The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?
Gets upset when a babysitter is in charge, but will do what is asked by the babysitter.
Tries to sweep up spilled cereal but cries when can’t do well.
Refuses to hold anyone’s hand while crossing the street.
Broke a dish but blamed it on a friend the caregivers don’t know.
The Correct Answer is B
Choice A reason: Complying with a babysitter despite being upset shows adaptability, not initiative, which involves self-directed tasks. Attempting to clean cereal reflects proactive behavior, making this less indicative and incorrect compared to an activity demonstrating the 4-year-old’s initiative in the developmental assessment.
Choice B reason: Trying to sweep spilled cereal and crying when failing demonstrates initiative, as the 4-year-old independently attempts a task, a hallmark of Erikson’s initiative stage. This aligns with pediatric developmental milestones, making it the correct activity to document for assessing the child’s growth and development status.
Choice C reason: Refusing to hold hands while crossing the street indicates defiance, not initiative, which involves purposeful self-started activities. Cleaning cereal better reflects initiative, making this incorrect, as it shows autonomy rather than the proactive behavior expected in the initiative stage of development.
Choice D reason: Blaming a broken dish on a fictional friend shows guilt avoidance, not initiative, which involves taking on tasks independently. Attempting a cleanup task is more indicative, making this incorrect compared to the proactive behavior of sweeping cereal in the 4-year-old’s developmental assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Setting a good example by always wearing a seat belt models safe behavior, which children are likely to emulate. This prioritizes consistent safety habits, aligning with pediatric safety education principles, making it the most effective instruction for promoting car safety in families during a health fair presentation.
Choice B reason: Rewarding with candy for seat belt use may encourage compliance but risks unhealthy eating habits and extrinsic motivation. Modeling seat belt use fosters intrinsic safety habits, making this less effective and incorrect compared to the nurse’s priority of setting a consistent example for car safety.
Choice C reason: Stopping the car for unbuckled restraints addresses behavior but may be impractical and unsafe on busy roads. Modeling seat belt use prevents issues by reinforcing norms, making this reactive approach less prioritized and incorrect for the primary car safety instruction in a family setting.
Choice D reason: Explaining seat belt laws may inform but is less effective for young children who respond better to role modeling than legal consequences. Parental example drives behavior, making this less impactful and incorrect compared to prioritizing consistent seat belt use by adults in the family.
Correct Answer is D
Explanation
Choice A reason: Rheumatic fever follows streptococcal infection but typically presents with joint pain, carditis, or rash, not puffy eyes or abnormal urine. Glomerulonephritis better matches the symptoms post-infection, making this incorrect for the suspected condition based on the child’s presentation and history.
Choice B reason: Lipoid nephrosis causes edema and proteinuria but is not typically linked to recent infections or hematuria. Acute glomerulonephritis, often post-streptococcal, explains puffy eyes and abnormal urine, making this less fitting and incorrect for the child’s symptoms following ear infections.
Choice C reason: Urinary tract infections cause dysuria or frequency, not puffy eyes or hematuria post-infection. Acute glomerulonephritis aligns with the history of ear infections (possible streptococcal link) and symptoms, making this incorrect for the suspected condition in this child with these signs.
Choice D reason: Acute glomerulonephritis, often post-streptococcal (e.g., after ear infections), causes hematuria (“funny” urine), periorbital edema (puffy eyes), and headache. This aligns with pediatric nephrology evidence, making it the correct condition the nurse suspects based on the child’s symptoms and medical history.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
