Nokea
The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?
- A. Preschool
- B. Young school age
- C. Middle school age
- D. Adolescent
Correct Answer: A
Rationale: Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are unable to comprehend danger to self or others. Young and middle school-aged children have transitional cognitive processes, and they may attempt dangerous acts without detailed planning but recognize danger to themselves or others. Adolescents have formal operational cognitive processes and are preoccupied with abstract thinking.
You may also like to solve these questions
The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?
- A. More deaths occur in males.
- B. More deaths occur in females.
- C. The pattern of deaths does not vary according to age and sex.
- D. The pattern of deaths does not vary widely among different ethnic groups.
Correct Answer: A
Rationale: The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among different ethnic groups, and the causes of unintentional deaths vary with age and gender.
The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?
- A. Strong evidence from unbiased observational studies
- B. Evidence from randomized clinical trials showed inconsistent results
- C. Consistent evidence from well-performed randomized clinical trials
- D. Evidence for at least one critical outcome from randomized clinical trials had serious flaws
Correct Answer: B
Rationale: Evidence from randomized clinical trials with important limitations indicates that the evidence is of moderate quality. Strong evidence from unbiased observational studies and consistent evidence from well-performed randomized clinical trials indicates high quality. Evidence for at least one critical outcome from randomized clinical trials that has serious flaws indicates low quality.
The school nurse is evaluating the number of school-age children classified as obese. The nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which?
- A. 50th percentile
- B. 75th percentile
- C. 80th percentile
- D. 95th percentile
Correct Answer: D
Rationale: Obesity in children and adolescents is defined as a body mass index at or greater than the 95th percentile for youth of the same age and gender.
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
- A. Purposeful and goal directed
- B. A simple developmental process
- C. Based on deliberate and irrational thought
- D. Assists individuals in guessing what is most appropriate
Correct Answer: A
Rationale: Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand.
Evidence-based practice (EBP), a decision-making model, is best described as which?
- A. Using information in textbooks to guide care
- B. Combining knowledge with clinical experience and intuition
- C. Using a professional code of ethics as a means for decision making
- D. Gathering all evidence that applies to the childs health and family situation
Correct Answer: B
Rationale: EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement.