A 4-year-old is hospitalized and withdrawn.
What activity should the nurse encourage?
Coloring and talking about feelings.
Practicing reading skills.
Watching cartoons alone.
Napping frequently.
The Correct Answer is A
Choice A rationale
For a withdrawn 4-year-old, activities that allow for self-expression and communication are beneficial. Coloring provides a non-verbal outlet for emotions, and talking about feelings, facilitated by the nurse, can help the child process their experience and reduce feelings of isolation.
Choice B rationale
Practicing reading skills is developmentally appropriate for some 4-year-olds but may not be engaging or therapeutic for a child who is currently withdrawn and emotionally distressed due to hospitalization. The focus should be on emotional expression rather than academic tasks.
Choice C rationale
Watching cartoons alone can increase feelings of isolation and does not encourage interaction or emotional expression, which are crucial for a withdrawn child in a hospital setting.
Choice D rationale
While rest is important, frequent napping can further isolate the child and may not address the underlying emotional needs contributing to their withdrawal. Encouraging active engagement and interaction is more therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Impetigo is a bacterial skin infection characterized by honey-crusted sores, often around the nose and mouth. While it can cause itching, the linear arrangement of papules is not typical of impetigo.
Choice B rationale
Tinea capitis is a fungal infection of the scalp, causing scaly, itchy patches and potential hair loss. It does not typically present as linear papules on the skin.
Choice C rationale
Scabies is an infestation caused by the Sarcoptes scabiei mite, which burrows under the skin, laying eggs and causing intense itching, often worse at night. The characteristic lesions are small, erythematous papules that frequently appear in linear patterns due to the mite burrowing. Close contact in crowded environments like daycare facilitates transmission.
Choice D rationale
Cellulitis is a bacterial infection of the deeper layers of the skin and subcutaneous tissue, characterized by redness, warmth, swelling, and pain. It does not typically present as small, linear papules. .
Correct Answer is D
Explanation
Choice D rationale
Hirschsprung disease is characterized by the absence of ganglion cells in a segment of the colon, leading to impaired peristalsis and difficulty passing stool. Monitoring bowel movements is crucial to assess the effectiveness of treatment, identify signs of obstruction, and guide further interventions.
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