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If the 3-year-old child is typical of other autistic children, how would the nurse expect that child to respond to its parents?
- A. Indifference
- B. Playfulness
- C. Impatience
- D. None of the above
Correct Answer: A
Rationale: Autistic children often show indifference to social interactions.
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If the unprescribed drug is an anabolic steroid, which other physical effect is common?
- A. Decreased lung capacity
- B. Bronzed skin
- C. Occurrence of or worsened acne
- D. Brittle nails
Correct Answer: C
Rationale: Acne is a common side effect of anabolic steroids.
Which nursing approach is most appropriate to encourage the maximum level of independence possible?
- A. Allowing the teen to select the foods for his or her diet
- B. Answering all the teen's medical questions
- C. Exaggerating the teen's accomplishments
- D. Assuming blame for the teen's condition
Correct Answer: A
Rationale: Allowing food choices promotes autonomy within safe boundaries.
Which response by the nurse provides the best explanation of the child's behavior?
- A. Thumb sucking is a primitive form of self-stimulation and security.
- B. Thumb sucking is a regressive behavior with a comforting effect.
- C. Thumb sucking substitutes for the missing fluids due to postoperative restriction of fluids.
- D. Thumb sucking satisfies the child's increased need for a familiar touch.
Correct Answer: B
Rationale: Thumb sucking is a regressive behavior triggered by stress, offering comfort.
The nurse is aware that whenever preparing a school-age child for a procedure, test, or medical treatment, which is the most important information to convey?
- A. When the procedure will take place
- B. Who will perform the procedure
- C. Where the procedure will be performed
- D. What will happen during the procedure
Correct Answer: D
Rationale: Describing what will happen reduces fear of the unknown.
Which assessment finding differentiates bulimia from anorexia nervosa in an adolescent with a suspected eating disorder?
- A. Body image distortion
- B. Purging after meals
- C. Decreased self-esteem
- D. Binge eating
Correct Answer: B
Rationale: Purging after meals is characteristic of bulimia, not always present in anorexia.