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Parents attending a well visit for their 11-year-old son verbalize concern over his computer use. When asked about it, the boy states, 'I play games on my computer for 1 hour a day.' The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply.)
- A. Problem-solving skills
- B. Gross motor development
- C. Manipulative skills
- D. Learning opportunities
- E. Increased self-worth
Correct Answer: A,C,D
Rationale: Computer programs are popular with all age groups, providing problem-solving skills, manipulative skills, and opportunities for new learning.
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Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)
- A. Bubble gum
- B. Chocolate-covered peanuts
- C. Raw vegetables
- D. Cheese
- E. Dried fruits
Correct Answer: C,D
Rationale: Cheese and raw vegetables are acceptable healthy snacks. Bubble gum, chocolate-covered peanuts, and dried fruits all contain high amounts of sugar.
An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this child's nutritional status be described?
- A. Overnourished
- B. Undernourished
- C. Well nourished
- D. Borderline
Correct Answer: C
Rationale: Well-nourished children show steady gains in height and weight and have shiny hair, firm gums and mucous membranes, and regular elimination.
What is a unique organization of characteristics that determines an individual's pattern of behavior?
- A. Environment
- B. Heredity
- C. Personality
- D. Experience
Correct Answer: C
Rationale: One definition of personality states that it is a unique organization of characteristics that determines the individual's typical or recurrent pattern of behavior.
The mother of a 7-month-old infant states, 'The baby is eating food now. Should I give him regular milk, too?' What is the nurse's best response?
- A. You should give the baby low-fat milk.'
- B. Try the milk. See if he has any digestive problems.'
- C. Continue breast milk or iron-fortified formula until 1 year of age.'
- D. At this age, infants can tolerate lactose-free or soy-based milk.'
Correct Answer: C
Rationale: Whole milk should not be introduced before 1 year of age. Low-fat milk should not be introduced before 2 years of age.
What would the nurse further investigate when assessing patterns of growth in a child?
- A. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
- B. Height is in the 90th percentile, and weight is in the 75th percentile.
- C. Last weight was in the 5th percentile, and present weight is in the 10th percentile.
- D. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.
Correct Answer: A
Rationale: The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation.