A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?
“Keep your child out of school but invite some friends over for play dates.”
“Keep your child at home and spend as much one-on-one time with her as possible.”
“Let your child continue to attend preschool as much as possible.”
“Plan special outings with just the family during the time the child would normally have been at school.”
The Correct Answer is C
Choice A reason: Play dates maintain social contact but disrupt the 3-year-old’s preschool routine, which provides stability. Continuing preschool supports normalcy and security, making this less effective and incorrect compared to maintaining the familiar structure of school for a child with leukemia.
Choice B reason: Keeping the child home for one-on-one time may isolate her, reducing social interaction critical for a 3-year-old’s security. Preschool attendance fosters normalcy, making this overly restrictive and incorrect compared to supporting the child’s routine and social needs during leukemia treatment.
Choice C reason: Continuing preschool as much as possible maintains routine and social connections, fostering security for a 3-year-old with leukemia. This aligns with pediatric psychosocial care for chronic illness, making it the correct recommendation to help the child feel secure during her treatment.
Choice D reason: Special family outings are bonding but disrupt the 3-year-old’s preschool routine, which provides consistent security. Continuing school is more stabilizing, making this less consistent and incorrect compared to maintaining the child’s normal preschool environment to support her sense of security.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: An electric heating pad provides dry heat, not moist heat, which is needed for deeper tissue penetration and comfort. Towels dampened with hot water deliver moist heat effectively, making this incorrect for the caregiver’s instruction on providing the recommended therapy at home for the child.
Choice B reason: Microwave-heated towels risk uneven heating and burns, making them unsafe for moist heat application. Towels dampened with hot water ensure controlled, safe moist heat, making this unreliable and incorrect for the caregiver’s home application of moist heat therapy as recommended.
Choice C reason: A hot water bottle provides dry heat, not moist, as it does not involve dampness. Towels dampened with hot water meet the moist heat requirement, making this incorrect, as it fails to deliver the specific type of heat therapy recommended for the child’s home care.
Choice D reason: Towels dampened with hot water provide safe, effective moist heat, penetrating tissues and soothing the child’s condition as recommended. This method aligns with pediatric home care instructions, making it the correct choice for teaching the caregiver about moist heat application at home.
Correct Answer is D
Explanation
Choice A reason: Playing apart without group involvement describes solitary play, not onlooker play, which involves watching others without joining. Observing without participating is the defining feature, making this incorrect, as it misidentifies the type of play in the instructor’s illustration of pediatric play types.
Choice B reason: Organized group play is cooperative play, not onlooker play, which entails passive observation. Students identifying observing without participating show understanding, making this incorrect, as it represents a different play type unrelated to the onlooker behavior described in the class.
Choice C reason: Acting out a troubling situation is dramatic play, not onlooker play, which focuses on watching without engagement. Observing without participating is the correct example, making this incorrect, as it does not match the passive nature of onlooker play in the instructor’s lesson.
Choice D reason: Onlooker play involves observing others’ play without participating, typical in young children assessing social situations. Students choosing this example demonstrate understanding, aligning with pediatric developmental play theories, making it the correct choice for a successful class on types of play.
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