A boy aged 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8-10 weeks. His parents ask the nurse for advice. What is the most appropriate intervention?
Explain that this is normal in preschoolers, especially boys.
Talk to the preschool teacher to obtain validation for the behavior the parent reports.
Refer the child for a professional psychosocial assessment.
Encourage the parent to try more consistent and firm discipline.
The Correct Answer is C
Choice A reason: This is not an appropriate intervention. Anger and aggression are not normal behaviors in preschoolers, regardless of their gender. They may indicate underlying emotional or developmental issues that need to be addressed.
Choice B reason: This is not an adequate intervention. Talking to the preschool teacher may provide some information about the child's behavior, but it does not address the root cause or offer any solutions. The nurse should collaborate with the teacher and the parents to develop a plan of care for the child.
Choice C reason: This is the most appropriate intervention. A professional psychosocial assessment can help identify the factors that contribute to the child's anger and aggression, such as family stress, trauma, mental health problems, or learning difficulties. The assessment can also provide recommendations for treatment and support for the child and the family.
Choice D reason: This is not a helpful intervention. Consistent and firm discipline is important for any child, but it may not be enough to change the child's behavior if there are other underlying issues. Moreover, harsh or punitive discipline may worsen the child's anger and aggression. The parent should be encouraged to use positive reinforcement, empathy, and problem-solving skills with the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the correct cause, as varicella is a viral infection that causes a blister-like rash all over the body, not just in the diaper area. Varicella also causes fever, headache, and malaise.
Choice B reason: This is the correct cause, as Candida albicans is a type of fungus that can cause diaper rash, especially after antibiotic use. Antibiotics can disrupt the normal flora of the skin and allow the fungus to grow. Candida albicans causes red, inflamed skin with small, raised bumps around the edges.
Choice C reason: This is not the correct cause, as impetigo is a bacterial infection that causes honey-colored crusts on the skin, usually around the mouth and nose. Impetigo is contagious and can spread to other parts of the body or other people.
Choice D reason: This is not the correct cause, as bacterial infection is too vague and nonspecific. Bacterial infection can cause different types of skin rashes, depending on the type and location of the bacteria. Bacterial infection may also cause other symptoms, such as fever, pus, or swelling.
Correct Answer is A
Explanation
Choice A reason: Semi-Fowler's position is a position in which the head of the bed is elevated to 30 to 45 degrees, and the knees may be slightly bent. This position can help relieve pain and facilitate drainage after an appendectomy, as it reduces the tension on the abdominal muscles and incision, and promotes the flow of blood and fluids away from the surgical site. It can also improve breathing and prevent pulmonary complications.
Choice B reason: Supine position is a position in which the person lies flat on their back, with the head and shoulders slightly elevated. This position is not recommended after an appendectomy, as it can increase the pressure on the abdominal muscles and incision, and cause pain and discomfort. It can also impair breathing and increase the risk of pneumonia.
Choice C reason: Trendelenburg position is a position in which the person lies flat on their back, with the head of the bed lowered and the feet elevated. This position is not advised after an appendectomy, as it can increase the pressure on the abdominal organs and incision, and cause pain and bleeding. It can also reduce the blood flow to the brain and cause dizziness, nausea, or fainting.
Choice D reason: Prone position is a position in which the person lies flat on their stomach, with the head turned to one side. This position is not suitable after an appendectomy, as it can stretch and irritate the abdominal muscles and incision, and cause pain and inflammation. It can also hinder breathing and drainage, and increase the risk of infection.
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