Nokea
The nurse is correct in assuming that without adequate nurturing during infancy, the child of the teenage mother is at risk for developing which psychosocial characteristic?
- A. Inferiority
- B. Mistrust
- C. Doubt
- D. Isolation
Correct Answer: B
Rationale: Lack of nurturing can lead to mistrust, per Erikson's developmental stages.
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Which is the most appropriate community resource for the nurse to recommend for respite services?
- A. The Office of Family Assistance
- B. The American Association on Mental Retardation
- C. A local children's day-care facility
- D. A home health care agency
Correct Answer: D
Rationale: Home health agencies provide specialized respite care for complex needs.
The nurse recognizes that methylphenidate hydrochloride (Ritalin) is classified as which type of drug?
- A. Central nervous system depressant
- B. Central nervous system stimulant
- C. Antidepressant
- D. Tranquilizer
Correct Answer: B
Rationale: Methylphenidate is a CNS stimulant used for ADHD.
If this child is typical of others the same age with a serious illness, which concept is the most commonly held belief about being ill?
- A. Illness is not life-threatening; recovery is assured.
- B. Significant others can prevent serious consequences.
- C. Illness is a punishment for some wrong-doing.
- D. Failure to comply with treatment results in parental rejection.
Correct Answer: C
Rationale: School-age children often view illness as punishment due to magical thinking.
When discussing the home environment with the parents, the nurse should explain that which one of the following is the most appropriate environment for an autistic child?
- A. Stimulating, with a variety of sensory experiences
- B. Consistent, with a minimum of physical change
- C. Flexible, with the freedom to initiate activity
- D. Strict, with narrow limits for acceptable behavior
Correct Answer: B
Rationale: Consistency minimizes anxiety and supports routine.
During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.