How many words are in a toddler’s receptive language at 24 months of age?
- A. 500 words
- B. 1200 words
- C. 2400 words
- D. 3600 words
Correct Answer: B
Rationale: By 24 months, toddlers typically have a receptive vocabulary of around 1200 words.
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A nurse is providing care to a 15-year-old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?
- A. Seek advice from an ethics expert.
- B. Facilitate interaction between the adolescent and her parents/guardians.
- C. Report the STI to the appropriate authorities.
- D. Contact the adolescent’s parents/guardians.
Correct Answer: B
Rationale: Federal and state laws protect adolescents' privacy and autonomy. The nurse should help the adolescent understand her options and facilitate communication with her guardians.
A nurse is educating a group of adults about stress management strategies. Which of the following examples would the nurse include in the presentation?
- A. Participation in a swimming class
- B. Keeping a food diary as part of a weight reduction program
- C. Joining a smoking cessation support group
- D. Setting a goal of walking one mile a day
Correct Answer: A
Rationale: All these strategies are effective stress reduction techniques, but swimming provides both relaxation and physical exercise.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
Which of the following are symptoms or warning signs of anorexia nervosa?
- A. Lack of menstruation in females
- B. Preoccupation with food
- C. Eating only small amounts of certain foods
- D. Dramatic weight fluctuations
Correct Answer: A
Rationale: Symptoms of anorexia nervosa include extreme preoccupation with food, lack of menstruation, and dramatic weight loss.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.