A nurse is planning home care for a school-age child who is awaiting discharge to home following an acute asthma attack.
Which of the following growth and development stages according to Erikson should the nurse consider in the planning?
Autonomy vs. shame and doubt.
Identity vs. role confusion.
Initiative vs. guilt.
Industry vs. inferiority.
The Correct Answer is D
Choice A rationale
Autonomy vs. shame and doubt is the stage for toddlers, where children learn to assert their independence and autonomy. This stage doesn't apply to school-age children.
Choice B rationale
Identity vs. role confusion is the stage for adolescents, where they explore different roles and integrate them into their identity. This is beyond the scope of school-age children.
Choice C rationale
Initiative vs. guilt applies to preschool children, where they begin to assert power and control through directing play and other social interactions. School-age children have moved
past this stage.
Choice D rationale
Industry vs. inferiority is the stage for school-age children according to Erikson's theory. In this stage, children develop a sense of pride and competence in their skills and abilities
through school and social interactions.
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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. .
Correct Answer is D
Explanation
Choice A rationale
Assisting with crutch walking is necessary but should occur only after ensuring the cast is properly set and stable to avoid injury.
Choice B rationale
Avoiding touch until the cast is dry is unnecessary and impractical. The nurse can handle the cast gently without causing damage.
Choice C rationale
Using a heat lamp can lead to skin burns or uneven drying, which might weaken the cast.
Choice D rationale
Applying moleskin to the edges protects the child’s skin from irritation and breakdown, promoting comfort and skin integrity.