Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 07: Human Development Across the Life Span
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Offer several different options for dressing and encourage the child to select one of them. |
| b. | Allow the child to help wash the unbreakable dishes used to serve breakfast. |
| c. | Provide one-on-one parent–child time each evening before bed. |
| d. | Enroll the child in a weekend, age-appropriate sports program. |
ANS: B
This strategy will allow the child to demonstrate initiative by washing dishes without worrying about breakage. Making clothes selections is a strategy related to development of autonomy. Providing one-on-one time promotes trust. Age appropriate sports program is related to competence.
DIF: Cognitive Level: Application REF: Page 117 TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion and Maintenance
| a. | “You are never allowed to steal.” |
| b. | “You go to jail is you steal someone else’s things.” |
| c. | “My parents would punish me if I was caught stealing.” |
| d. | “Stealing food when you don’t have anything to eat is alright.” |
ANS: D
Before the ages of 10 or 11 years, children consider moral dilemmas differently from older children. For younger children, rules are absolute and come from an authority figure. Older children learn that rules are changeable in certain situations. According to Piaget, younger children base moral judgment on consequences, whereas older children base judgment on motives.
DIF: Cognitive Level: Application REF: Page 121
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance, Health Promotion and Maintenance
| a. | Was consistently overprotected by family members |
| b. | Was raised by parents who were strict disciplinarians |
| c. | Had inconsistent, unpredictable physical care as an infant |
| d. | As a teenager always felt unaccepted by his social peers |
ANS: C
A sense of hope is the outcome of Erikson’s stage of trust versus mistrust. Inconsistent, unpredictable, and discontinuous care would lead to hopelessness and to a mistrust of self and the world. No data are given to support any of the other diagnoses.
DIF: Cognitive Level: Application REF: Page 117
TOP: Nursing Process: Nursing Diagnosis
MSC: NCLEX: Health Promotion and Maintenance, Psychosocial Integrity
| a. | “It’s too hard to get good grades.” |
| b. | “I’ll never be able to get into a good college.” |
| c. | “My parents are disappointed that I do so poorly in school.” |
| d. | “I don’t want people to know I can barely read or write.” |
ANS: B
According to Erikson and the stage of competence versus inferiority, during school years (6 to 12 years of age), children gain new knowledge, learn new skills, and grow more competent. If they lack successes in learning or productivity, children may develop a sense of inferiority. The other options reflect problems with autonomy and guilt.
DIF: Cognitive Level: Application REF: Page 117
TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion and Maintenance, Psychosocial Integrity
| a. | “Does your son belong to team or club with friends or classmates?” |
| b. | “Does he feel bad when he does something he knows he shouldn’t do?” |
| c. | “How does he tend to act when he doesn’t get exactly what he wants?” |
| d. | “How confident is he in situations that are generally unfamiliar for him?” |
ANS: A
According to Sullivan, the expected development of the preadolescent permits him or her to work with peers toward a common goal and to develop a sense of “oneness.” Development of a social conscience is not related to interpersonal skill development. Coping with frustration develops in late adolescence. Confidence is suggested as a developmental issue of 12- to 18-year-olds in Erikson’s model.
DIF: Cognitive Level: Application REF: Page 118
TOP: Nursing Process: Outcome Identification
MSC: NCLEX: Health Promotion and Maintenance
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