Health & Physical Assessment in Nursing, Canadian Edition By Donita T D’Amico – Test Bank
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Sample
Test
Chapter 3
MULTIPLE CHOICE. Choose the one alternative that best completes
the statement or answers the question.
1) The mother of a two-year-old tells the nurse that
she is concerned about her child’s lower back curving in and the child’s belly
sticking out. How should the nurse respond?
1) Ask the mother to buy the child bigger clothes
2) Give the mother the first available appointment
to see the physician
3) Obtain a referral to the pediatric orthopedic
clinic
4) Reassure the mother that this is normal for a
toddler
1) 4
Explanation:
1. This
does not address the mother concerns.
2. There
is no need to see a physician as the lordosis and protruding abdomen are normal
in toddlers.
3. There
is need to make a referral as the lordosis and protruding abdomen are normal in
a toddler.
4. Young
toddlers have pronounced lordosis, which makes their abdomens protrude. This is
a normal finding, and the mother should be assured of this.
Intervention
Application
Objective – 4
Page – 43
Difficulty – 2
2) A nurse is teaching parents of a child in
Piaget’s sensorimotor stage of development. What would be an appropriate
activity to help the child accomplish developmental tasks of this stage?
1) Buying more colourful toys
2) Playing with water toys in the bathtub
3) Buying some blocks with numbers
4) Playing peek-a-boo
2) 4
Explanation:
1. This
stage deals with helping the child learn that objects continue to exist even
when not seen.
2. This
stage is from birth to 2 years and playing with toys in the tub would not be
appropriate.
3. Buying
blocks will help with coordination, but not with learning that things still
exist when not seen
4. In
the sensorimotor stage (birth to 2 years) the infant attains a sense of object
permanence, which is the knowledge that objects continue to exist when not
seen. Playing peek-a-boo helps the child know that someone is there even when
not seen.
Evaluation
Analysis
Objective – 2
Page – 39, 44
Difficulty – 2
3) A nurse is writing a care plan for a pediatric
client who is working on Erickson’s developmental Stage 4. What would be an
appropriate goal for a child in this stage?
1) Stating that the sense of shame and self-doubt
has become less intense
2) Helping the child develop a sense of identify and
exploring attitudes and beliefs
3) Completing school homework and have passing
grades within one month
4) Volunteering to help with one or more community
projects each week
3) 3
Explanation:
1. Shame
and self-doubt may occur in toddlers if they do not learn independence.
2. This
would be a task for the child in Stage 5, Identity vs. Role Confusion.
3. Stage
4 (6–11 years) is the crisis of industry versus inferiority. Industry results
in the development of competency, creativity, and perseverance. Inferiority
creates feelings of hopelessness, and a sense of being mediocre or incompetent,
and withdrawal from school and peers may result. Reaching a goal of completing school
homework and having passing grades within one month would help develop a sense
of competency and creativity and would require perseverance to accomplish this
goal.
4. Community
involvement is seen in later years to prevent isolation and stagnation.
Planning
Application
Objective – 2
Page – 40, 48
Difficulty – 2
4) A nurse is working at a Senior Centre and has
just counselled a client experiencing a crisis in Erickson’s Integrity vs.
Despair developmental stage. What suggestion would be the most appropriate?
1) Buying a bigger house to house a divorced adult
child
2) Getting a pet
3) Cataloguing family pictures
4) Playing sports
4) 3
Explanation:
1. Having
an adult child move back in the home may cause the senior to feel like a
failure as a parent.
2. A pet
can be good company for a senior, but does not address the need for the senior
to feel a sense of satisfaction in his/her life at this stage.
3. During
the stage of Integrity vs. Despair an individual will either feel contentment
and satisfaction with their place in life or feel sadness and a sense of loss.
Cataloguing family pictures may bring a sense of satisfaction to the
individual.
4. Playing
sports may be healthy but does not help the senior reflect on his life and feel
a sense of satisfaction.
Intervention
Application
Objective – 2
Page – 40, 53
Difficulty – 2
5) A nurse is interviewing the mother of a toddler
who complains that her child continues to hide and have bowel movements in the
diaper, but will use the toilet to void. The nurse would correctly tell the
mother that the child is in which of the following Freudian phases of
psychological development?
1) Genital
2) Phallic
3) Anal
4) Latency
5) 3
Explanation:
1. The
genital stage is when sexual urges awake.
2. During
this stage the child discovers that the genitals can be a source of pleasure.
It is a time of exploration and identifying with the same-sex parent.
3. Freud’s
anal phase follows the oral phase and continues through age 3. The anus becomes
the focus for gratification and the child experiences conflict when
expectations about toileting are presented.
4. The
latency phase occurs during years 5 to 6; sexual urges are repressed and the
child focuses on the educational and social world.
Assessment
Application
Objective – 2
Page – 39, 45
Difficulty – 1
6) The mother of a 5-month-old infant calls the
health unit to report to the nurse that she has noticed that her infant still
has tremors of the extremities and chin at times. How should the nurse respond?
1) Reassure the mother that these tremors are a
normal part of the infant’s development
2) Give the mother the first available appointment
to see the physician
3) Contact the pediatrician to see if he/she wants
an EEG to be completed
4) Ask the mother to document the time of day of
tremors and come in next week
6) 1
Explanation:
1. Tremors
of the extremities or chin of an infant are normal and reflect immature
myelinization and will disappear by one year when the myelinization of the
efferent pathways matures.
2. The
tremors are normal and a referral is not necessary.
3. The
need to have an EEG is not indicated.
4. This
is a normal behaviour in a 5-month-old infant and it is not necessary to
determine a pattern.
Intervention
Application
Objective – 3
Page – 40
Difficulty – 2
7) A nurse is counselling a middle-aged couple. The
husband has been told by his wife that both men and women experience decreasing
hormonal production during middle adulthood, and he asks the nurse if this is
true. How should the nurse respond?
1) “Your wife has obtained some incorrect data.”
2) “Why do you ask?”
3) “Your hormonal levels increase, not decrease with
age.”
4) “Your wife is correct. Men do have a decrease in
hormone production with aging.”
7) 4
Explanation:
1. Men
do experience a decrease in testosterone.
2. The
nurse should avoid the use of why questions.
3. Hormone
levels decrease in men and women, not increase.
4. During
menopause, which usually occurs between ages 40 and 55, progesterone is not
produced and estrogen levels fall. Men also have a decrease in hormonal
production and experience a gradual decrease in testosterone.
Intervention
Knowledge
Objective – 3
Page – 51
Difficulty –2
8) The father of Danny, 5 years old, tells the nurse
that he is concerned that his son cannot ride a tricycle. What action should
the nurse take first?
1) Reassure the father that this is normal
2) Refer the father to the pediatrician
3) Complete further growth and development
assessments
4) Ask the father about any siblings and when they
rode a tricycle
8) 3
Explanation:
1. A
child should be able to ride a tricycle at 3 years of age.
2. Before
making a referral the nurse should ascertain whether there are any other
developmental delays.
3. Gross
and fine motor development should be completed after the toddler years, and a
preschool child should be able to pedal a tricycle. A nurse should obtain
additional assessments related to growth and development for this child.
4. The
age that Danny’s siblings rode a tricycle does not negate that Danny is very
late in learning this skill.
Assessment
Application
Objective – 3
Page – 44, 46
Difficulty – 2
9) A nurse is working in a health clinic and
performing a height and weight check of a young client. When plotting the
findings on a growth chart, the nurse notes a slowed growth pattern. What
action would be appropriate for the nurse at this time?
1) Obtain an endocrinologist referral
2) Perform a nutritional assessment
3) Wait until the next visit to intervene
4) Assess for circulatory problems
9) 2
Explanation:
1. There
is no indicator that there is an endocrine problem.
2. Slowed
growth is an early indicator of inadequate nutrition.
3. As
malnutrition is the most common cause of slowed growth pattern, a delay will
increase the effects of the poor nutrition.
4. Malnutrition
is the most common cause of a slowed growth pattern in children.
Assessment
Analysis
Objective – 4
Page – 55
Difficulty – 3
10) What would be the best assessment tool for a nurse to use
for a 14-year-old male who is experiencing behavioural problems?
1) Family Psychosocial Screening
2) Eyberg Child Behaviour Inventory
3) Ages and Stages Questionnaire
4) Child Development Inventory
10) 2
Explanation:
1. This
test assesses the psychosocial risk factors associated with developmental
problems, including parental abuse.
2. The
Eyberg Child Behaviour Inventory is a parent report scale of conduct problems
in children ages 2 to 16.
3. This
tool is used by parents to assess certain developmental areas in the child.
4. This
tool measures general development in children age 15 months to 2 years.
Assessment
Application
Objective – 4
Page – 54 (Table 3.2)
Difficulty – 3
11) Aniljit, 6 months old, has been admitted to hospital for
observation. The nurse is assessing the family and family interaction and
learns that the family recently emigrated from India. The mother does all the
care for her son while the father sits in the chair talking on the phone. What
would be an appropriate assessment of this family?
1) Compromised family coping
2) A disinterested father
3) Risk for family violence
4) Cultural differences in childrearing
11) 4
Explanation:
1. There
is no indication that the family is not coping.
2. The
nurse has no basis for this assessment.
3. There
is no evidence that family violence is an issue.
4. Paternal
and maternal attachment differs between cultures.
Planning
Application
Objective – 6
Page – 57
Difficulty – 2
12) A nurse is completing discharge teaching to the family of a
hospitalized elderly adult. What is the most important point for the nurse to
include in the teaching?
1) Reduce the amount of odour in the client’s
immediate environment
2) Install grab bars by the toilet and in the
shower.
3) Speak louder as client’s hearing decreases
4) Increase the lighting if the client wants to stay
up at night
12) 2
Explanation:
1. Although
this is important, the elderly have a loss of bone density and are more prone
to injury from falls. Teaching to prevent injury is more important than
reducing odours.
2. As
aging occurs there is a loss of bone density and thus bones become more
brittle. It is important to protect the elderly client from falls. Falls are a
common problem in the elderly and can result in increased morbidity and
mortality.
3. Speaking
louder as the client’s sense of hearing is reduced is not as important as
protecting them from injury.
4. There
is a loss of visual acuity, but increased lighting is not as important as
protecting the elderly from injury.
Implementation
Application
Objective – 3
Page – 52, 53
Difficulty – 3
13) A nurse is assessing the behaviours of preschoolers using
Piaget’s theories of development. What behaviour would the nurse expect of this
group?
1) Pretending that they are princes and princesses
2) Focusing on many aspects of a given situation at
once
3) Assuming everyone else in their world sees things
as they do
4) Collecting and sorting objects by size
13) 3
Explanation:
1. Make
believe play is commonly seen with the toddler age group.
2. Preschoolers
focus on one aspect of a situation and ignore others, leading to illogical
reasoning.
3. Preschoolers
feel no need to defend their point of view, because they assume that everyone
else sees things as they do.
4. The
ability to collect and sort objects is seen in school-age children.
Assessment
Analysis
Objective – 2
Page – 39, 44, 46
Difficulty – 2
14) Mrs. Dubois, 27 years old, is to receive a routine health
check-up. What intervention would the nurse include in this check-up?
1) Counselling on injury prevention
2) Vaccines for tetanus and diphtheria
3) Counselling on fluoride supplements
4) Information on diet and exercise
14) 4
Explanation:
1. Counselling
for injury prevention is of greater concern for the adolescent age group.
2. Both
tetanus and diphtheria immunizations occur in childhood.
3. Fluoride
supplements are started in infancy to prevent tooth decay.
4. Interventions
for periodic health examinations for ages 25 to 64 include counselling on diet
and exercise.
Intervention
Application
Objective – 6
Page – 50, 51
Difficulty –2
15) What behaviour indicates a 5-year-old child is successfully
moving through Piaget’s cognitive stage of development appropriately?
1) Considering the differing opinions of their
playmates
2) Recalling the good time experienced the previous
weekend at the playground
3) Rationalizing why it is better to eat fruit than
candy
4) Understanding their mother loves them as much as
their older siblings
15) 2
Explanation:
1. The
ability to consider the points of view of others does not occur until the
Concrete Operations Stage.
2. The
client is progressing without difficulty in Piaget’s Cognitive Theory. Stage 2:
Preoperational Skills encompasses ages 2 to 7 years. During this time, the
child is able to recall past events and anticipate future events.
3. Rational
thinking begins around the age of 11 and continues into adulthood. This is the
stage known as Formal Operations.
4. The
issue of maternal love does not impact this question.
Evaluation
Application
Objective – 2
Page – 39
Difficulty – 2
16) During a routine well child check-up, the mother of a
3-year-old child reports concern with her child’s difficulty becoming toilet
trained. When questioned, she reports the child has most difficulty using the
toilet for bowel movements. What phase of Freud’s stages of development is the
child having difficulty completing?
1) Oral
2) Phallic
3) Anal
4) Latency
16) 3
Explanation:
1. During
the oral phase the mouth is the center of pleasure as is the case with
newborns.
2. The
phallic phase results when the focus of pleasure is on the genitals.
3. The
child who is demonstrating difficulty becoming toilet trained is struggling
with the anal phase of Freud’s stages of development. During this time the anus
becomes the focus of gratification.
4. The
latency phase begins between ages 5 and 6 and continues until puberty. This
stage is used as a time of resolution for previous conflicts.
Assessment
Application
Objective – 2
Page – 39, 45
Difficulty – 2
17) Mr. Adams, 73 years old, voices concerns to the nurse
regarding the seemingly continued loss of family and friends to illness and
death. He states he is better off not making new friends as they will die
anyway. What interpretation of this client is most accurate?
1) He is mastering Erickson’s stage of Integrity vs.
Despair successfully.
2) He is having difficulty passing through the stage
of Generativity vs. Stagnation.
3) He is struggling with the stage of Integrity vs.
Despair.
4) Demonstrating unsuccessful completion of the
Intimacy vs. Isolation stage of development
17) 3
Explanation:
1. A
person successfully mastering this stage will view his life and relationships
with contentment.
2. This
stage, usually completed by age 65, focuses on a concern for guiding the next
generation. A person either demonstrates productivity and creativity or begins
to become self-absorbed and non-productive.
3. During
the phase of Integrity vs. Despair, the client begins to face the loss of
friends and family members. Acceptance of these losses results in successful
movement through this stage. Failure to accept this stage of life will result
in bitterness.
4. In
the phase of Intimacy vs. Isolation adults find mates or face a life of
loneliness.
Evaluation
Analysis
Objective – 3
Page – 40, 53
Difficulty – 2
18) Yuri, 3 months old, is hospitalized with a respiratory
infection. The parents report they do not believe in responding too rapidly
when Yuri is crying, as they do not wish to spoil their child. What response by
the nurse is most appropriate?
1) “I agree with your philosophy of child rearing.”
2) “There are many studies which support this
belief.”
3) “Responding quickly to your baby’s cries will
assist him in feeling secure.”
4) “Children who experience separation anxiety have
been spoiled by their parents.”
18) 3
Explanation:
1. Even
if this is true, the nurse’s personal beliefs are not relevant.
2. There
is no research to support this view.
3. A
timely response to infant crying does not result in a spoiled child. It
promotes the infant’s sense of security and promotes independence during later
stages of development. Children who have received inconsistent nurturing may
exhibit clingy, angry, or distrustful behaviours.
4. Separation
anxiety is seen when parents leave a 4–6 month old infant and the infant
initially responds by crying.
Intervention
Coping and Adaptation; Application
Objective – 5
Page – 42
Difficulty – 1
19) During a well baby check-up, the nurse notices the infant
does not demonstrate the expected developmental milestones for this age. What should
the nurse do first?
1) Initiate a consultation with social services for
a home assessment
2) Get a referral to a pediatrician
3) Ask the parents questions about their play
activities with the infant
4) Prepare the family for hospitalization for a
neurological assessment
19) 3
Explanation:
1. This
may be an option, but the nurse should assess the interactions between the
parents and infant promoting development.
2. It is
too early to get a referral; the nurse should assess the interactions between
the infant and parents.
3. The
nurse should first assess the parental knowledge and expectations concerning
normal infant development. The parents may not be aware of the appropriate
activities that will stimulate the child.
4. There
is no need to prepare the parents for a negative outcome at this point in time.
Assessment
Analysis
Objective – 5
Page – 43
Difficulty – 2
20) The parent of a 3-year-old child voices concerns about the
child’s potential developmental delays. The parent reports their older child reached
milestones significantly ahead of the younger child. An assessment reveals that
the child is able to assist in dressing themselves and can play catch. Which
response by the nurse is appropriate?
1) “Your child appears to be on target with the
expected milestones for age.”
2) “Your older child may simply be smarter than your
3-year-old.”
3) “I would recommend extensive testing to determine
the source of the delays.”
4) “Have you spoken with your physician about these
delays?”
20) 1
Explanation:
1. The
developmental tasks of the child are on track for age.
2. Advising
the parent one child is “smarter” than another is potentially damaging, as well
as inappropriate.
3. Testing
is not warranted at this time.
4. There
are not evident delays to review with the physician.
Intervention
Analysis
Objective – 5
Page – 44
Difficulty – 1
21) The nurse is reviewing the developmental behaviours of an
8-month-old infant. Which behaviour indicates the need for follow-up
assessments?
1) Can transfer objects from hand to hand
2) Moro reflex present
3) Positive Babinski reflex
4) Pulls self to standing position
21) 2
Explanation:
1. By 5
months an infant can start to transfer objects from one hand to the other.
2. The
Moro reflex begins to disappear by 5 months. The presence of this reflex beyond
that age warrants follow-up.
3. The
positive Babinski reflex begins to disappear at 1 year.
4. Some
babies may be able to pull themselves up to a standing position at this age.
Assessment
Application
Objective – 5
Page – 41 (Table 3.1)
Difficulty – 3
22) A nurse is performing the data collection for a physical
examination on a 16-year-old boy. The boy, who is currently 162 cm, voices
concerns about his lack of stature. He asks if he has reached his full height.
What response by the nurse is most correct?
1) “You are finished growing at your age.”
2) “Is your father very tall?”
3) “Why do you hope to grow taller?”
4) “You may continue to grow into your early 20s.”
22) 4
Explanation:
1. Skeletal
growth may continue until age 25.
2. Although
a child’s height may relate to that of the parents, this statement does not
respond to the client’s question.
3. Asking
the teen about his motivation to grow taller does not respond to his question.
4. The
skeletal system growth is completed by age 25.
Intervention
Application
Objective – 5
Page – 50
Difficulty – 2
23) Mrs. Wilmot, 43 years old, reports concern about the weight
gained over the past two years despite not having made any significant changes
in her diet or exercise patterns. What factor may be responsible for the
client’s reported changes in weight?
1) Increasing hormone levels
2) Increase in body mass index
3) Reduction in muscle nerve conduction
4) Hormonal changes of the female climacteric
23) 4
Explanation:
1. During
this stage of life, hormone levels begin to decrease.
2. The
increase in weight will result in an increased body mass index, not vice versa.
3. The
changes in muscle and nerve development are not directly implicated in the body
changes being reported.
4. During
this client’s stage of development, there is a reduction in hormone levels as
menopause approaches. The hormonal changes result in an increase in body
weight. The amount of adipose tissue also increases.
Assessment
Application
Objective – 5
Page – 54
Difficulty – 2
24) The adult children of a 69-year-old man report they are
becoming frustrated. They relate they are trying to get their father to “take
it easy,” stop working, and reduce his social activities. They feel this will
reduce his stress and allow him to live longer. How should the nurse respond?
1) “A slower pace will allow your father to remain
productive longer.”
2) “Seniors who lack intellectual challenges
demonstrate cognitive declines.”
3) “Reducing your father’s activities will increase
his quality of life.”
4) “Retirement will promote rest and relaxation for
your father.”
24) 2
Explanation:
1. A
decline in activities will result in a decrease in functioning.
2. Studies
have shown that seniors who continue to demonstrate intellectual interaction
have higher cognitive function levels.
3. There
is no evidence to support this.
4. A
lack of activity is consistent with declines in function.
Intervention
Analysis
Objective – 5
Page – 53
Difficulty – 3
25) What statement is true about factors that influence the
growth and development of children?
1) Children in lower socioeconomic groups tend to weigh more.
2) Poor nutrition in childhood may cause some forms of dementia
in older adults.
3) Cognitive and emotional well-being is seen in children who
have affluent parents.
4) Growth patterns are primarily determined by nutrition.
25) 2
Explanation:
1. Generally
children from lower socioeconomic groups have lower height and weight.
2. Balanced
nutrition promotes brain development and prevents some forms of dementia in the
older adults.
3. Well-being
is related to interactions and activities between the child and parent, not
economic status.
4. Growth
is primarily determined by genetics.
Assessment
Application
Objective – 6
Page – 55 – 57
Difficulty – 3
SHORT ANSWER. Write the word or phrase that best completes each
statement or answers the question.
26) How does growth and development proceed? (Select all that
apply)
____ Cephalocaudal direction
____ Generalized response to specific response
____ Distal to proximal direction
____ Simple to complex
26)
__X_ Cephalocaudal direction
__X_ Generalized response to specific response
____ Distal to proximal direction
__X_ Simple to complex
Explanation:
Growth and development (G and D) does not proceed from distal to
proximal but rather from proximal to distal (i.e., from the center of the body
outward). G and D does proceed from generalized response to specific response,
cephalocaudal direction, and from simple to complex.
Intervention
Application
Objective – 1
Page – 38
Difficulty – 1
Chapter 4
MULTIPLE CHOICE. Choose the one alternative that best
completes the statement or answers the question.
1) A nurse is preparing an in-service for the staff
on cultural considerations. The nurse includes the following definition,
“The adoption and incorporation of characteristics, customs, and values of the
dominant culture by those new to that culture.” What term has the nurse
defined?
1) Ethnicity
2) Assimilation
3) Ethnocentrism
4) Culture
1) 2
Explanation:
1. Ethnicity
is the awareness of belonging to a group in which certain characteristics or
aspects of a culture, such as biology, differentiate the members of one group
from another.
2. Assimilation
matches the definition described.
3. Ethnocentrism
is the tendency to believe that one’s own beliefs, way of life, values, and
customs are superior to those of others.
4. Culture
is the nonphysical traits, such as values, beliefs, attitudes, and customs that
are shared by a group of people and passed from one generation to another.
Planning
Knowledge
Objective – 1
Page – 65
Difficulty – 2
2) A nurse is admitting a client of the Muslim faith
during the holy month of Ramadan. The client tells the nurse that he must fast
during this time. What would be an appropriate response by the nurse?
1) “What can we do to accommodate your needs during
your stay here?”
2) “I will let your doctor know so he can discharge
you.”
3) “Fasting is harmful to your body.”
4) “You must have food during times of illness.”
2) 1
Explanation:
1. Many
faiths describe circumstances in which fasts may be altered or eliminated
during times of illness and hospitalization. Additionally, some people will
report adhering to a particular faith but will not strictly adhere to certain
practices. Further assessment is needed to determine this client’s beliefs,
desire to adhere to the practice, and extent to which the practice may be
altered considering the illness and hospitalization. Making certain assumptions
without further assessment would result in actions not respectful of, or
beneficial to, the client.
2. There
is no need to discharge the client.
3. This
shows a lack of respect for the client’s beliefs.
4. This
shows a lack of respect for the client’s beliefs.
Assessment
Application
Objective – 2
Page – 61 (Box 4-1), 67, 69
Difficulty – 1
3) Mr. Crowfoot, 68 years old, is experiencing
severe chest pain. A tribal elder has accompanied him to the hospital at the
insistence of the client. The elder tells the nurse that their culture teaches
acceptance of death as part of the natural cycle of life and that treatments
must be stopped. The client’s son insists that his father be treated, and
states he feels the tribe’s teachings are antiquated. What is the best action
for the nurse to take in this situation?
1) Call the social worker to plan a family meeting
without the tribesman
2) Interview the client and ascertain his wishes and
beliefs
3) Convene the hospital ethics committee
4) Call the nursing supervisor
3) 2
Explanation:
1. It
would be inappropriate to call a family meeting, with or without an interested
second party, if the client is competent and has not asked for such a meeting.
2. The
client is an adult and is capable of expressing his wishes and beliefs, and
should be encouraged to do so. Sometimes the client must be interviewed alone
to be sure the client is actually stating his own wishes and not those of
family members who may be present for the interview. Unless an adult is not
competent to make and express his own decisions, or is impaired in some way and
cannot express his own wishes, then the adult client’s wishes are honored over
all others who may try to exert influence.
3. As
long as the client can express his wishes there is no need to consult the
ethics committee.
4. At
the moment, there is no behaviour exhibited that would warrant notifying
hospital administration.
Assessment
Application
Objective – 2
Page – 69, 70
Difficulty – 3
4) A nurse is assessing an Asian-appearing teenager,
who is fluent in English, participates in high school sports, values riding his
dirt bike, and who plans to go to college after graduating from high school.
When asked where he is from, he says “Vancouver.” What does this behaviour
indicate about the client?
1) He has no interest in answering the nurse’s
questions.
2) He is embarrassed about his ethnicity.
3) He has adopted characteristics of the Canadian
culture.
4) He is in denial of his Asian heritage.
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