Nokea
Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?
- A. Sitting independently
- B. Turning a doorknob
- C. Building a tower of four cubes
- D. Walking independently
Correct Answer: A
Rationale: The correct answer is A: Sitting independently. By 11 months, most infants can sit independently. This milestone usually precedes walking, which typically occurs closer to 12 months. Turning a doorknob and building a tower of four cubes involve more complex motor skills that are typically achieved later in development. Therefore, at 11 months, sitting independently is the milestone that the nurse would expect an infant to have achieved.
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Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)
- A. Fluoridated water should be used.
- B. Early childhood caries is a preventable disease
- C. All options are correct
- D. Dental hygiene should begin with the first tooth eruption
Correct Answer: C
Rationale: Fluoridated water helps prevent caries, early childhood caries is preventable, and dental hygiene should start with the first tooth eruption.
A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response?
- A. It is best to wait until the child asks about it.
- B. The best time to tell the child is between the ages of 7 and 10 years.
- C. It is not necessary to tell a child who was adopted so young.
- D. Telling the child is an important aspect of their parental responsibilities.
Correct Answer: D
Rationale: It is important to tell children about their adoption early, in an age-appropriate manner, as part of building trust and openness in the family relationship.
Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family
- B. Family-centered care encourages family dependence on the health care system
- C. Family-centered care recognizes that the family is the constant in a child's life
- D. Family-centered care avoids expecting families to be part of the decision-making process
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During which phase of the nursing process does the nurse use essential information about the child's physical, social, and emotional health to decide which interventions to use?
- A. Implementation
- B. Planning
- C. Diagnosis
- D. Assessment
Correct Answer: B
Rationale: The correct answer is B: Planning. During the planning phase of the nursing process, the nurse utilizes essential information gathered during the assessment about the child's physical, social, and emotional health to determine the most appropriate interventions to address the identified needs. This phase focuses on developing a comprehensive care plan tailored to the individual child.
A) Implementation is incorrect because this phase involves carrying out the interventions outlined in the care plan.
C) Diagnosis is incorrect as it refers to identifying health issues based on the assessment data.
D) Assessment is incorrect as it involves collecting and analyzing data about the child's health status, rather than deciding on interventions.
The school nurse understands that children are impacted by divorce. Which has the most impact on the positive outcome of a divorce?
- A. Age of the child
- B. Gender of the child
- C. Family characteristics
- D. Ongoing family conflict
Correct Answer: D
Rationale: The level of ongoing family conflict is the most significant factor influencing the positive or negative outcomes for children during and after a divorce