Nokea
A 3-year-old attends her grandfather's funeral. Her parents told her he is in heaven with God. Which statement best describes her understanding of spirituality?
- A. The body is here, and the spirit is in heaven.
- B. He is in heaven. Is this heaven?
- C. She will think that because she can see his body, he must still be here.
- D. He won't need his body in heaven.
Correct Answer: C
Rationale: Three-year-olds are literal thinkers; if they see a body, they may assume that the person is still present.
You may also like to solve these questions
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses objects and actions in combination
- C. gross motor to solve problems
- D. fine motor and symbolic thought
Correct Answer: D
Rationale: At this age, building a tower involves fine motor skills and symbolic thinking.
In teaching a female client who is HIV positive about pregnancy, the nurse would know more teaching is necessary when the client says:
- A. "The baby can get the virus from my placenta."
- B. "I'm planning on starting on birth control pills."
- C. "Not everyone who has the virus gives birth to a baby who has the virus."
- D. "I'll need to have a C-section if I become pregnant and have a baby."
Correct Answer: A
Rationale: Option A indicates a misunderstanding about HIV transmission during pregnancy. In reality, with proper medical care and management during pregnancy and delivery, the risk of transmitting HIV from mother to baby can be significantly reduced but not completely eliminated. The virus can be passed from mother to baby during pregnancy, childbirth, or breastfeeding, but it is not directly from the placenta. This misconception highlights the need for further education and clarification on the modes of HIV transmission from mother to child during pregnancy and delivery. Options B, C, and D all demonstrate understanding and appropriate planning related to HIV and pregnancy.
Chemotherapy has a major role in many childhood CNS tumors. In which of the following tumors is chemotherapy not effective?
- A. pilocytic astrocytoma
- B. craniopharyngioma
- C. pineoblastoma
- D. supratentorial primitive neuroectodermal tumors (SPNETs)
Correct Answer: A
Rationale: Pilocytic astrocytomas are generally low-grade and less responsive to chemotherapy compared to other listed tumors.
Children with severe traumatic brain injury (TBI) may experience autonomic dysfunction characterized by all the following EXCEPT
- A. elevated temperature
- B. elevated heart rate
- C. elevated respiratory rate
- D. lowered blood pressure
Correct Answer: D
Rationale: Autonomic dysfunction in TBI typically involves elevated temperature, heart rate, and respiratory rate due to dysregulation of the autonomic nervous system. Lowered blood pressure is less common and may indicate hypovolemia or other conditions rather than autonomic dysfunction.
The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine:
- A. the highest glucose level in the past week.
- B. her insulin level.
- C. glucose levels over the past several months.
- D. her usual fasting glucose level.
Correct Answer: C
Rationale: The correct answer is C. The glycosylated hemoglobin (HbA1c) test is used to determine the average glucose levels over the past several months (approximately 2-3 months). This test measures the amount of glucose that has been bound to hemoglobin in red blood cells, providing an indication of the patient's overall blood sugar control. This is particularly important for diabetic patients, as it helps healthcare providers assess the effectiveness of the management plan and make necessary adjustments to prevent complications associated with high blood sugar levels over time. The other options provided do not accurately describe what the glycosylated hemoglobin test measures.