Nokea
Which factor will not promote play and playfulness in children?
- A. Novel toys
- B. Familiar peers
- C. Comfortable atmosphere
- D. Directive adults
Correct Answer: D
Rationale: Directive adults can inhibit spontaneous play and creativity, which are essential for fostering playfulness in children. When adults are too directive, children may feel constrained and less likely to engage in imaginative and free play. Encouraging independence and allowing children to explore and create their play scenarios can enhance playfulness and creativity.
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A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
- A. Attention deficit hyperactivity disorder
- B. Conduct disorder
- C. Major depressive disorder
- D. Separation anxiety disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After administering Gardasil, the HPV vaccine, to an 11-year-old girl, the healthcare provider informs the parent that routine screening with which diagnostic test is needed?
- A. Beta hCG
- B. Chlamydia test
- C. PAP test
- D. Mammogram
Correct Answer: C
Rationale: Following the administration of Gardasil, the HPV vaccine, routine screening with a PAP test is necessary. While Gardasil protects against certain types of HPV, it does not cover all strains that could lead to cervical cancer. Therefore, individuals who have received the vaccine should still undergo regular PAP tests to screen for cervical abnormalities caused by other HPV strains.
Concerning acute bronchiolitis, all of the following are true except:
- A. Epidemics often occur during winter
- B. The disease typically affects infants younger than 2 years of age
- C. Immunodeficiency is an indication for treatment with ribavirin
- D. The disease is more benign in infants born prematurely
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. craniofacial abnormalities
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?
- A. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
- B. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
- C. Body image disturbance related to weight gain and edema
- D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
Correct Answer: B
Rationale: Among the listed nursing diagnoses, the highest priority for a client with hyperparathyroidism would be addressing the risk for impaired skin integrity. This is because hyperparathyroidism can lead to increased levels of calcium in the blood, which can result in skin issues such as edema (swelling), skin fragility, and poor wound healing. Addressing this risk is crucial to prevent skin breakdown, infections, and other complications associated with compromised skin integrity. Proper wound care, skin protection measures, and monitoring for any skin changes are essential in managing this priority nursing diagnosis for a client with hyperparathyroidism.