ATI RN
Health Promotion Questions Questions
Question 1 of 5
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) 24 months. This is because the toddler's speech pattern of saying "Sammy bed" indicates a telegraphic style of speech common around 24 months of age. At this stage, toddlers typically use two-word phrases to communicate simple ideas effectively. Option A) 18 months is incorrect because by this age, toddlers usually have a vocabulary of single words and are just beginning to combine words. Option C) 30 months is incorrect as children of this age typically use longer phrases and more complex sentence structures compared to what was demonstrated by the toddler in the scenario. Option D) 36 months is also incorrect as by this age, children have developed more advanced language skills including the ability to form complete sentences and engage in more detailed conversations. Understanding typical speech and language developmental milestones in toddlers is crucial for healthcare professionals, especially nurses, as it helps in assessing a child's progress and identifying any potential language delays or disorders early on. By recognizing and interpreting these milestones accurately, nurses can provide appropriate support and interventions to promote optimal language development in young children.
Question 2 of 5
A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Absent crawling at 10 months old. Asperger's syndrome is a neurodevelopmental disorder that affects social interaction, communication, and behavior. Children with Asperger's may exhibit delays or differences in motor skills development compared to their peers. Crawling is a key developmental milestone that typically occurs around 7-10 months of age. A preschool child with Asperger's who did not crawl by 10 months may raise concerns about motor development. Option A) Eating finger foods at 10 months old is a typical developmental milestone, not specifically linked to Asperger's syndrome. Option C) Separation anxiety at 10 months old is a common emotional response in infants and does not directly relate to Asperger's. Option D) Saying "ma-ma" at 10 months old is a speech and language milestone and is not indicative of Asperger's syndrome. Educationally, understanding developmental milestones and their deviations in children with neurodevelopmental disorders like Asperger's is crucial for healthcare professionals. Recognizing such deviations can aid in early identification, intervention, and support for these children to optimize their developmental outcomes. It highlights the importance of comprehensive assessments and tailored care for children with special needs.
Question 3 of 5
The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Leaky roof. A leaky roof can lead to moisture accumulation, which promotes the growth of mold and mildew. These allergens can trigger asthma exacerbations in children, as they can cause respiratory distress and worsen asthma symptoms due to the inhalation of mold spores. Option A) Radiator heating system: While this can contribute to dry air, it is less likely to directly trigger an asthma exacerbation compared to mold exposure from a leaky roof. Option B) Air conditioner: An air conditioner can help in filtering out allergens from the air, so it is less likely to trigger an asthma exacerbation unless it is not well-maintained and becomes a source of mold or dust accumulation. Option C) Hardwood flooring: This is a better option for individuals with asthma as it does not trap dust and allergens as much as carpets do, so it is less likely to trigger an exacerbation compared to mold exposure from a leaky roof. Educationally, it is crucial for nurses to understand the environmental factors that can impact asthma management in children. By identifying and addressing potential triggers like a leaky roof, nurses can help create a safer living environment that supports the child's respiratory health and overall well-being.
Question 4 of 5
When do females usually begin puberty?
Correct Answer: C
Rationale: In pharmacology, understanding the timing of puberty in females is crucial for health promotion efforts. The correct answer is C) 2 years before males. This is because females typically begin puberty between the ages of 8-13, whereas males typically start between 10-15 years old. This difference is primarily due to the hormonal changes that occur in the body, with females experiencing puberty earlier to prepare for potential reproductive functions. Option A) 1 year before males is incorrect because the timing of female puberty is usually more than just one year ahead of males. Option B) 1 year after males is incorrect as females generally start puberty before males. Option D) 2 years after males is also incorrect as it goes against the established pattern of female puberty preceding male puberty. Educationally, understanding the timing of puberty is important for healthcare providers, educators, and parents to support adolescents through this transitional period. By knowing when puberty typically begins in females, appropriate health promotion strategies, emotional support, and education about physical changes can be provided to help adolescents navigate this significant developmental stage.
Question 5 of 5
A teenager has a family history of Type 2 diabetes mellitus. What should the nurse recommend to prevent developing it?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Tell him to be active and eat a balanced diet. This recommendation is based on the principles of health promotion and primary prevention of Type 2 diabetes mellitus. Regular physical activity and a balanced diet are key components in preventing the development of this disorder. Physical exercise helps improve insulin sensitivity and regulate blood sugar levels, while a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help maintain a healthy weight and reduce the risk of developing diabetes. Option A) Tell him to avoid any and all sweets is incorrect because it promotes a restrictive approach to diet that is not necessary for preventing diabetes. Total avoidance of sweets is not required; rather, moderation and balance are key. Option C) Tell him he should talk to his physician about genetic testing is not the most appropriate initial recommendation for a teenager with a family history of Type 2 diabetes. While genetic factors can play a role, lifestyle modifications like diet and exercise are the primary focus for prevention. Option D) Tell him that very little can be done to avoid developing this disorder is incorrect and defeatist. There is a lot that can be done through lifestyle modifications to lower the risk of developing Type 2 diabetes, and this option does not empower the teenager to take control of their health. Educational context: It is crucial for healthcare professionals to provide accurate and evidence-based recommendations for health promotion and disease prevention. Understanding the role of lifestyle factors in preventing chronic diseases like Type 2 diabetes is essential for promoting health and well-being in individuals at risk. Empowering individuals with the knowledge and tools to make informed choices about their health is a fundamental aspect of nursing practice in promoting positive health outcomes.