A nurse is caring for a 4-year-old child who is hospitalized with a respiratory illness and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

"Why does it bother you that your child has wet the bed?"

"Your child did not seem upset, so I wouldn't worry about it if I were you."

"Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."

"I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Answer and Explanation

The Correct Answer is C

A. This response is confrontational and may make the parent feel defensive rather than supported. It does not address the parent’s concerns about their child's behavior.

B. While reassuring, this response downplays the parent's feelings and does not provide relevant information about why regression may occur during hospitalization.

C. This response normalizes the behavior and educates the parent that regression can happen during stressful events like hospitalization, providing reassurance that the child’s skills will return.

D. Although this response shows empathy, it may not provide the educational information that the parent needs to understand the situation.

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Correct Answer is C

Explanation

A. At 16 months, toddlers are not expected to speak in full sentences. They typically use one- to two-word phrases.

B. Jumping with both feet is a skill usually seen closer to age 2-3 years, so it is not a concern for a 16-month-old.

C. Inability to stand upright without support at 16 months is a developmental delay and should be reported to the provider for further evaluation.

D. Building a tower of six to seven cubes is a skill expected closer to 2 years of age, so it is not a concern at 16 months.

A. Engaging the child in art therapy B. Providing a favorite toy or comfort object C. Explain that the parents will be back at 3 o'clock. D. Encouraging the toddler to engage in imaginative play

Correct Answer is B

Explanation

A. Engaging the child in art therapy may provide a distraction, but it does not directly address the child's emotional needs at that moment.

B. Providing a favorite toy or comfort object helps the toddler feel secure and comforted, alleviating anxiety and fear from parental absence.

C. Explaining when the parents will return may not be effective since toddlers have difficulty understanding time concepts, which might not alleviate their distress.

D. Encouraging imaginative play could distract the child, but it may not provide the immediate comfort needed to address their feelings of withdrawal and sadness.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 16-month-old toddler. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

The parents of a toddler have been away from the bedside for much of the shift to care for siblings. The toddler is tearful and withdrawn. Which intervention should the nurse apply?

Correct Answer is B

Explanation

The nurse is providing medication instructions to a parent of a young toddler. Which statement by the parent indicates a need for further instruction?

Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Choose the correct immunization given to a child 12-18 months A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply).

A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?

The nurse is discussing toddler development with the mother of a 2 1/2-year-old child. Which statement by the mother indicates she has an understanding of how to best help the child succeed in her age-related psychosocial developmental tasks?

Which of the following are strategies for therapeutic communication in the pediatric setting? How can these strategies be used to build rapport with the child? (Select All that Apply.)