A first-time mother brings her 6-month-old son in for a well-visit. She tells the nurse practitioner that she is delaying vaccination because he is “not in daycare,” and she doesn’t want to “overload his immune system.” What is the NP’s most appropriate response?
“Vaccines are safe, and your fears are unfounded.”
“How would you feel if your baby caught a serious disease that put him in the hospital, or even worse, if he died? Let’s get him caught up on his shots today.”
“I understand your concerns for the well-being of your child. Delaying vaccines puts your son at risk for serious diseases, because he can catch them from anyone he or you comes in contact with.”
“You’re spending too much time doing ‘research’ on Facebook. Let the professionals do our job and take care of your baby.”
The Correct Answer is C
Choice A reason: While accurate, this approach is dismissive and may not address the parent's underlying fears, potentially leading to resistance.
Choice B reason: This approach uses fear-based messaging, which can create anxiety and reduce trust in the NP-parent relationship.
Choice C reason: This is correct. It acknowledges the parent’s concerns, educates about the risks of delaying vaccines, and emphasizes protective benefits in a respectful, informative manner. This approach fosters trust and increases the likelihood of adherence to vaccination schedules.
Choice D reason: This is inappropriate because it dismisses the parent’s concerns, could damage rapport, and does not provide education about the benefits or safety of vaccines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Panic attacks are discrete episodes of intense fear, but the diagnosis requires recurrent unexpected attacks and concern about future attacks.
Choice B reason: Panic disorder is correct. It involves recurrent, unexpected panic attacks and persistent worry about having additional attacks, which aligns with the patient’s experience.
Choice C reason: Generalized anxiety disorder involves chronic, pervasive worry, not sudden, discrete panic episodes without identifiable triggers.
Choice D reason: Substance or medication-induced panic disorder is ruled out by the patient’s lack of substance use and medications, making this diagnosis unlikely.
Correct Answer is B
Explanation
Choice A reason: Pseudomonas infections can cause green discoloration of nails, but do not typically cause thickening with distal subungual keratin accumulation as described.
Choice B reason: Onychomycosis is a fungal nail infection characterized by thickening, debris accumulation under the nail, and onycholysis (nail separation from the bed), matching the patient’s clinical presentation.
Choice C reason: Herpetic whitlow is a viral infection of the finger or toe causing painful vesicles, not thickened nails with subungual debris.
Choice D reason: Parasitic infections rarely affect nails in this manner and do not produce the chronic thickening and keratin buildup observed in onychomycosis.
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