Health Promotion and Maintenance Practice Question

Question

The nurse is caring for an adolescent client and is focused on developmental milestones scenario 10. Which nursing action is most appropriate?

Answer choices

1. A. Compare expected growth and behavior with the client's age.
2. B. Delay assessment until the next scheduled round if the client is not calling for help.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

A. Compare expected growth and behavior with the client's age.

Explanation

The priority action for developmental milestones is to compare expected growth and behavior with the client's age. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: easy
• Domain: Health Promotion and Maintenance
• Objective: developmental milestones

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