerning?
A. Pulling self to stand
B. Using a few words
C. Crawling
D. Loss of a previously acquired skill
What is D. Loss of a previously acquired skill?
A hospitalized 4-year-old is afraid of a procedure. Which intervention is the most appropriate?
A. Give a lengthy explanation using medical terminology
B. Use simple language and allow the child to role play
C. Tell the child there is nothing to be afraid of
D. Avoid explaining the procedure
What is B. Use simple language and allow the child to role play?
Nurses caring for a teenager who says, "Please don't tell my parents" must consider what?
Confidentiality and Legal and/or Facility limits
Which Erikson stage is associated with adolescence?
What is Identity vs. role confusion?
An older adult takes longer than expected to respond to a question. What should the nurse do FIRST?
A. Assume cognitive impairment
B. Repeat the question loudly
C. Allow additional time for the response
D. Ask the family member to answer
What is C. Allow additional time for the response?
A 10-month-old is hospitalized and becomes frightened when the nurse approaches? What is the BEST nursing action?
A. Ask the parent to leave
B. Approach quickly and complete the assessment
C. Allow the parent to hold the infant while the nurse assesses
D. Ignore the infant's behavior
What is C. Allow the parent to hold the infant while the nurse assesses?
A 7-year-old is frustrated because they cannot complete a puzzle. The child says "I'm stupid." Which developmental task should the nurse be most aware of?
What is developing industry and competence; repeated failure can contribute to feelings of inferiority
A 16-year-old refuses to participate in teaching when their parent answers every question for them. What is the BEST nursing approach?
A. Direct all questions to the parent
B. Ask the adolescent questions directly and encourage appropriate independence
C. Tell the parent to leave immediately
D. Skip the teaching
What is B. Ask the adolescent questions directly and encourage appropriate independence?
A 75-year-old reflects on their life and expresses satisfaction with the choices they made. Which Erikson developmental task is being demonstrated?
What is integrity vs. despair?
The nurse is caring for four patients. Which patient requires the MOST developmental consideration when preparing for a procedure?
A. A 35-year-old who wants written instructions
B. A 72-year-old who asks questions
C. A 3-year-old who believes the procedure is punishment
D. A 45-year-old who wants to know the procedure time
What is C. A 3-year-old who believes the procedure is punishment