A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make?

Read to the child at least four times per week.

Allow regular naps for the child to foster proper brain growth.

Enable playtime for the infant child once per month.

Watch a favorite TV program with the child on a consistent basis.

Answer and Explanation

The Correct Answer is A

Choice A: Read to the Child at Least Four Times per Week
Reading to a child regularly is one of the most effective ways to support both socio-emotional development and language skills. It helps build vocabulary, comprehension, and communication skills while also fostering a strong emotional bond between the caregiver and the child. Reading stories can introduce children to different emotions and social situations, helping them understand and manage their own feelings.

Choice B: Allow Regular Naps for the Child to Foster Proper Brain Growth
While regular naps are important for a child's overall development and brain growth, they do not specifically target socio-emotional development and language skills. Napping helps with physical growth and cognitive function, but it does not provide the interactive and communicative benefits that activities like reading do.

Choice C: Enable Playtime for the Infant Child Once per Month
Playtime is crucial for a child's development, but once per month is not sufficient. Regular, frequent playtime is necessary to support socio-emotional development and language skills. Play allows children to explore their environment, interact with others, and develop important social and communication skills. Therefore, playtime should be encouraged daily rather than monthly.

Choice D: Watch a Favorite TV Program with the Child on a Consistent Basis
Watching TV can be a passive activity and does not provide the same level of interaction and engagement as reading or playing together. While some educational programs can be beneficial, they should not replace active, interactive activities that directly support socio-emotional development and language skills. Engaging in conversations and interactive play is more effective for these developmental areas.

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Correct Answer is A

Explanation

Choice A: "When the Exposure is Decreased or Eliminated, the Risk of Disease Declines or is Eliminated."
This statement accurately describes the concept of cessation of exposure in establishing causation. According to the Bradford Hill criteria, if a factor is truly causal, reducing or eliminating exposure to that factor should lead to a decrease in the incidence of the disease. This principle helps to confirm the causal relationship between the exposure and the disease.

Choice B: "The Exposure Must Come Before the Disease Develops."
This statement refers to the temporal relationship criterion in the Bradford Hill criteria, which states that for an exposure to be considered causal, it must precede the onset of the disease. While this is an important aspect of establishing causation, it does not specifically address the concept of cessation of exposure.

Choice C: "A Relationship is Biologically Possible, and it Makes Sense."
This statement pertains to the biological plausibility criterion, which suggests that the observed association between an exposure and a disease should be consistent with existing biological and medical knowledge. While biological plausibility is crucial for establishing causation, it does not directly relate to the cessation of exposure.

Choice D: "Increased Exposure Increases the Risk of Developing the Disease."
This statement describes the dose-response relationship, another criterion in the Bradford Hill framework. It indicates that a greater level of exposure to a risk factor should correspond to a higher risk of developing the disease. Although this is an important aspect of causation, it does not specifically address the cessation of exposure.

A. A client who has health insurance but requires a supplemental policy. B. A client whose income is below the poverty line. C. A client who has health insurance from their job but is recently unemployed. D. A client who is a young adult between the ages of 18 to 25.

Correct Answer is B

Explanation

Choice A Reason:
A client who has health insurance but requires a supplemental policy is not typically eligible for Medicaid based solely on this need. Medicaid is designed to provide health coverage for individuals with low income and limited resources. While supplemental policies can help cover additional costs, they do not qualify someone for Medicaid.

Choice B Reason:
A client whose income is below the poverty line is eligible for Medicaid. Medicaid is a means-tested program that provides health coverage to low-income individuals and families. Eligibility is primarily based on income and, in some cases, other factors such as disability or family status. This choice aligns with the primary eligibility criteria for Medicaid.

Choice C Reason:
A client who has health insurance from their job but is recently unemployed may qualify for Medicaid if their income falls below the eligibility threshold. However, the key factor is the income level, not the employment status alone. If the client's income remains above the poverty line despite unemployment, they may not qualify for Medicaid.

Choice D Reason:
A client who is a young adult between the ages of 18 to 25 does not automatically qualify for Medicaid based on age alone. Eligibility for Medicaid is primarily determined by income and other specific criteria. While some young adults may qualify under certain circumstances, age alone is not a determining factor.

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A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make?

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