Author Question: A young couple brings their 20-month-old daughter to the pediatrician's office for immunizations. ... (Read 101 times)

cdr_15

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A young couple brings their 20-month-old daughter to the pediatrician's office for immunizations. The mother tells the nurse that she is going back to work and is looking for a day-care center in the vicinity of the clinic.
 
  What assessment is priority before recommending a day-care center that would help the parent and child adapt to the experience?
  A.
  Available financial assets
  B.
  Available support people
  C.
  Potty-training status
  D.
  The child's temperament

Question 2

A pediatric nurse works with the family of twins at designated stages in their lives to help the parents anticipate and move through the periods of disequilibrium. What is the model of child development that focuses on disruptive periods of development?
 
  A.
  Bowlby's attachment theory of development
  B.
  Brazelton's touchpoints model of development
  C.
  Erikson's stages of development
  D.
  Freud's stages of psychosexual development



mathjasmine

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Answer to Question 1

ANS: D
During a normal daily routine, the child may be exposed to a variety of settings and to several people in a day-care center or while visiting extended family, visiting a physician's office, or in public places in the community. Understanding an infant's temperament is essential in the care of the child to help both the parent and child adapt to these experiences. Although the other options are certainly considerations, they are not nearly as important as assessing the child's temperament.

Answer to Question 2

ANS: B
Brazelton described touchpoints as periods during the first 3 years of life during which children's spurts in development resulted in pronounced disruption in the family system. The touchpoints perspective assumes, among other things, that parents know their children better than they know anyone else, and with that in mind, the nurse works with the family at the various touchpoints to help them anticipate and move through the periods of disequilibrium. Bowlby focuses on the impact of separation from mothers seen in infants. Erickson's theory focuses on the influence of social interaction on development. Freud's theory regards the impact of psychosexual instincts as most important in development.



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