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

Explanation

A. Quality of food, including nutrient-rich options, is more important than the quantity, as toddlers often have variable appetites but still need proper nutrition.

B. The caloric requirement for toddlers is around 1,000 to 1,400 calories per day, not 3,000.

C. Toddlers often have a decreased appetite compared to their infant stage due to slower growth rates.

D. Adult vitamins are not appropriate for toddlers, and their needs should be met primarily through food, with pediatric supplements used only if recommended by a healthcare provider.

A. Respiratory distress B. Congenital anomalies C. Sudden infant death syndrome D. Low birth weight

Correct Answer is B

Explanation

A. Respiratory distress is a concern in infancy, but it is not the leading cause of death.

B. Congenital anomalies are the leading cause of death in infants, accounting for a significant proportion of infant mortality in developed countries.

C. Sudden infant death syndrome (SIDS) is a leading cause of death in infants but ranks behind congenital anomalies.

D. Low birth weight can contribute to infant mortality but is not the leading direct cause of death.

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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

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Correct Answer is A

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Correct Answer is B

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