Exam 4 nur 222 graded A+

you are a school nurse performing Vision screening for a mild cognitively delayed 7 year old. using the snellen eye chart, the majority of letters from the top of the chart down he got wrong. what is your next best step? -send him to an eye doctor as his vision should be 20/30 or better by this age -mark this a normal assessment and return him to class -perform vision screening with a pictorial screening chart -perform the test again in 1-2 weeks - Correct Answer--perform vision screening with a pictorial screening chart you are a school nurse taking care of a 8 year old with new onset type one diabetes. you notice she's been more withdrawn and is no longer involved in stem club or academic club. what is the next best step? -say "I know this is hard; let's find you something fun to do to cheer you up" -ask "how have you been feeling about your new diagnosis with diabetes" -give her a list of activities of things to get involved with -say "my sister has diabetes and felt sad too. but you will get used to it in no time, she plays soccer and is a ballerina too - Correct Answer--ask "how have you been feeling about your new diagnosis with diabetes" a nurse is comparing physical growth patterns between school-aged and adolescences, which principle should the nurse considers -physical growth usually slows during the adolescent period -secondary sex characteristics usually develop during the adolescents years -boys usually exceed girls in height and weight by the end of the school years -the distribution of muscle and fat remains consitant during the adolescent years - Correct Answer--secondary sex characteristics usually develop during the adolescents years the development of primary sex characteristics is evidence by: -a rapid change in height and weight -growth and development of the Breast -growth and development of ovaries -change in the distribution of fat - Correct Answer--growth and development of ovaries one of the key factors in addressing the health concerns and needs of the adolescent in a clinic of primary care office setting is to -provide confidentiality -include the parents in a discussion about the adolescents sexual health -ask the adolescent if she or he is sexually active -discuss the negative effects of tobacco use - Correct Answer--provide confidentiality a 17 year old has not experienced enlargement of the testes or thickening of the scrotum. a nurse should recognize these signs as indicative of -precocious puberty -normal growth and development -delayed puberty -tanner stage II - Correct Answer--delayed puberty four years ago, a 16 - year old African American girl began breast development, but has not yet had menarche. these findings would indicates to the nurse of which of the following -tanner stage IV -precocious puberty -normal growth and development -stalled puberty - Correct Answer--stalled puberty which are, in general, the earliest changes that occurs during pubertal growth? -breast buds in females, width of penis in males -underarm hair in females; size of penis in males -breast buds in females; growth of testes in male -menarche in females; growth of testes in males - Correct Answer--breast buds in females; growth of testes in male while adolescences is naturally a very healthy period of life, many adolescents experience health problems due to: -genetic defects -hormonal dysfunctions -lifestyle choices -separation from parents - Correct Answer--lifestyle choices while giving nursing care to a post-operative hospitalized adolescent, the nurse should be aware that the major threat felt by the hospitalized adolescents is -altered body image -pain management -restricted physical activity -separation from family - Correct Answer--altered body image a 16 year old is admitted to the hospital for acute appendicitis and an appendectomy is performed. which of the following nursing interventions is most appropriate to facilitate normal growth and development -allow the family to bring the child's favorite computer games -encourage the parents to room-in with the child -encourage the child to rest and read -allow the child to participate in actives with other individuals in the same age group when the conditions permits - Correct Answer--allow the child to participate in actives with other individuals in the same age group when the conditions permits while teaching a 9 year-old child about their impending heart surgery, the nurse should -provide verbal explanation just prior to the surgery -provide the child with a booklet to read about the surgery -introduce the child to another child who had heart surgery three days ago -show the child what happens during surgery using a model of the heart - Correct Answer--show the child what happens during surgery using a model of the heart during which stage of cognitive development dose the individual's thinking move to abstract and theoretical subjects and possibly venture into such topics as achieving world peace finding justice, and seeking meaning in life? -sensorimotor -pre-operational -formal operations -concrete operations - Correct Answer--formal operations a nurse is evaluating the development levels of a 2 year old. which of the following does the nurse expect to observe in this child -uses a fork to eat -uses a cup to drink -uses a knife for cutting food -pours own milk into a cup - Correct Answer--uses a cup to drink which of the following best describes parallel play between two toddlers -sharing crayons to color separate pictures -playing a board game with a nurse -sitting near each other while playing with separate dolls -sharing their dolls while playing - Correct Answer--sitting near each other while playing with separate dolls a mother of a 3 year old tells a clinic nurse that the child is rebelling consistently and having temper tantrums, the nurse most appropriately tells the mother to: -punish the child every time the child says "no" to change the behavior -allow the behavior because this is normal at this age period -set limits on the child's behavior -ignore the child when this behavior occurs - Correct Answer--set limits on the child's behavior