A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

“This is a normal, expected reaction for a child of this age.”

“This is a response to an overstimulating environment.”

“This is a common reaction to an overexposure to caregivers.”

“This is a typical reaction for a child who is sick.”

Answer and Explanation

The Correct Answer is A

A. Separation anxiety is a normal developmental milestone that typically peaks around 8 months of age. It is a sign of healthy attachment and is expected during this stage of infancy.

B. While overstimulation can cause distress in some children, the scenario presented is more indicative of separation anxiety.

C. Overexposure to caregivers is not a recognized cause of the described behavior. Instead, it is a manifestation of the child's attachment to the primary caregiver.

D. The behavior described is more consistent with separation anxiety than illness. Illness-related distress would likely involve other signs and symptoms.

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Correct Answer is C

Explanation

A. Threatening the child with a shot may create anxiety and fear, making cooperation even more challenging.

B. Hiding medication in food without the child's knowledge can lead to mistrust and may not be safe, as the child may not consume the entire dose.

C. Telling the child that the medication is candy is a strategy that may increase the likelihood of the child taking the medication willingly. However, it is important to ensure that the child understands the importance of taking the medication and that it is not actually candy.

D. Offering a choice of taking the medication with juice or water provides some control to the child, but it may not address the resistance to taking the medication itself. The child may still refuse regardless of the choice.

A. Initiate standard precautions. B. Initiate contact precautions. C. Initiate droplet precautions. D. Initiate airborne precautions.

Correct Answer is C

Explanation

A. Standard precautions are used for all patients and are not specific to the transmission of mumps.

B. Contact precautions are typically used for conditions with skin-to-skin transmission or if the child has draining lesions. Mumps primarily spreads through respiratory droplets.

C. Mumps is transmitted via respiratory droplets, so droplet precautions, including wearing a mask, are appropriate.

D. Airborne precautions are not necessary for mumps. Airborne precautions are reserved for conditions with smaller particle transmission (e.g., tuberculosis).

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A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Correct Answer is C

Explanation

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

Correct Answer is C

Explanation

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

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