A nurse is caring for a preschooler who is in an acute care facility.
Which of the following should the nurse identify as an expected behavior of a preschool-aged child?
Understanding cause of illness.
Describing manifestations of illness.
Awareness of body functioning.
Relating fears to magical thinking.
The Correct Answer is D
Choice A rationale
Understanding the cause of illness is a complex cognitive task that typically develops later in childhood. Preschool-aged children are still developing their understanding of cause and effect, and their thinking is often more concrete than abstract.
Choice B rationale
Describing manifestations of illness is also a complex task that requires a certain level of cognitive and language development. While preschool-aged children are developing their language skills rapidly, their ability to describe complex phenomena such as the manifestations of illness is still developing.
Choice C rationale
Awareness of body functioning is a concept that typically develops later in childhood. Preschool-aged children are still learning about their bodies and how they work. Their understanding of body functioning is often concrete and based on what they can see and feel.
Choice D rationale
Relating fears to magical thinking is a characteristic of preschool-aged children’s cognitive development. At this age, children’s thinking is often dominated by fantasy and magic. They may attribute events or experiences to magical causes, and their fears may be related to these magical beliefs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The ventrogluteal site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice B rationale
The deltoid site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice C rationale
The vastus lateralis is the preferred site for administering immunizations in infants. This muscle is located in the thigh and is large enough to accommodate the injection. It is also away from major nerves and blood vessels, making it a safe site for injections.
Choice D rationale
The dorsogluteal site is not recommended for immunizations in any age group. This site has a number of large blood vessels and nerves, as well as a layer of fat, which can make injections less effective and potentially harmful.
Correct Answer is B
Explanation
Choice A rationale
Hypertension is not typically associated with spina bifida. While it can occur in any individual based on a variety of factors such as diet, lifestyle, and genetics, it is not a direct complication of spina bifida.
Choice B rationale
Urinary tract infections are a common complication in individuals with spina bifida. This is because many people with this condition often cannot control their bladder and bowel movements, which can lead to infections. The nerves that control the bladder and bowel are often damaged in spina bifida, leading to issues with these functions and increasing the risk of urinary tract infections.
Choice C rationale
Hearing loss is not typically a complication of spina bifida. While hearing loss can occur due to a variety of reasons such as age, exposure to loud noises, and certain illnesses, it is not directly related to spina bifida.
Choice D rationale
Type 1 diabetes is not a known complication of spina bifida. Diabetes is a condition that affects the body’s ability to regulate blood sugar levels and is not directly related to the neurological and physical issues caused by spina bifida.
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