Chapter 13: Problems of Childhood Morrison-Valfre: Foundations of Mental Health Care, 7th Edition MULTIPLE CHOICE 1. Social and emotional development occurs at a more simple level in the child who is: a. 5 years old. b. 8 years old. c. 10 years old. d. 12 years old. ANS: A A child’s reasoning is simple and uncomplicated until the nervous system completely develops; therefore, the younger child’s social and emotional development moves from simple to complex with age. DIF: Cognitive Level: Comprehension REF: p. 140 OBJ: 1 TOP: Normal Childhood Development KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 2. A couple comes to the sleep disorder clinic because their 3-year-old daughter has problems falling asleep every night. The parents say that it takes their daughter 1 to 2 hours each night to fall asleep, and one of the parents ends up having to lie down with her. Which intervention should the nurse first suggest? a. The parents should alternate responsibility each night for seeing the daughter to bed. b. The daughter could start falling asleep in the parents’ bed and then could move to her own bed. c. Place the child in bed at the same time each night, and don’t allow her to get out of bed. d. Follow a bedtime ritual each night, such as reading one book. ANS: D One of the first steps in dealing with problems with sleep is following a bedtime ritual each night so as to establish a restful sleep pattern. Additional interventions include limiting watching television. The other options do not establish a restful bedtime ritual that will encourage sleep. DIF: Cognitive Level: Application REF: p. 141 OBJ: 1 TOP: Common Behavioral Problems of Childhood KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity 3. The parents of a 2-year-old boy seek assistance at a family therapy clinic because their son throws a temper tantrum every time he is not allowed to throw his food on the floor during meals. Which therapeutic intervention does the nurse suggest? a. Leave him during the tantrum, so that he feels isolated from others as a result of his behavior. b. Try to distract him when he becomes frustrated, and reward him for positive behavior.
NURSING TEST BANK
