Nokea
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
- A. “By age 11, blood pressure readings are the same as for an adult.”
- B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
- C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
- D. “Overall growth in school-age children is slower than during infancy and adolescence.”
Correct Answer: D
Rationale: Growth in school-age children slows compared to infancy and adolescence, making this the most accurate response.
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A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
Which person is at highest risk for being uninsured?
- A. 68-year-old retired mailman
- B. 48-year-old on renal dialysis
- C. 2-year-old whose parents work but do not have benefits through their employers
- D. 27-year-old who attends college and works part time in a small pizza parlor
Correct Answer: D
Rationale: Young adults are often at risk of being uninsured due to the high cost of insurance and ineligibility for coverage under their parents' plans.
A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- A. Snellen Screening test
- B. Denver Eye Screening test
- C. Ishihara’s test
- D. Cover test
Correct Answer: A
Rationale: The Snellen Screening test is commonly used to assess visual acuity in children.
The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
- A. Rarely identifies children who have developmental delays
- B. Rarely identifies children who do not actually have developmental delays
- C. Has a large number of false positive results
- D. Has a large number of false negative results
Correct Answer: B
Rationale: Specificity measures a test’s ability to correctly identify those who do not have the condition, leading to fewer false positives.
Priorities in Preventative Health Care
- A. Global initiatives for health care needs
- B. Focus mainly on developed countries
- C. Focus mainly on developing countries
- D. Public health agencies lead health care development
Correct Answer: A
Rationale: Global health initiatives address needs in both developed and developing countries.