Nokea
Which process(es) does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply.)
- A. Maturation
- B. Reproduction
- C. Stress response
- D. Sexual identity
- E. Growth
Correct Answer: A,B,C,E
Rationale: The endocrine system governs maturation, reproduction, stress response, and growth, but not sexual identity.
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What would be the most appropriate nursing response to a woman who says, 'My sister had a child with Tay-Sachs disease, and I want to know if I could have a child with this condition'?
- A. The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease.'
- B. A screening test can be done to determine if you are a carrier of the gene.'
- C. The gene for Tay-Sachs disease is transmitted by the father.'
- D. The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus.'
Correct Answer: B
Rationale: Carriers of Tay-Sachs disease can be identified by screening tests, given its autosomal recessive inheritance.
What makes keeping diabetes in control in an adolescent difficult? (Select all that apply.)
- A. Hormonal changes
- B. Developmental conflicts
- C. Preference for fast food
- D. Growth spurts
- E. Knowledge of disease
Correct Answer: A,B,C,D
Rationale: Hormonal changes, developmental conflicts, fast food preferences, and growth spurts complicate diabetes management in adolescents.
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
- A. My pancreas is sick and needs insulin until it is well.'
- B. I will need to take my insulin every day.'
- C. I need to keep a piece of candy in my pocket in case I start to feel shaky.'
- D. My mom has to give me insulin shots twice a day.'
Correct Answer: A
Rationale: The child with type 1 diabetes mellitus has an insulin deficiency and will require lifelong management, not a temporary condition.
When discussing possible causes of diabetes in children, the nurse mentions chromosomal defects. Which chromosomes are associated with diabetes? (Select all that apply.)
- A. 6
- B. 7
- C. 12
- D. 20
- E. 21
Correct Answer: A,B,C,D
Rationale: Defects in chromosomes 6, 7, 12, and 20 are associated with diabetes mellitus syndrome.
On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?
- A. There is an absolute deficiency of insulin.
- B. Insufficient quantities of insulin are produced by the pancreas.
- C. Oral hypoglycemic agents can control it.
- D. Insulin deficiency is caused by another disease affecting the pancreas.
Correct Answer: A
Rationale: Type 1 insulin-dependent diabetes mellitus is characterized by an absolute or complete deficiency of insulin.