NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 16: Assessing the Toddler and Preschooler
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which is the best response by the parent when a child is throwing a temper tantrum?
| 1) | Punishment |
| 2) | Consistency |
| 3) | Avoidance of behavioral issues |
| 4) | Humor |
____ 2. Which does the preschooler use to evaluate own behavior?
| 1) | Social mores |
| 2) | Parental rules |
| 3) | Reward or punishment |
| 4) | Peer pressure |
____ 3. Which action is most appropriate by the parents to minimize sibling rivalry between toddlers and a new sibling?
| 1) | Having the toddler help prepare the baby’s room |
| 2) | Taking the toddler on a trip before the new sibling arrives |
| 3) | Explaining to the toddler that he or she is no longer the baby |
| 4) | Sending the toddler to the grandparents to prevent conflict |
____ 4. Which is a common reaction many toddlers have when a new baby is introduced into the family?
| 1) | Acting out |
| 2) | Temper tantrums |
| 3) | Regressive behavior |
| 4) | All of the above |
____ 5. The nurse is preparing to conduct an assessment for a toddler-age patient. Which approach is most appropriate?
| 1) | Doing the most painful sections first |
| 2) | Explaining that the assessment won’t be painful |
| 3) | Engaging the toddler in games to develop rapport |
| 4) | Talking to the parent |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 16, Assessing the Toddler and Preschooler
Chapter learning objective: N/A
Chapter page reference: 438
Integrated Processes: Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Punishment is not an effective response to a temper tantrum. |
| 2 | Even though the toddler is trying to achieve control, he or she also looks for consistency within his or her environment. |
| 3 | Avoidance is not an effective response to a temper tantrum. |
| 4 | Humor is not an effective response to a temper tantrum. |
PTS: 1 CON: Development
Chapter number and title: 16, Assessing the Toddler and Preschooler
Chapter learning objective: N/A
Chapter page reference: 438
Integrated Processes: Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive level: Knowledge [Remembering]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Social mores are not used to evaluate behavior at this stage of development. |
| 2 | Parental rules are not used to evaluate behavior at this stage of development. |
| 3 | Toddlers and preschoolers evaluate their own behavior as good or bad based on the outcome, reward or punishment. |
| 4 | Peer pressure is not used to evaluate behavior at this stage of development. |
PTS: 1 CON: Development
Chapter number and title: 16, Assessing the Toddler and Preschooler
Chapter learning objective: N/A
Chapter page reference: 439
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive level: Synthesis [Creating]
Concept: Development
Difficulty: Difficult
| Feedback | |
| 1 | Jealousy is a normal reaction by a toddler or preschooler, who may have trouble understanding and accepting a new baby. Talking to children and letting them help prepare for the new baby helps minimize conflict. |
| 2 | Taking a trip before the new baby arrives will not minimize sibling rivalry. |
| 3 | Explaining to the toddler that he or she is no longer the baby will not minimize sibling rivalry. |
| 4 | Sending the toddler to the grandparents will not minimize sibling rivalry. |
PTS: 1 CON: Development
Chapter number and title: 16, Assessing the Toddler and Preschooler
Chapter learning objective: N/A
Chapter page reference: 439
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Synthesis [Creating]
Concept: Development
Difficulty: Difficult
| Feedback | |
| 1 | Acting out is one reaction that toddlers may exhibit with the introduction of a new sibling. |
| 2 | Temper tantrums is one reaction that toddlers may exhibit with the introduction of a new sibling. |
| 3 | Regressive behavior is one reaction that toddlers may exhibit with the introduction of a new sibling. |
| 4 | A variety of situations, such as a new baby, being hospitalized, or family fighting, can cause stress. Toddlers and preschoolers may act out, have temper tantrums, or exhibit regressive behavior. |
PTS: 1 CON: Development
Chapter number and title: 16, Assessing the Toddler and Preschooler
Chapter learning objective: N/A
Chapter page reference: 444
Heading: Physical Assessment
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Synthesis [Creating]
Concept: Development, Assessment
Difficulty: Difficult
| Feedback | |
| 1 | If some procedures might cause discomfort, such as the otoscopic exam if the child has an earache, leave them until the end. |
| 2 | Although explanations are important, this is not the best approach when conducting a physical assessment for a toddler-age patient. |
| 3 | Because the toddler thinks in a very concrete way, keep your explanations very simple. Toys, such as hand puppets, or games can be helpful when examining the toddler or preschooler. |
| 4 | Although talking to the parents may be appropriate, this is not the best approach when conducting a physical assessment for a toddler-age patient. |
PTS: 1 CON: Development | Assessment
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