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?

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Supplemental fruit juice is not recommended for infants at this age as breast milk provides the necessary nutrients for growth and development.

B. While vitamin C is important, breast milk provides enough for infants. Iron and vitamin D are typically recommended for exclusively breastfed babies.

C. Iron supplements alone are not enough; vitamin D is also necessary since breastfed infants may not get enough from breast milk or sunlight.

D. It is recommended that breastfed infants receive vitamin D supplements to prevent deficiency, as well as iron supplements after 4-6 months to prevent anemia.

A. "They will come after dinner." B. “I will tell you every time I see you how much longer it will be." C. “They will be here soon." D. "Let me show you on the clock when 6 PM is.”

Correct Answer is A

Explanation

A. A 3-year-old has a limited understanding of time, so referencing an event like "after dinner" is more appropriate and meaningful to the child.

B. While comforting, this option does not provide a concrete understanding for a child of this age.

C. Saying "soon" can be vague and cause more anxiety, as the child may not understand what "soon" means.

D. A 3-year-old is unlikely to understand the concept of time or how to read a clock, so this explanation may confuse the child.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to a group of mothers who are breastfeeding their infants. It is recommended that a 5-month-old exclusively breast-fed baby, will also receive:

Correct Answer is D

Explanation

The nurse is caring for a hospitalized 3-year-old child. Their parents tell the nurse that they will be back to visit at 6 PM. When the child asks the nurse when his parents are coming, the nurse's best response is:

Correct Answer is A

Explanation

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