The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Observing the child in the classroom to see interactions between the child and others

Determine if there is conflict between the child and the teacher

Conducting a vision and hearing screening

Talking with the child to determine if there are family stressors such as divorce, interfering with the child's performance

Answer and Explanation

The Correct Answer is C

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

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Correct Answer is B

Explanation

a) Rationalization: Involves creating logical explanations to justify behaviors or situations, not necessarily linked to thumb-sucking after surgery.

b) Regression: This is a defense mechanism where individuals revert to an earlier stage of development when faced with stress or discomfort, such as thumb-sucking, bed-wetting, or clinging behavior.

c) Repression: Involves unconsciously blocking disturbing thoughts or feelings, not typically exhibited through thumb-sucking post-surgery.

d) Fantasy: Involves the use of imagination or daydreaming, not directly related to the observed behavior of thumb-sucking after surgery.

A. Pain B. Joint inflammation C. Altered growth D. Swelling E. Decreased mobility

Correct Answer is ["A","B","D","E"]

Explanation

a) Pain: Children with juvenile arthritis often experience joint pain.

b) Joint inflammation: Inflammation of the joints is a hallmark of juvenile arthritis.

c) Altered growth: Growth alterations might occur in some cases but are not universal findings.

d) Swelling: Joint swelling commonly occurs in juvenile arthritis.

e) Decreased mobility: Reduced range of motion or decreased ability to move joints due to inflammation is typical in juvenile arthritis.

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The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A child presents to the ER with anemia and leukocytosis. The physician suspects juvenile arthritis. What other physical findings will the nurse assess that relate to diagnosis? SATA

Correct Answer is ["A","B","D","E"]

Explanation

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