A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

"Acknowledge her fear and help her develop a strategy for dealing with it."

"It is best to avoid the playground until she outgrows the fear."

"She needs to face her fears head-on; take her to the park as much as possible."

"Try to minimize her fears and insist that she go to the park."

Answer and Explanation

The Correct Answer is A

A.   Acknowledging the child's fear and helping her develop coping strategies is a supportive approach to address the fear of cats and dogs.
B.   Avoiding the playground may reinforce the fear rather than helping the child overcome it.
C.   Forcing the child to face her fears may exacerbate her anxiety and is not recommended.
D.   Minimizing the child's fears and insisting that she go to the park may invalidate her feelings and increase her distress.

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Correct Answer is D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

A. The nurse treats all children the same regardless of their culture. B. The nurse researches the child's culture and provides care based on the findings. C. The nurse negotiates a care plan with the child, and family. D. The nurse provides future-based care for culturally diverse children.

Correct Answer is C

Explanation

A. Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B. Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C. Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D. Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.

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A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

Correct Answer is D

Explanation

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

Correct Answer is C

Explanation

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