A 4-year-old child is admitted to the pediatric unit for a minor surgical procedure. The child believes that the surgery is a punishment for being "bad." Which response by the nurse is most appropriate to address the child's magical thinking?
"You are a good child. Sometimes we need surgery to stay healthy."
“You should not think like that. Surgery is not a punishment."
"It's normal that you might feel that way. However, "You are not being punished. The surgery is to help you get better."
“I see you are scared. Would you like to play with some toys?
The Correct Answer is C
A. While this response reassures the child that they are good, it does not directly address the magical thinking that surgery is a punishment.
B. Telling the child not to think a certain way dismisses their feelings and does not validate their emotions.
C. This response acknowledges the child's feelings (validating their emotional response) and corrects the misconception by explaining that surgery is for their health, not punishment.
D. Offering toys may distract the child, but it does not help address the root of their fear and magical thinking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A urine collection bag may lead to contamination of the sample, which is not suitable for obtaining a sterile specimen.
B. Indwelling Foley catheters are unnecessary for this one-time sample collection and increase the risk of infection.
C. Using a straight catheter is the recommended method to obtain a sterile urine sample in infants. It is minimally invasive, and the catheter is removed immediately after collecting the sample to reduce the risk of infection.
D. Placing a sterile cotton ball in the diaper may result in contamination and does not provide a truly sterile sample.
Correct Answer is ["B","C","E"]
Explanation
A. Accordion style gates can be hazardous as they may pinch a child's fingers; safety gates should be solid and secure.
B. A snug-fitting mattress in the crib is crucial to prevent the child from getting trapped or suffocated.
C. Tying plastic bags in knots helps prevent a child from suffocating or choking if they play with discarded bags.
D. Setting the water heater at 65.6° C (150° F) is too hot for a child's safety; it should be set lower to prevent burns.
E. Serving food in small, non-circular pieces reduces the risk of choking, which is vital for a 10-month-old who is learning to eat solid foods.
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