Nokea
A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
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Which of the following teenagers is at risk for not meeting his developmental task?
- A. Arrested for petty theft
- B. Decided he wants to major in accounting
- C. Has recently broke up with his girlfriend
- D. Is a member of the varsity basketball team
Correct Answer: A
Rationale: Delinquent behavior, such as petty theft, can interfere with achieving Erikson’s task of establishing identity.
A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make?
- A. Encourage the toddler to drink orange juice and eat yogurt.
- B. Encourage the toddler to eat plenty of cakes and cookies to help absorb the lead.
- C. Limit foods high in iron such as spinach to help reduce lead levels.
- D. Encourage dark-chocolate–containing products that contain antioxidants to help reduce lead levels.
Correct Answer: A
Rationale: Vitamin C (found in orange juice) and calcium (found in yogurt) help reduce lead absorption in the body.
The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
- A. Developing enuresis as a toddler
- B. Having difficulty forming relationships
- C. Becoming a picky eater
- D. Taking longer to toilet train
Correct Answer: B
Rationale: Inadequate attention to an infant’s needs can hinder the development of trust, which may lead to difficulty forming relationships later in life.
During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise for the nurse to make to the person?
- A. Do not exercise because you have high blood pressure.
- B. Use the stairs whenever you are entering or leaving the building.
- C. Go for short walks around the block during the daytime only.
- D. Purchase an exercise bike.
Correct Answer: B
Rationale: Using the stairs is a safe and inexpensive exercise that can help lower blood pressure.
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
- A. Provide instructions to the child’s father.
- B. Encourage the parents to bring other siblings into the clinic for screening.
- C. Schedule multiple educational sessions for the child and family.
- D. Watch for nonverbal gestures by the adults to indicate understanding.
Correct Answer: A
Rationale: In Asian American culture, the oldest male family member often assumes the decision-making role.