Question

Which is the priority nursing intervention for the family of a child Who has been admitted to the hospital?

Answer 1

Correct Answers:

Including the parents in the care of their child

Rationale :

🟢In family-centered care, the family is considered the constant in a child’s life, while healthcare providers and settings change.

🟢Including parents in care promotes emotional security for the child and fosters parental confidence and competence in caregiving.

🟢This approach enhances parent-child bonding, reduces parental anxiety, and helps parents understand their child’s condition better.

🟢It also supports collaboration and partnership between the healthcare team and the family, leading to improved outcomes.

🟢Active parental involvement in care encourages continuity and consistency when the child transitions from hospital to home.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 2

Correct Answers:

"Family-centered care recognizes the concept of family as the constant."

Rationale :

🔷Family-centered care is based on the principle that the family remains a constant in a child’s life, even when illness or hospitalization occurs.

🔷This approach emphasizes collaboration between the family and healthcare team to meet the child’s physical and emotional needs.

🔷Recognizing the family as constant allows nurses to respect family expertise, values, and preferences in the care plan.

🔷It acknowledges that families play a critical role in decision-making and support throughout the child’s health journey.

🔷This philosophy ultimately strengthens trust, communication, and empowerment within the healthcare relationship.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 3

Correct Answers:

The client and family are able to communicate with caregivers about their potential fears.
The health care team gives the client and family regular updates.
The family is assisted with travel plans to be able to stay with the client.

Rationale :

The client and family are able to communicate with caregivers about their potential fears.

🔷 Open, bidirectional communication is a core principle of family-centered care, ensuring the family’s perspectives and worries inform the plan of care.

🔷 Inviting discussion of fears, values, and cultural needs reduces anxiety and strengthens therapeutic alliance.

🔷 Transparent dialogue improves shared decision-making, aligning interventions with family goals and the adolescent’s developmental needs.

🔷 Addressing emotions early helps prevent misunderstandings, improves adherence, and supports safer transitions through care settings.

🔷 This approach empowers both the client and caregivers, reinforcing dignity, respect, and partnership.

The health care team gives the client and family regular updates.

🔷 Consistent, timely updates honor the family’s right to information and sustain trust during uncertain hospitalizations.

🔷 Regular briefings facilitate anticipatory guidance (what to expect next), improving readiness for tests, procedures, and disposition.

🔷 Information sharing enables informed consent/assent and promotes shared decision-making, particularly important with adolescents.

🔷 Proactive communication mitigates stress and decisional fatigue, supporting better coping and participation in care.

🔷 This practice operationalizes the FCC pillars of respect, information-sharing, collaboration, and negotiation.

The family is assisted with travel plans to be able to stay with the client.

🔷 Practical support (e.g., travel/lodging assistance) recognizes the family as the child’s constant, preserving presence during critical care moments.

🔷 Sustained family presence promotes emotional security, reduces the adolescent’s fear and isolation, and can improve clinical outcomes.

🔷 Removing logistical barriers demonstrates equity and responsiveness to social determinants that affect engagement in care.

🔷 Close proximity enables real-time participation in rounds, teaching, and discharge planning, improving continuity after hospitalization.

🔷 This concrete help reflects a holistic, partnership-based model—central to high-quality family-centered care.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 4

Correct Answers:

The child's favorite food

Rationale :

💠A child’s favorite food is not relevant to developmental assessment, as it doesn’t provide insight into milestones or functioning.

💠Developmental screening focuses on motor, cognitive, social, and language skills, not dietary preferences.

💠Important data include fine and gross motor coordination, emotional responses, and parental concerns.

💠While nutrition affects growth, it is not a developmental milestone parameter used in standardized tests.

💠Therefore, the nurse prioritizes information that reflects neurological and behavioral development over food preferences.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 5

Correct Answers:

Around 2 months the infant exhibits a first real smile.
Around 12 months the infant attaches meaning to the words "mama" and "dada”
Around 7 months the infant may enjoy socially interactive games such as patty-cake and peek-a-boo.

Rationale :

Around 2 months the infant exhibits a first real smile.

🍼 The social (responsive) smile typically emerges by ~6–8 weeks, signaling early social engagement with caregivers.

🍼 This milestone reflects maturing visual tracking and affective reciprocity, as the infant responds to a human face/voice rather than to random stimuli.

🍼 A true social smile supports caregiver–infant bonding, reinforcing positive interaction cycles that promote secure attachment.

🍼 Clinically, the 2-month smile is a key social–emotional marker used in well-child checks to gauge early relational development.

🍼 Delayed or absent social smiling warrants closer follow-up of social communication and neurologic development in the context of the whole exam.

Around 12 months the infant attaches meaning to the words “mama” and “dada.”

🍼 By ~12 months, many infants attach consistent meaning to “mama” and “dada,” showing receptive language comprehension alongside emerging expressive words.

🍼 This reflects integration of cognitive, social, and language systems—recognizing specific people and using proto-words purposefully.

🍼 Clinically, it aligns with other 12-month milestones such as following simple commands and pointing, demonstrating growing symbolic understanding.

🍼 Caregiver labeling (“That’s mama”) and responsive naming strengthen word–referent mapping, accelerating vocabulary growth in the second year.

🍼 Consistent response to these names indicates recognition, attachment security, and maturing auditory–verbal processing.

Around 7 months the infant may enjoy socially interactive games such as patty-cake and peek-a-boo.

🍼 At ~6–8 months, infants begin to enjoy turn-taking social games, reflecting anticipation, joint attention, and emerging object permanence (peek-a-boo).

🍼 These games scaffold social reciprocity—the infant watches, waits, and then responds—building foundations for later language pragmatics.

🍼 Repetitive, predictable play strengthens working memory and reinforces cause-and-effect learning (“my clap gets a response”).

🍼 Engagement in patty-cake/peek-a-boo correlates with affect sharing and emotion regulation, as the infant practices excitement and soothing in a safe loop.

🍼 For clinicians, interest in interactive games is a practical marker of socio-cognitive development and caregiver attunement.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 6

Correct Answers:

Allow the newborn infant to signal a need.

Rationale :

♦ According to Erikson’s stage of trust vs. mistrust (birth–1 year), infants develop trust when caregivers respond to their signals.

♦ Allowing the newborn to express needs and promptly responding builds confidence in the caregiver’s reliability.

♦ This approach fosters emotional security and attachment, crucial for healthy psychosocial development.

♦ Anticipating every need prevents the infant from learning self-expression and communication cues.

♦ Trust is established when the caregiver’s responses are consistent, nurturing, and timely.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 7

Correct Answers:

Limit options to two reasonable choices and allow child to choose one.

Rationale :

🌟Toddlers (1–3 years) are in Erikson’s stage of autonomy vs. shame and doubt, where independence is developing.

🌟Allowing limited choices helps foster autonomy and decision-making within safe boundaries.

🌟This approach minimizes power struggles and supports the toddler’s sense of control.

🌟It prevents shame or doubt by reinforcing that their preferences matter.

🌟Such structured independence promotes healthy self-esteem and emotional growth.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 8

Correct Answers:

The child is unable to push a toy lawnmower.

Rationale :

✨ Gross motor development at 24 months includes running, climbing, kicking a ball, and pushing or pulling toys.

✨ The inability to push a toy lawnmower indicates a delay in large muscle coordination and strength, which are essential for balance and mobility.

✨ At this age, a toddler should exhibit improved stability and control while ambulating and performing simple physical play.

✨ This delay may suggest issues with neuromuscular maturation or lack of physical activity opportunities.

✨ Early identification of gross motor delay is vital for timely referral to physical therapy or developmental evaluation.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 9

Correct Answers:

Completes puzzles with eight pieces.

Rationale :

🟩According to Piaget’s sensorimotor stage (birth to 2 years), toddlers primarily learn through sensation and movement, not abstract problem-solving.

🟩Completing an eight-piece puzzle requires symbolic thought and complex reasoning, which belong to the preoperational stage (2–7 years).

🟩Sensorimotor toddlers focus on object permanence, imitation, and cause-effect relationships, not logical categorization.

🟩Their cognitive abilities are limited to hands-on exploration rather than conceptual manipulation of objects.

🟩This task is too advanced for a toddler still in the sensorimotor stage, making it inconsistent with their expected development.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 10

Correct Answers:

Displays animisms
Likes exploring new things
Plans activities and makes up games

Rationale :

Displays animisms

🔷 In the preoperational stage (ages 2–7), preschoolers commonly exhibit animism—attributing life-like qualities (feelings, intentions) to inanimate objects.

🔷 This reflects egocentric and symbolic thinking, where children use imagination to explain the world they cannot yet reason about abstractly.

🔷 Animistic beliefs support language development and narrative play, as children talk to toys and “care” for objects as if they were alive.

🔷 Recognizing animism helps clinicians identify typical cognitive patterns versus red flags for thought disorder in this age group.

🔷 Overall, animism is a normal developmental phenomenon, indicating active symbolic representation and creative cognition in preschoolers.

Likes exploring new things

🔷Preschoolers show pronounced curiosity and novelty seeking, which aligns with Erikson’s initiative vs. guilt task (ages 3–6).

🔷Exploration builds autonomy, problem‐solving, and cause–effect understanding, advancing both cognitive and language growth.

🔷Safe opportunities to explore foster intrinsic motivation and self-efficacy, key predictors of later school readiness.

🔷Caregiver responses that are supportive (not punitive) reinforce initiative, while harsh responses risk guilt and withdrawal.

🔷Clinically, a strong exploratory drive indicates healthy executive function emergence (attention shifting, planning) during this period.

Plans activities and makes up games

🔷Self-initiated, imaginative play (planning a game, assigning roles) is a hallmark of preschool executive function growth and symbolic thought.

🔷Planning requires working memory, cognitive flexibility, and inhibitory control, reflecting maturing frontal networks.

🔷Erikson’s initiative vs. guilt is met as children originate ideas, organize peers, and persist toward a playful goal.

🔷Such play also develops social cognition—turn-taking, rule-making, and perspective-taking—which supports classroom adjustment.

🔷Frequent “made-up games” predict stronger self-regulation, language complexity, and problem-solving in early school years.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

ADRN210 - Adult & Family Nursing II Pediatric Theory Exam - Section 3 (C) - Fall 2025

No.

1 :
Which is the priority nursing intervention for the family of a child Who has been admitted to the hospital?

2 :
After teaching a group of nursing students about family-centered care, which statement made by the students would best indicate that the teaching was successful?

3 :
A 13-year-old male from a rural area has been airlifted to the nearest urban center hospital for investigation of abdominal pains. Which actions by the nurse best exemplify the principles of family-centered care? Select all that apply.

4 :
Which assessment data does the nurse not need to evaluate while administering a developmental screening test, whether through questionnaire, observation, or direct testing?

5 :
The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply.

6 :
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant, Using Erikson's psychosocial development theory, the nurse would instruct the mother to:

7 :
The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's temper tantrums. Based on Erikson's theory of development, what would be an appropriate intervention for this child?

8 :
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

9 :
The nurse is caring for a toddler who is in Piaget's sensorimotor Stage of cognitive development. The nurse should anticipate the toddler to perform all of the following except:

10 :
The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply.

Connect With Us

ADRN210 - Adult & Family Nursing II Pediatric Theory Exam - Section 3 (C) - Fall 2025

No.

1 : Which is the priority nursing intervention for the family of a child Who has been admitted to the hospital?

2 : After teaching a group of nursing students about family-centered care, which statement made by the students would best indicate that the teaching was successful?

3 : A 13-year-old male from a rural area has been airlifted to the nearest urban center hospital for investigation of abdominal pains. Which actions by the nurse best exemplify the principles of family-centered care? Select all that apply.

4 : Which assessment data does the nurse not need to evaluate while administering a developmental screening test, whether through questionnaire, observation, or direct testing?

5 : The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply.

6 : A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant, Using Erikson's psychosocial development theory, the nurse would instruct the mother to:

7 : The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's temper tantrums. Based on Erikson's theory of development, what would be an appropriate intervention for this child?

8 : The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

9 : The nurse is caring for a toddler who is in Piaget's sensorimotor Stage of cognitive development. The nurse should anticipate the toddler to perform all of the following except:

10 : The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply.

1 :
Which is the priority nursing intervention for the family of a child Who has been admitted to the hospital?

2 :
After teaching a group of nursing students about family-centered care, which statement made by the students would best indicate that the teaching was successful?

3 :
A 13-year-old male from a rural area has been airlifted to the nearest urban center hospital for investigation of abdominal pains. Which actions by the nurse best exemplify the principles of family-centered care? Select all that apply.

4 :
Which assessment data does the nurse not need to evaluate while administering a developmental screening test, whether through questionnaire, observation, or direct testing?

5 :
The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply.

6 :
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant, Using Erikson's psychosocial development theory, the nurse would instruct the mother to:

7 :
The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's temper tantrums. Based on Erikson's theory of development, what would be an appropriate intervention for this child?

8 :
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

9 :
The nurse is caring for a toddler who is in Piaget's sensorimotor Stage of cognitive development. The nurse should anticipate the toddler to perform all of the following except:

10 :
The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply.