Nursing textbooks health promotion practice questions
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Nursing textbooks health promotion practice questions
You teach screening, development, and prevention in the words a patient can use. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the Nursing textbooks exam guide or more Nursing textbooks practice questions.
Five health promotion questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
The nurse is checking reflexes on a 7-month-old infant. When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended. Which reflex is this?
A. Landau
B. Parachute
C. Body righting
D. Labyrinth righting
Show answer and rationale
Correct answer: A — Landau
When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended; this describes the Landau reflex. It appears at 6 to 8 months and persists until 12 to 24 months. The parachute reflex occurs when the infant is suspended in a horizontal prone position and suddenly thrust downward; the infant extends the hands and fingers forward as if to protect against falling. This appears at age 7 to 9 months and lasts indefinitely. Body righting occurs when turning the hips and shoulders to one side causes all other body parts to follow. It appears at 6 months of age and persists until 24 to 36 months. The labyrinth-righting reflex appears at 2 months and is strongest at 10 months. This reflex involves holding infants in the prone or supine position. They are able to raise their heads.
Question 2
The school nurse is teaching an adolescent about social networking and texting on phones. What statement by the adolescent indicates a need for further teaching?
A. Social networking can help me develop interpersonal skills.
B. I will have an opportunity to interact with people like myself.
C. My text messaging during class time in school will not cause any disruption.
D. I should be cautious, as the online environment can create opportunities for cyberbullying.
Show answer and rationale
Correct answer: C — My text messaging during class time in school will not cause any disruption.
Internet chatrooms and social networking sites have created a more public arena for trying out identities and developing interpersonal skills with a wider network of people, occasionally with anonymity. This can create opportunities for young people who have a limited access to friends (because of rural location, shyness, or rare chronic conditions) to interact with people like themselves. Both the online and text environment can create opportunities for cyberbullying, in which teens engage in insults, harassment, and publicly humiliating statements online or on cell phones. Text messaging and instant messaging via cell phones has become a common activity and can sometimes be disruptive during school. If the adolescent indicates it will not be disruptive, further teaching is needed.
Question 3
The school nurse needs to obtain authorization for a child who requires medications while at school. From whom does the nurse obtain the authorization?
A. The parents
B. The pharmacist
C. The school administrator
D. The prescribing practitioner
Show answer and rationale
Correct answer: A — The parents
A child who requires medication during the school day requires written authorization from the parent or guardian. Most schools also require that the medication be in the original container appropriately labeled by the pharmacist or physician. Some schools allow children to receive over-the-counter medications with parental permission. The pharmacist may be asked to appropriately label the medication for use at the school, but authorization is not required. The school administration should have a policy in place that facilitates the administration of medications for children who need them. The prescribing practitioner is responsible for ensuring that the medication is appropriate for the child. Because the child is a minor, parental consent is required.
Question 4
The nurse is teaching parents about instilling a positive body image for the preschool age. What statement made by the parents indicates the teaching is understood?
A. We will make sure our child is praised about his or her looks.
B. We will help our child compare his or her size with other children.
C. We understand our child will have well-defined body boundaries.
D. We will be sure our child understands about being little for his or her age.
Show answer and rationale
Correct answer: A — We will make sure our child is praised about his or her looks.
Because these are formative years for both boys and girls, parents should make efforts to instill positive principles regarding body image. Children at this age are aware of the meaning of words such as pretty or ugly, and they reflect the opinions of others regarding their own appearance. Despite the advances in body image development, preschoolers have poorly defined body boundaries. By 5 years of age, children compare their size with that of their peers and can become conscious of being large or short, especially if others refer to them as so big or so little for their age. Parents should not suggest their child compare him- or herself with other children in regard to size, and parents should not focus on their childs size as being little.
Question 5
A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as which?
A. Signs of stress
B. Developmental delay
C. Lack of adjustment to school environment
D. Physical problem that needs medical intervention
Show answer and rationale
Correct answer: A — Signs of stress
Signs of stress include stomach pains or headache, sleep problems, bedwetting, changes in eating habits, aggressive or stubborn behavior, reluctance to participate, or regression to earlier behaviors. The child is completing school work satisfactorily; any developmental delay would have been diagnosed earlier. The teacher reports that this is a departure from the childs normal behavior. Adjustment issues would most likely be evident soon after a change. Medical intervention is not immediately required. Recognizing that this constellation of symptoms can indicate stress, the nurse should help the child identify sources of stress and how to use stress reduction techniques. The parents are involved in the evaluation process.
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Question 6
According to Piaget, a 6-month-old infant should be in which developmental stage?
A. Use of reflexes
B. Primary circular reactions
C. Secondary circular reactions
D. Coordination of secondary schemata
Correct answer:
Infants are usually in the secondary circular reaction stage from ages 4 to 8 months. This stage is characterized by a continuation of the primary circular reaction for the response that results. Shaking is performed to hear the noise of the rattle, not just for shaking. The use of reflexes stage is primarily during the first month of life. The primary circular reaction stage marks the replacement of reflexes with voluntary acts. The infant is in this stage from ages 1 to 4 months. The fourth sensorimotor stage is coordination of secondary schemata, which occurs at ages 9 to 12 months. This is a transitional stage in which increasing motor skills enable greater exploration of the environment.
The parents of a 2-month-old boy are concerned about spoiling their son by picking him up when he cries. What is the nurses best response?
A. Allow him to cry for no longer than 15 minutes and then pick him up.
B. Babies need comforting and cuddling. Meeting these needs will not spoil him.
C. Babies this young cry when they are hungry. Try feeding him when he cries.
D. If he isnt soiled or wet, leave him, and hell cry himself to sleep.
Correct answer:
Parents need to learn that a spoiled child is a response to inconsistent discipline and limit setting. It is important to meet the infants developmental needs, including comforting and cuddling. The data suggest that responding to a childs crying can actually decrease the overall crying time. Allowing him to cry for no longer than 15 minutes and then picking him up will reinforce prolonged crying. Infants at this age have other needs besides feeding. The parents should be taught to identify their infants cues. Counseling parents on letting the baby cry himself to sleep when not soiled or wet refers to sleep issues, not general infant behavior.
Parents tell the nurse that their toddler eats little at mealtime, only sits at the table with the family briefly, and wants snacks all the time. What should the nurse recommend?
A. Give her nutritious snacks.
B. Offer rewards for eating at mealtimes.
C. Avoid snacks so she is hungry at mealtimes.
D. Explain to her in a firm manner what is expected of her.
Correct answer:
Most toddlers exhibit a physiologic anorexia in response to the decreased nutritional requirements associated with the slower growth rate. Parents should assist the child in developing healthy eating habits. Toddlers are often unable to sit through a meal. Frequent nutritious snacks are a good way to ensure proper nutrition. To help with developing healthy eating habits, food should be not be used as positive or negative reinforcement for behavior. The child may develop habits of overeating or eat non-nutritious foods in response. A toddler is not able to understand explanations of what is expected of her and comply with the expectations.
The parents of a newborn say that their toddler hates the baby. He suggested that we put him in the trash can so the trash truck could take him away. What is the nurses best reply?
A. Lets see if we can figure out why he hates the new baby.
B. Thats a strong statement to come from such a small boy.
C. Lets refer him to counseling to work this hatred out. Its not a normal response.
D. That is a normal response to the birth of a sibling. Lets look at ways to deal with this.
Correct answer:
The arrival of a new infant represents a crisis for even the best prepared toddler. Toddlers have their entire schedules and routines disrupted because of the new family member. The nurse should work with the parents on ways to involve the toddler in the newborns care and to help focus attention on the toddler. The toddler does not hate the infant. This is an expected, normal response to the changes in routines and attention that affect the toddler. The toddler can be provided with a doll to imitate parents behaviors. The child can care for the dolls needs at the same time the parent is performing similar care for the newborn.
When teaching injury prevention during the school-age years, what should the nurse include?
A. Teach children about the need to fear strangers.
B. Teach basic rules of water safety.
C. Avoid letting children cook in microwave ovens.
D. Caution children against engaging in competitive sports.
Correct answer:
Water safety instruction is an important component of injury prevention at this age. The child should be taught to swim, select safe and supervised places to swim, swim with a companion, check sufficient water depth for diving, and use an approved flotation device. Teach stranger safety, not fear of strangers. This includes telling the child not to go with strangers, not to wear personalized clothing in public places, to tell parents if anyone makes child feel uncomfortable, and to say no in uncomfortable situations. Teach the child safe cooking. Caution against engaging in dangerous sports such as jumping on trampolines.
A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?
A. Wake the child and help determine what is wrong.
B. Leave the child alone unless he or she is in danger of harming him- or herself or others.
C. Arrange for psychologic evaluation to identify the cause of stress.
D. Keep the child awake later in the evening to ensure sufficient tiredness for a full night of sleep.
Correct answer:
Sleepwalking is usually self-limiting and requires no treatment. The child usually moves about restlessly and then returns to bed. Usually the actions are repetitive and clumsy. The child should not be awakened unless in danger. If there is a need to awaken the child, it should be done by calling the childs name to gradually bring to a state of alertness. Some children, who are usually well behaved and tend to repress feelings, may sleepwalk because of strong emotions. These children usually respond to relaxation techniques before bedtime. If a child is overly fatigued, sleepwalking can increase.
Adolescents often do not use reasoned decision making when issues such as substance abuse and sexual behavior are involved. What is this because of?
A. They tend to be immature.
B. They do not need to use reasoned decision making.
C. They lack cognitive skills to use reasoned decision making.
D. They are dealing with issues that are stressful and emotionally laden.
Correct answer:
In the face of time pressures, personal stress, or overwhelming peer pressure, young people are more likely to abandon rational thought processes. Many of the health-related decisions adolescents confront are emotionally laden or new. Under such conditions, many people do not use their capacity for formal decision making. The majority of adolescents have cognitive skills and are capable of reasoned decision making. Stress affects their ability to process information. Reasoned decision making should be used in issues that are crucial such as substance abuse and sexual behavior.
What are characteristics of dating relationships in early adolescence? (Select all that apply.)
A. One-on-one dating
B. Follow ritualized scripts
C. Are psychosocially intimate
D. Involve playing stereotypic roles
E. Participating in mixed-gender group activities
Correct answer:
Early dating relationships typically follow highly ritualized scripts in which adolescents are more likely to play stereotypic roles than to really be themselves. Participating in mixed-gender group activities, such as going to parties or other events, may have a positive impact on young teenagers well-being. One-on-one dating during early adolescence, however, with a lot of time spent alone, may lead to sexual intimacy before a teen is ready. Although teenagers may begin dating during early adolescence, these early dating relationships are not usually psychosocially intimate.
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
A. Developmentally appropriate toys
B. Nutritious snacks served to the children
C. Handwashing by providers after diaper changes
D. Certified caregivers for each of the age groups at the facility
Correct answer:
Health practices should be most important. With the need for diaper changes and assistance with feeding, young children are at increased risk when handwashing and other hygienic measures are not consistently used. Developmentally appropriate toys are important, but hygiene and the prevention of disease transmission take precedence. An infant should not have snacks. This is a concern for an older child. Certified caregivers for each age group may be an indicator of a high-quality facility, but parental observation of good hygiene is a better predictor of care.
What statement accurately describes physical development during the school-age years?
A. The childs weight almost triples.
B. Muscles become functionally mature.
C. Boys and girls double strength and physical capabilities.
D. Fat gradually increases, which contributes to childrens heavier appearance.
Correct answer:
Boys and girls double both strength and physical capabilities. Their consistent refinement in coordination increases their poise and skill. In middle childhood, growth in height and weight occurs at a slower pace. Between the ages of 6 and 12 years, children grow 5 cm/yr and gain 3 kg/yr. Their weight will almost double. Although the strength increases, muscles are still functionally immature when compared with those of adolescents. This age group is more easily injured by overuse. Children take on a slimmer look with longer legs in middle childhood.
About these Nursing textbooks health promotion questions
Nursing textbooks health promotion practice questions for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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