At what age is scoliosis screening typically recommended to begin for children?
6 years old.
14 years old.
16 years old.
10 years old.
The Correct Answer is D
Choice A rationale
While spinal health is important at all ages, formal scoliosis screening typically does not begin as early as 6 years old. At this age, spinal curves are often subtle and may not be progressive, making mass screening less effective and potentially leading to overdiagnosis.
Choice B rationale
Screening at 14 years old might be too late for early detection and intervention in many cases, especially for girls who experience their growth spurt earlier. Untreated severe scoliosis can lead to significant spinal deformities and associated health issues.
Choice C rationale
Screening at 16 years old is generally past the peak growth spurt for most adolescents, meaning that any significant scoliotic curve would likely be well-established and more difficult to manage non-surgically. Early detection allows for more conservative treatment options.
Choice D rationale
Scoliosis screening is typically recommended to begin around 10 years old, especially for females, as this aligns with the onset of the adolescent growth spurt, during which scoliotic curves are most likely to progress rapidly. Early detection allows for timely intervention, such as bracing, to prevent severe curvature progression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A sudden drop in grades, increased absenteeism, avoidance of eye contact, and flat affect are significant behavioral and emotional changes that suggest a potential underlying mental health issue. Referring the student to a school social worker, who is trained in mental health assessments and interventions, ensures a timely and appropriate professional evaluation. Early identification and intervention are crucial for improving outcomes in adolescent mental health.
Choice B rationale
Encouraging academic breaks without addressing the root cause of the student's distress is unlikely to resolve the underlying issues. While breaks can be beneficial, they do not provide the comprehensive support needed for significant behavioral and emotional changes that suggest potential mental health concerns. This approach may delay necessary professional intervention.
Choice C rationale
Contacting the child's teacher to discuss tutoring focuses solely on the academic decline and overlooks the emotional and behavioral cues. While academic support might be needed, it does not address the possible mental health component indicated by the flat affect and avoidance of eye contact, which are often symptoms of distress.
Choice D rationale
Notifying the parent to request a medical workup is a reasonable step if a physical health issue is suspected. However, the constellation of symptoms (behavioral changes, emotional blunting, social withdrawal) more strongly points towards a mental health concern rather than a purely physical one, making a referral to a mental health professional more immediately relevant.
Correct Answer is B
Explanation
Choice A rationale
When bone fragments remain partially joined, this describes an incomplete fracture, such as a greenstick fracture often seen in children, where the bone bends and cracks but does not break completely through. This is distinct from a complete fracture where there is full separation of the bone.
Choice B rationale
A complete fracture is scientifically defined as a break in a bone where the bone fragments are entirely separated from each other. This total discontinuity interrupts the structural integrity of the bone, distinguishing it from partial breaks where some bone continuity is maintained.
Choice C rationale
When the bone penetrates the skin, this describes an open (or compound) fracture. While an open fracture is also a complete fracture, the defining characteristic of a *complete* fracture itself is the full separation of the bone fragments, irrespective of whether the skin is breached.
Choice D rationale
When the bone bends but does not break, this is characteristic of a bent bone deformity or an incomplete fracture, specifically a greenstick fracture common in pediatric patients due to the higher flexibility of their bones. This is not a complete fracture, where the bone's continuity is fully disrupted.
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