A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is D
Explanation
Choice A rationale
A brightly-colored mobile is suitable for infants who are visually stimulated by motion and color but not appropriate for a 4-year-old.
Choice B rationale
A checkerboard and checkers are more suitable for older children or adolescents who have developed advanced cognitive and strategic thinking skills.
Choice C rationale
A 100-piece jigsaw puzzle is also more appropriate for older children or adolescents with well-developed problem-solving and fine motor skills.
Choice D rationale
Hand puppets are suitable for a 4-year-old as they encourage imaginative play, storytelling, and fine motor skill development.
Correct Answer is B
Explanation
Choice A rationale
HIPAA is indeed a federal law, which sets national standards for the protection of health information. It applies across all states and helps ensure the privacy and security of patients' medical records and other health information.
Choice B rationale
This statement is incorrect and indicates a need for further instruction. HIPAA requires that protected health information (PHI) is only disclosed to family members with the patient's consent, unless under specific circumstances, such as in emergencies or when the patient is incapacitated.
Choice C rationale
HIPAA establishes regulations to protect health information in all forms, including verbal, electronic, and written. This ensures comprehensive coverage of patient data privacy and security across different mediums.
Choice D rationale
A client's address is considered personally identifiable information (PII) under HIPAA. This type of information must be protected to prevent unauthorized access or disclosure, in order to safeguard the individual's privacy. .