The practical nurse (PN) is observing a two-year-old child at play.
Which should the PN consider normal behavior for a toddler?
Uses blunt scissors to do cut-outs.
Rides a tricycle around the play area.
Looks at a picture book for 15 minutes.
Takes toys away from another child.
The Correct Answer is D
Choice A rationale
Using blunt scissors to do cut-outs typically requires fine motor skills and hand-eye coordination that are characteristic of older preschool-aged children, generally around 3 to 4 years old. A two-year-old is still developing these complex manipulative skills, making this behavior not typical for their developmental stage.
Choice B rationale
Riding a tricycle generally emerges as a developmental milestone for children between 3 to 4 years of age. This activity demands advanced gross motor coordination, balance, and bilateral pedaling skills that are usually beyond the capabilities of an average two-year-old, who is still mastering walking and running.
Choice C rationale
Sustained attention to a picture book for 15 minutes is a cognitive ability that develops with age, typically seen in older preschool or school-aged children. A two-year-old's attention span is much shorter, usually limited to a few minutes, reflecting their ongoing neurological maturation and cognitive development.
Choice D rationale
Taking toys away from another child is a common and normal behavior observed in toddlers. This is characteristic of their egocentric stage of development, where they struggle with sharing and understanding others' perspectives, often leading to possessive actions as they explore their environment and assert their will.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Proper disposal of personal tissues in a no-touch receptacle is a general infection control measure, but it is not specific to the pathophysiology or transmission of Lyme disease, which is caused by the bacterium *Borrelia burgdorferi* and transmitted by ticks. This action does not directly address the primary disease process.
Choice B rationale
Maintaining bedrest during the prodromal phase is not a specific or primary intervention for Lyme disease. While rest can be beneficial for any illness, Lyme disease treatment focuses on antibiotic therapy to eradicate the spirochete and prevent disease progression.
Choice C rationale
The prompt administration of antiinfectives, typically antibiotics like doxycycline or amoxicillin, is crucial in treating Lyme disease. Early and consistent antibiotic therapy prevents dissemination of the spirochetes, reduces the severity of symptoms, and minimizes the risk of developing chronic complications such as Lyme arthritis or neurological Lyme disease.
Choice D rationale
Lyme disease is transmitted through the bite of infected ticks, primarily the blacklegged tick (*Ixodes scapularis*). It is not transmitted from person to person or from family pets, making avoidance of pets irrelevant to disease transmission or management.
Correct Answer is C
Explanation
Choice A rationale
While preventing further disability is a component of care for some progressive conditions, it is not the primary overarching goal for all developmental disabilities. Many developmental disabilities are static and non-progressive, meaning their primary impact is on functional limitations rather than ongoing deterioration. The focus shifts to maximizing existing abilities and potential rather than preventing progression.
Choice B rationale
Meeting rehabilitation needs is a critical aspect of care for children with developmental disabilities, focusing on improving specific skills and functions. However, rehabilitation is a means to an end. The ultimate objective extends beyond just addressing deficits to encompassing the child's holistic development and empowering them to achieve their highest possible level of independence and functioning.
Choice C rationale
The primary goal for a child with a developmental disability is to help them achieve their maximum potential. This encompasses a holistic approach, focusing on enhancing their cognitive, physical, social, emotional, and adaptive skills. It aims to foster independence, improve quality of life, and integrate them into society as much as possible, recognizing their unique strengths and capabilities.
Choice D rationale
Promoting the child's social acceptability, while important for their well-being and integration, is a secondary outcome rather than the primary goal of treatment. The main focus is on the child's individual development and functional abilities. Enhanced social acceptability often naturally follows when a child achieves greater independence and participation in various life domains.
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