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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Asking about allergies is essential to gather information about potential adverse reactions and ensure safe care.
B. While asking about a favorite food might be helpful for comfort measures, it is not essential for a health history assessment.
C. Recent illnesses and hospitalizations are critical in understanding the child’s medical background and current health status.
D. Developmental milestones are important for assessing whether the child is progressing appropriately and identifying any potential concerns.
E. While knowing about siblings might be relevant for family dynamics, it is not a key part of a health history assessment.
Correct Answer is A
Explanation
A. Children who ingest non-food substances, such as dirt (pica), are at an increased risk for lead exposure, especially if they live in environments where lead contamination is present in soil.
B. Parents working in certain industries can bring home lead dust on their clothes, but this is less likely in the textile industry compared to occupations like construction or manufacturing.
C. Growth percentile does not directly increase the risk for lead poisoning.
D. A recent diagnosis of autism spectrum disorder is not directly associated with an increased risk of lead exposure.
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