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If the following facts are present in the social history of a person suspected of child abuse, which one is most similar to the profile of other child abusers?
- A. The person grew up in a divorced household.
- B. The person's income is at or below poverty level.
- C. The person was the victim of child abuse.
- D. The person became a parent after age 25.
Correct Answer: C
Rationale: A history of being abused increases the risk of becoming an abuser.
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To ensure optimum mental health of an infant born with a congenital defect such as myelomeningocele, the nurse explains that it is essential for the parents to meet which of the following needs?
- A. Autonomy
- B. Love
- C. Respect
- D. Identity
Correct Answer: B
Rationale: Love and attachment are critical for the infant's emotional and mental health development.
Which of the following nursing interventions is most appropriate to include when preparing a care plan for the child in the educational setting?
- A. Work with the teacher to establish clear behavioral expectations for the classroom.
- B. Place a chair in the corner of the room as a potential consequence for poor behavior.
- C. Allow the child to move about the room as desired provided the behavior is not disruptive.
- D. Plan separate learning experiences with more creative assignments and activities.
Correct Answer: A
Rationale: Clear expectations provide structure, beneficial for ADHD management.
After receiving the news about her pregnancy, which of the following occurrences is most beneficial to the pregnant adolescent at this time?
- A. A positive mothering instinct
- B. Making plans for marriage
- C. Financial support from her boyfriend
- D. Emotional support from her family
Correct Answer: D
Rationale: Family emotional support is critical for the teen's well-being during pregnancy.
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.
When reviewing the assessment data, the nurse would expect to note which characteristic physical finding?
- A. Extremely low body weight
- B. Erosion of dental enamel
- C. Cessation of menstruation
- D. Patchy loss of hair
Correct Answer: B
Rationale: Erosion of dental enamel is caused by frequent vomiting in bulimia.