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 ["B","C","D"]
Explanation
A. Object permanence starts to develop around 4 to 7 months and is not fully developed by 6 months; this statement is inaccurate.
B. Understanding object permanence is indeed a significant milestone in cognitive development, indicating that the infant can comprehend that objects continue to exist even when not seen.
C. Playing peek-a-boo is an excellent way to reinforce the concept of object permanence, as it helps infants learn that people or objects can reappear after being hidden.
D. Before developing object permanence, infants do think that objects cease to exist when out of sight, which demonstrates their cognitive limitations at that stage.
E. Object permanence typically begins to develop around 4 to 7 months, not at 12 months, making this statement incorrect.
Correct Answer is ["A","B","D"]
Explanation
A. Staying dry for extended periods and waking up dry are clear indicators that the child may be ready for potty training.
B. Encouraging the child to sit on the potty, even without using it, helps familiarize them with the process, which is beneficial for readiness.
C. Discipline for accidents can create anxiety and resistance toward potty training; it is important to approach the process positively.
D. Waiting for signs of interest and the ability to follow simple instructions respects the child's developmental readiness, making the transition smoother.
E. Starting potty training too early can lead to frustration for both the child and parents; readiness should be based on the child’s cues rather than age alone.
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