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 ["A","B","C","D"]

Explanation

A. Allowing multiple snacks can help provide additional nutrients and calories without overwhelming the toddler during mealtimes.

B. Offering small, frequent meals throughout the day is a good strategy for toddlers experiencing physiological anorexia, as it can be more manageable for them.

C. Providing a variety of healthy foods and allowing the toddler to choose promotes autonomy and encourages healthier eating habits.

D. Avoiding the force-feeding of the toddler respects their hunger cues and helps build a positive relationship with food.

E. Limiting fluid intake is not advisable, as hydration is important, and reducing fluids may lead to dehydration.

F. Encouraging larger portions may overwhelm a toddler and lead to further resistance to eating; focusing on smaller, manageable portions is more effective.

A. "Why does it bother you that your child has wet the bed?" B. "Your child did not seem upset, so I wouldn't worry about it if I were you." C. "Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." D. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Correct Answer is C

Explanation

A. This response is confrontational and may make the parent feel defensive rather than supported. It does not address the parent’s concerns about their child's behavior.

B. While reassuring, this response downplays the parent's feelings and does not provide relevant information about why regression may occur during hospitalization.

C. This response normalizes the behavior and educates the parent that regression can happen during stressful events like hospitalization, providing reassurance that the child’s skills will return.

D. Although this response shows empathy, it may not provide the educational information that the parent needs to understand the situation.

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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

A nurse is providing guidance to parents of a toddler who is experiencing physiological anorexia. Which of the following suggestions should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

Correct Answer is C

Explanation

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