A nurse is assessing an 8-year-old child and wants to identify signs of negative body image. Which statement made by the child best indicates a negative perception of their body?
"I wish my belly was smaller like the other kids
"My classmates make fun of me because I ride my bike with training wheels."
"I don't know why my peers don't like me."
“I try really hard but can't seem to do anything right."
The Correct Answer is A
A. "I wish my belly was smaller like the other kids": This statement reflects dissatisfaction with the child’s own body and comparison to peers, which is a direct indicator of negative body image and poor self-perception.
B. "My classmates make fun of me because I ride my bike with training wheels.": This statement reflects social teasing rather than the child’s internal perception of their body, so it indicates social stress but not necessarily negative body image.
C. "I don't know why my peers don't like me.": This reflects feelings of social rejection or low self-esteem but does not specifically indicate dissatisfaction with the child’s body.
D. "I try really hard but can't seem to do anything right.": This statement reflects frustration and low self-efficacy rather than negative body image, as it focuses on performance rather than physical appearance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Delayed bone growth: Hypothyroidism can affect linear growth in school-age children, but the most urgent concern is cognitive development, as thyroid hormone is critical for brain maturation and neurological function.
B. Hypoglycemia: Hypoglycemia is not a direct complication of hypothyroidism. Thyroid hormone primarily affects metabolism, growth, and neurological development rather than blood glucose regulation.
C. Precocious puberty: Hypothyroidism is more commonly associated with delayed puberty rather than precocious puberty, making this a less relevant concern in medication education.
D. Cognitive impairment: Thyroid hormone replacement is essential to prevent intellectual delays and cognitive deficits. Inadequate thyroid hormone during critical developmental periods can lead to long-term impairment in learning, memory, and overall neurological function.
Correct Answer is C
Explanation
A. Hypoglycemia: Desmopressin does not affect blood glucose levels. Hypoglycemia is not a recognized side effect of this medication.
B. Hypertension: While desmopressin can cause fluid retention, significant hypertension is uncommon in pediatric clients when dosing is appropriate and fluid intake is monitored.
C. Hyponatremia: Desmopressin promotes water reabsorption in the kidneys, which can dilute serum sodium and lead to hyponatremia. Monitoring for signs such as headache, nausea, or confusion is essential to prevent complications.
D. Hyperkalemia: Desmopressin does not impact potassium levels directly. Hyperkalemia is not associated with its use in treating diabetes insipidus.
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