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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.
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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.
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.
Which area of the adolescent's social history is most appropriate for the clinic nurse to assess?
- A. Peer relationships
- B. School performance
- C. Church attendance
- D. Employment records
Correct Answer: A
Rationale: Peer relationships strongly influence gang involvement and antisocial behavior.
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.
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.