A nurse is caring for a child who has been neglected by his parents. The nurse notices that the child is malnourished, dirty, and withdrawn. Which of the following statements by the nurse is appropriate to establish rapport with the child?
"Why don't you take a bath and change your clothes?"
"How do you feel about living with your parents?"
"I'm here to help you and take care of you."
"What do you like to do for fun?"
The Correct Answer is D
Choice A Reason: This statement is not appropriate because it implies that the child is responsible for his hygiene and appearance, which may make him feel ashamed or guilty. The nurse should avoid blaming or judging the child for his situation.
Choice B Reason: This statement is not appropriate because it may be too intrusive or threatening for the child, who may fear the consequences of disclosing his parents' neglect. The nurse should avoid asking direct or personal questions that may overwhelm or frighten the child.
Choice C Reason: This statement is not appropriate because it may be too vague or abstract for the child, who may not trust or understand the nurse's role. The nurse should avoid making promises or assumptions that may not be realistic or fulfilled.
Choice D Reason: This statement is appropriate because it shows interest and curiosity in the child's preferences and hobbies, which may help him feel valued and respected. The nurse should use open-ended questions and positive comments to engage the child in conversation and build trust.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. The other options are not necessarily indicative of abuse, as they can be caused by normal childhood activities or accidents.
Choice A Reason: Bruises on the knees and elbows are common in children who are active and fall or bump into things. They are not usually a sign of abuse unless they are in unusual patterns or locations, such as the face, neck, abdomen, or genitals.
Choice B Reason: A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. This type of fracture is unlikely to occur from normal play or accidental falls, and should raise suspicion of abuse.
Choice C Reason: A small burn on the finger from touching a hot stove is an example of a minor injury that can happen to any child who is curious and exploring their environment. It is not a sign of abuse unless there are other burns or injuries that suggest intentional harm.
Choice D Reason: A rash on the buttocks from wearing a wet diaper is a common skin condition that can affect infants and toddlers who are not changed frequently enough. It is not a sign of abuse unless there is evidence of neglect, such as poor hygiene, malnutrition, or lack of medical care.
Correct Answer is C
Explanation
Choice A Reason: This nursing diagnosis may be applicable for this child, but it is not the most appropriate one. Risk for infection is a potential problem that may or may not occur, whereas delayed growth and development is an actual problem that has already occurred.
Choice B Reason: This nursing diagnosis may be applicable for this child, but it is not the most appropriate one. Impaired social interaction is a psychosocial problem that may affect the child's emotional and mental well-being, whereas delayed growth and development is a physiological problem that affects the child's physical and cognitive well-being.
Choice C Reason: This nursing diagnosis is the most appropriate one for this child, because it reflects the main problem that he is facing. Delayed growth and development is a physiological problem that results from inadequate stimulation, nutrition, health care, and education in the child's environment. It can affect the child's physical, cognitive, language, motor, and social skills.
Choice D Reason: This nursing diagnosis may be applicable for this child, but it is not the most appropriate one. Ineffective coping is a psychosocial problem that may affect the child's emotional and mental well-being, whereas delayed growth and development is a physiological problem that affects the child's physical and cognitive well-being.
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