A mother expresses concern about her preschool-age daughter to a nurse.
The mother states, "She was talking to an imaginary person yesterday.”. Which of the following Questions should the nurse ask in response to the mother's statement?
"Did the imaginary person have a name?"
"Does your child have temper tantrums?"
"Have you noticed any other unusual behaviors?"
"How well does your child play with others?"
The Correct Answer is A
Choice A rationale
Asking whether the imaginary person had a name can help determine if the child's imaginative play is typical for their age group. Preschool-aged children often engage in imaginative play, including conversations with imaginary friends, which is a normal part of cognitive and social development.
Choice B rationale
Temper tantrums are more related to behavioral issues rather than imaginative play. While relevant to the child's overall behavior, this question diverts attention from the specific concern about imaginary play.
Choice C rationale
This question could help identify if there are broader behavioral concerns, but it doesn't directly address the mother's specific worry about the imaginary friend. It is less targeted.
Choice D rationale
Understanding how well the child plays with others can provide insights into their social development, but it doesn't directly address the issue of imaginary play. It could be more pertinent as a follow-up question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Applying a sterile, moist dressing on the sac helps prevent infection and keeps the tissue moist, promoting healing.
Choice B rationale
Monitoring the infant's temperature rectally can increase the risk of infection and is not recommended.
Choice C rationale
Encouraging the guardian to cuddle with the infant is important for bonding but doesn't directly address the care of myelomeningocele.
Choice D rationale
Maintaining the infant in a supine position can put pressure on the sac, increasing the risk of rupture and infection.
Correct Answer is ["270"]
Explanation
Step 1 is (120 mL ÷ 60 min) × 30 min = 60 mL.
Step 2 is 60 mL × 1.5 hr = 90 mL.
Answer: 270 mL.
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