A nurse encourages a school-age child to draw a picture after a painful procedure. What is the best rationale for this intervention?
She wants to distract the child form thinking about the pain.
She is encouraging quiet play after pain to stabilize vital signs.
She is attempting to reestablish rapport.
She is providing a way for the child to express his feelings.
The Correct Answer is D
School-age children use expressive activities, cognitive processing, emotional articulation, and symbolic play to cope with stress and painful medical experiences. Art-based interventions facilitate psychological processing of procedural trauma and reduce internalized anxiety responses.
Rationale:
A. Distraction from pain is a short-term coping strategy but not the primary therapeutic rationale for drawing in school-age children. Although it may reduce immediate distress, it does not address emotional processing of procedural experience or facilitate psychological expression.
B. Quiet play does not directly stabilize vital signs in a clinically meaningful or targeted way. Physiological stabilization occurs through pain control and autonomic regulation. Drawing is not primarily used for hemodynamic stabilization after procedures in pediatric care.
C. Rapport building may occur indirectly, but the main therapeutic purpose is not relationship establishment. The intervention is primarily focused on emotional expression rather than nurse-child relationship development, making this option incomplete as the best rationale.
D. Drawing allows emotional expression and helps the child process procedural pain experiences cognitively and psychologically. School-age children use symbolic representation to communicate feelings they may not verbalize. It supports coping, reduces anxiety, and facilitates healthy emotional adjustment after painful interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"B"}
Explanation
Step 1: Identify maximum safe daily dose
SDR = Weight in kg × 12 mg/kg/day
Step 2: Insert values
= 28 × 12
Step 3: Calculate SDR
= 336 mg/day
Step 4: Calculate amount prescribed per day
110 mg every 8 hours = 3 doses/day
Dose given
= 110 × 3
= 330 mg/day
Step 5: Compare prescribed dose with SDR
330 mg/day is less than 336 mg/day
Step 6: Check literature recommendation
Recommended single dose = 50–100 mg q6h
Prescribed single dose = 110 mg q8h
110 mg exceeds recommended single-dose range
Correct Answer is C
Explanation
Preschool children (3–6 years) are in the initiative vs guilt stage and are highly active, curious, and impulsive, with limited hazard perception. Their developmental profile places them at increased risk for accidental injury due to poor judgment, exploratory behavior, and inadequate threat recognition.
Rationale:
A. Overeating is not a primary developmental concern for preschool health teaching. While nutrition is important, this age group is more at risk for accidental injury than chronic dietary excess. Appetite regulation is usually stable unless influenced by external factors.
B. Aspiration risk is more prominent in infants and toddlers due to immature swallowing coordination. Preschool children generally have improved oropharyngeal control, making aspiration a less significant health teaching priority compared to injury prevention.
C. Prevention of injury is the most critical health teaching focus because preschoolers exhibit curiosity, impulsivity, and limited danger awareness. They are at high risk for burns, poisoning, falls, and road injuries, making safety education essential for this age group.
D. Sex education is not a primary focus at this developmental stage beyond basic body safety concepts. Preschool teaching emphasizes simple safety rules rather than structured sexual education, which becomes more relevant in later developmental stages.
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