A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
"You sound overprotective. Let's talk about this some more."
"Tell me more about how you are feeling about your son's activities."
"You might want to use tutors to home-school him."
"I agree. His well-being is your primary concern."
The Correct Answer is B
A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.
B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.
C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.
D. Agreeing outright does not help the mother understand that physical activity can be managed safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. High fever. – Incorrect. Fever can occur with infection but is not a hallmark sign of sickle cell crisis.
B. Constipation. – Incorrect. Constipation is not a defining symptom of sickle cell crisis.
C. Bradycardia. – Incorrect. Tachycardia, not bradycardia, is common due to pain and hypoxia.
D. Pain. – Correct Answer. Severe pain is the most common symptom of sickle cell crisis due to vaso-occlusion and ischemia.
Correct Answer is C
Explanation
A. Hct 45%. – Normal range for hematocrit (Hct) is 38-50%. No need to report.
B. Hgb 14.7 g/dL. – Normal range for hemoglobin (Hgb) is 13-17 g/dL. No need to report.
C. WBC 1,700/mm³. – Correct Answer. Normal WBC count is 4,000-11,000/mm³. A WBC count of 1,700/mm³ (neutropenia) places the patient at high risk for infection, requiring immediate intervention.
D. Platelets 160,000/mm³. – Normal range for platelets is 150,000-450,000/mm³. No need to report.
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