A nurse is observing children at play. Which situation depicts associative play?
Two 2-1/2 year old children are playing with trucks next to each other but not interacting
Six 8-year-old children and playing kickball at recess.
A 9 month old infant is shaking a rattle their father hands to them
Two 4-year old children and playing house together
The Correct Answer is D
A. Two 2-1/2 year old children are playing with trucks next to each other but not interacting.
This situation describes parallel play, where children play alongside each other without direct interaction. It's typical in toddlers.
B. Six 8-year-old children are playing kickball at recess.
This situation describes a group engaging in a physical activity (kickball). It doesn't specifically represent associative play, which involves more interaction between children.
C. A 9-month-old infant is shaking a rattle their father hands to them.
This scenario represents a form of solitary play, as the infant is playing alone with the rattle.
D. Two 4-year-old children are playing house together.
This situation describes associative play. In associative play, children engage in similar or identical activities without rigid organization or rules. In this case, the children are playing house together, involving some interaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Begin with taking all the vital signs.
This is not the preferred approach for assessing a 10-month-old infant. Vital signs may be intimidating and intrusive, and starting with less invasive methods is generally recommended.
B. Use the Faces scale to rate their pain.
The Faces scale is typically used for older children who can express themselves verbally. It may not be suitable for a 10-month-old infant.
C. Start with less intrusive methods.
This is the correct choice. Beginning with less intrusive methods, such as observation and gentle interactions, helps build trust and ensures the infant is comfortable during the assessment.
D. Be systematic and go in a head-to-toe order.
While being systematic is important, starting with less intrusive methods and adapting the approach based on the infant's response is generally more appropriate than a strict head-to-toe order.
Correct Answer is B
Explanation
A. Hyperactivity of sweat glands:
In cystic fibrosis (CF), there is an abnormality in the CF transmembrane conductance regulator (CFTR) protein, leading to increased salt concentration in sweat. However, this is not the primary factor responsible for the diverse clinical manifestations in CF. The primary issue lies in the abnormal production of thick and sticky mucus affecting various organs.
B. Mechanical obstruction caused by increased viscosity of mucous gland secretion:
This is the correct choice. CF is characterized by the production of thick and sticky mucus due to abnormal CFTR protein function. This increased viscosity leads to mechanical obstruction in organs such as the respiratory, digestive, and reproductive systems, causing a range of clinical manifestations.
C. Hypoactivity of the autonomic nervous system:
CF is not characterized by hypoactivity of the autonomic nervous system. The primary issue lies in the mechanical obstruction caused by the abnormal mucus production.
D. Atrophic changes in the mucosal wall of the intestines:
Atrophic changes in the mucosal wall of the intestines are not the primary factor responsible for the clinical manifestations of CF. The key problem is the mechanical obstruction due to increased viscosity of mucous gland secretions.
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