As the infant's growth continues, which physical characteristic of Down syndrome is the nurse correct in describing to the parents?
- A. Large head and curved index fingers
- B. Long fingers and protruding tongue
- C. Small head and upward-slanting eyes
- D. Simian creases on the soles of the feet
Correct Answer: C
Rationale: Down syndrome is characterized by a small head and upward-slanting eyes, among other features.
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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.
Which of the following data best correlate with the profile of a person with anorexia nervosa?
- A. The teen is the middle child of three siblings.
- B. The teen is a high achiever in school and activities.
- C. The teen thinks that classmates are not friendly.
- D. The teen experienced many illnesses during childhood.
Correct Answer: B
Rationale: High achievement and perfectionism are common in anorexia profiles.
Which assessment finding would lead the nurse to suspect physical abuse?
- A. The child protests when approached by the nurse.
- B. The child has patchy loss of hair.
- C. The child has a fresh bruise on the forehead.
- D. The child has an abrasion on the right knee.
Correct Answer: C
Rationale: A fresh bruise in an unusual location raises suspicion of abuse.
Which suggestion is most appropriate for the nurse to offer the parents in this situation?
- A. Avoid controlling the child.
- B. Praise accomplishments as deserved.
- C. Avoid discussing peer comments.
- D. Show disapproval of negative labels.
Correct Answer: B
Rationale: Praising accomplishments boosts self-esteem and counters ridicule.
What is the best guidance the nurse can give the mental health technician caring for the anorectic client?
- A. Blend the food and administer it by tube feeding.
- B. Remind the client that the intake is being recorded.
- C. Review the treatment goals with the client again.
- D. Remove the food without making any comments.
Correct Answer: D
Rationale: Removing food without comment avoids power struggles and maintains neutrality.
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