Nokea
What information strongly suggests that the child's fractured femur is the result of physical abuse?
- A. The nurse notes evidence of other healed fractures.
- B. Only the mother witnessed the injury.
- C. The child is not fully immunized yet.
- D. The child is underweight for height.
Correct Answer: A
Rationale: Multiple healed fractures suggest a pattern of abuse.
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When describing the characteristic developmental stage of school-age children, which statement by the nurse is most accurate?
- A. School-age children begin developing long-lasting friendships.
- B. School-age children are learning to work beside and with others.
- C. School-age children are preoccupied with finding a purpose in life.
- D. School-age children are striving for independence from others.
Correct Answer: B
Rationale: School-age children focus on industry, working collaboratively, per Erikson's stages.
Which statement regarding hospital admittance is most accurate?
- A. The client cannot be committed involuntarily unless the client is uncooperative at this time.
- B. The client cannot be committed involuntarily unless the client poses harm to self or others.
- C. The client cannot be committed involuntarily unless the client cancels office appointments.
- D. The client cannot be committed involuntarily unless the client refuses to take medications.
Correct Answer: B
Rationale: Involuntary commitment requires evidence of harm to self or others.
Which information is most appropriate for the nurse to collect at this time?
- A. The infant's weight and length
- B. The infant's breath and heart sounds
- C. The infant's head and chest circumference
- D. The infant's sucking and grasp reflexes
Correct Answer: A
Rationale: Weight and length assess growth and potential failure to thrive, relevant to the mother's concern.
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.
Which rationale is the best justification for openly discussing the child's prognosis?
- A. In this age group, children already have a sense that death is a possibility.
- B. Sharing prevents the child from dealing with fears alone.
- C. Concealing the truth will be very difficult.
- D. Being less than honest is immoral and unethical.
Correct Answer: B
Rationale: Sharing allows the child to express fears with support, reducing isolation.