ATI RN
ATI Nursing Care of Children Questions
Question 1 of 5
After teaching a group of nursing students about developmental milestones for children between the ages of 1 and 4 years, the instructor determines that the teaching was successful when the students identify which of the following as a gross motor developmental milestone that occurs between 2 to 3 years of age?
Correct Answer: B
Rationale: Climbing is a gross motor milestone typically achieved between 2 to 3 years of age. It involves coordination and strength. Jumping in place is usually mastered around 2 years of age. Standing on one foot with help is a skill that emerges around 3 years. Riding a tricycle typically occurs closer to 3 years and involves coordination and balance, which are more refined skills compared to climbing at an earlier age.
Question 2 of 5
A nurse is carrying on a conversation with a 7-year-old child during an office visit. Which is an example of the level of language development the nurse should expect in this child?
Correct Answer: B
Rationale: The correct answer is B. Understanding time concepts like 'half past' can be challenging for a 7-year-old, indicating the level of language development. Choice A is incorrect as fascination with bathroom language is common in this age group but not necessarily indicative of language development. Choice C is incorrect as a 7-year-old typically cannot carry on an adult conversation due to cognitive and experiential limitations. Choice D is incorrect as by the age of 7, children should be able to speak in full sentences.
Question 3 of 5
The nurse is discussing parenting in reconstituted families with a new stepparent. The nurse is aware that the new stepparent understands the teaching when which statement is made?
Correct Answer: C
Rationale: In the context of parenting in reconstituted families, option C, "I realize there may be power conflicts bringing two households together," is the correct choice. This statement demonstrates an understanding of the potential challenges that can arise when blending two families, such as power struggles between children, new stepparents, and biological parents. Option A is incorrect because it shows a lack of awareness of the significant changes and adjustments that often come with blending families. Option B is incorrect as it oversimplifies children's desires and the benefits of living in a stable, two-parent household. Option D is also incorrect as it undermines the importance of maintaining connections and relationships with extended family members, which can provide valuable support to children in reconstituted families. Educationally, this question highlights the importance of understanding the complexities of parenting in blended families and the need for new stepparents to be prepared for potential conflicts and challenges that may arise in this unique family dynamic. By selecting the correct response, students demonstrate their grasp of the nuanced issues involved in providing care and support to children in diverse family structures.
Question 4 of 5
The nurse is presenting a staff development program about understanding culture in the healthcare encounter. Which components should the nurse include in the program? (Select all that apply.)
Correct Answer: B
Rationale: In this scenario, option B, "All are applicable," is the correct answer. When discussing understanding culture in the healthcare encounter, it is essential to include all components: cultural humility, cultural sensitivity, and cultural competency. Cultural humility emphasizes self-awareness, openness, and a willingness to learn from others. It involves recognizing and challenging power imbalances in healthcare interactions. Cultural sensitivity refers to being aware of and respectful towards the cultural differences of others. It involves acknowledging diversity and adapting care practices to meet the needs of individuals from different cultural backgrounds. Cultural competency goes beyond awareness and sensitivity. It involves the ability to effectively interact with people from diverse backgrounds, understand their perspectives, and provide culturally appropriate care. Excluding any of these components would limit the nurse's ability to provide holistic and patient-centered care. By including all components in the staff development program, nurses can enhance their cultural competence, improve patient outcomes, and promote health equity.
Question 5 of 5
The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)
Correct Answer: D
Rationale: In the context of pediatric nursing, it is essential for nurses to provide parents with guidance on promoting positive behavior in their children. The correct answer, option D, encompasses key strategies for minimizing misbehavior in children. Setting clear and reasonable goals (option A) is crucial as it helps children understand expectations and provides them with a sense of structure and boundaries. Teaching desirable behavior through personal example (option B) is highly effective as children often model their behavior after significant adults in their lives. By demonstrating positive behaviors, parents can encourage their children to emulate these actions. The incorrect option, "Don't call attention to unacceptable behavior" (option C), is not an effective strategy for managing misbehavior in children. Ignoring unacceptable behavior may reinforce it by not addressing the issue or providing guidance on appropriate behavior. Educationally, this question highlights the importance of proactive parenting strategies in fostering positive behavior in children. Nurses play a vital role in educating parents on evidence-based practices that promote healthy development and positive behavior in children. By guiding parents on effective parenting techniques, nurses can support the overall well-being of children and families.