Question

Difficulty: MediumHealth Promotion and Disease Prevention

A practical nurse is reinforcing health promotion principles with community members during a wellness fair. Which statement by a participant indicates a need for additional teaching?

  1. A
    I advised my pregnant sister to delay receiving the measles, mumps, and rubella (MMR) vaccine until after her baby is born.
  2. B
    If my elderly parent develops a sudden onset of severe confusion, I will seek immediate medical care instead of assuming it is normal aging.
  3. I am expecting my 5-month-old infant to start pulling up to a standing position on the furniture within the next few weeks.Answer
  4. D
    I will manage my blood pressure by finding ways to incorporate low-sodium ingredient substitutions into my traditional cultural recipes.

Answer

The statement expecting a 5-month-old infant to start pulling up to a standing position is incorrect and indicates a need for additional developmental teaching.
The practical nurse must identify the statement that reflects a misunderstanding of health promotion principles. The statement regarding a 5-month-old infant pulling up to a standing position is incorrect. According to standard pediatric developmental milestones, infants typically begin pulling up to a stand while holding onto furniture between 9 and 10 months of age. At 5 months, expected gross motor skills include rolling over and sitting with support. The parent's unrealistic expectation requires immediate additional teaching by the nurse to ensure appropriate developmental monitoring and to prevent potential parental frustration or safety hazards.

Step-by-Step Solution

1
Analyze the stem to determine the required task.
The nurse must identify which participant's statement is incorrect and requires additional health teaching.
The question specifically asks which statement 'indicates a need for additional teaching'.
2
Evaluate the statement regarding the MMR vaccine during pregnancy.
The statement is true. Live-attenuated vaccines like MMR are contraindicated during pregnancy.
Administering live vaccines during pregnancy poses severe teratogenic risks to the fetus.
3
Evaluate the statement regarding sudden confusion in older adults.
The statement is true. Sudden confusion indicates acute delirium, not normal aging.
Delirium requires prompt medical evaluation to treat the underlying physiological cause, such as an infection or medication reaction.
4
Evaluate the statement regarding the 5-month-old infant's gross motor milestones.
The statement is false. Infants do not typically pull to a stand until 9 to 10 months of age.
Expecting a 5-month-old to perform advanced gross motor skills demonstrates a misunderstanding of child development that requires correction.
5
Evaluate the statement regarding cultural dietary modifications.
The statement is true. Adapting traditional foods safely is the best approach to dietary management.
Incorporating cultural practices into health promotion improves long-term compliance.
6
Select the option that represents the false statement requiring intervention.
The statement about the 5-month-old infant pulling to a stand is the correct answer.
It is the only statement that reflects a misunderstanding requiring additional teaching from the nurse.

Key Concept

Health Promotion and Disease Prevention Across the Lifespan
Rate this question