A nurse is evaluating newly hired nurse's understanding about stress in school-age children who are 6 to 12 years old. Which of the following statements made by the newly hired nurse demonstrates an understanding? (Select All that Apply.)

"Caregivers should come up with solutions to the child's stressors."

"Children with a high self-esteem are better equipped to handle stress."

"Children with stress should avoid media that produces fear and anxiety."

"Encourage children to participate in physical activity."

"Allow children to have some control over their life."

Answer and Explanation

Correct Answer : B,C,D,E

A. "Caregivers should come up with solutions to the child's stressors.": While caregivers provide support and guidance, school-age children benefit from learning problem-solving skills themselves, so solutions should involve the child rather than being imposed entirely by the caregiver.

B. "Children with a high self-esteem are better equipped to handle stress.": High self-esteem helps children feel capable of managing challenges, making them more resilient when facing stressors in school, social situations, or family life.

C. "Children with stress should avoid media that produces fear and anxiety.": Exposure to frightening or anxiety-inducing media can exacerbate stress, so limiting such content helps protect the child’s emotional well-being.

D. "Encourage children to participate in physical activity.": Physical activity helps reduce stress by promoting endorphin release, improving mood, and providing a healthy outlet for tension.

E. "Allow children to have some control over their life.": Giving school-age children appropriate choices fosters a sense of autonomy and competence, which reduces feelings of helplessness and enhances coping skills.

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Correct Answer is B

Explanation

A. Phenylketonuria (PKU): PKU is an inborn error of metabolism that typically does not present immediately at birth. Newborns are usually asymptomatic until phenylalanine accumulates, causing developmental delays if untreated, so refusal to feed on day 1 is not characteristic.

B. Galactosemia: Galactosemia is a metabolic disorder in which the newborn cannot properly metabolize galactose. Classic early signs include lethargy, vomiting, jaundice, and refusal to breast or bottle feed within the first days of life, making this the most likely diagnosis.

C. Beta thalassemia minor: This condition is generally asymptomatic and does not present with lethargy or feeding refusal in the newborn period. It usually manifests later with mild anemia.

D. Hepatoblastoma: Hepatoblastoma is a rare liver tumor that typically presents later in infancy with abdominal mass or hepatomegaly and does not cause lethargy or immediate feeding refusal in a 1-day-old newborn.

A. "Children who need hospital admission will receive specialized care related to their illness and developmental level." B. "Children here will receive complete developmental screenings at routine intervals." C. "My toddler will receive medical and childcare while my partner and I are at work." D. "My toddler will receive first aid and health education while they are here."

Correct Answer is A

Explanation

A. "Children who need hospital admission will receive specialized care related to their illness and developmental level.": Specialty pediatric hospitals provide care tailored to both the medical needs and developmental stage of children. This ensures that treatments, procedures, and support are appropriate for the child’s age and condition, demonstrating understanding of pediatric-focused care.

B. "Children here will receive complete developmental screenings at routine intervals.": While developmental assessments may be performed, routine and complete screenings are not the primary function of a specialty pediatric hospital and may not occur for every admitted child.

C. "My toddler will receive medical and childcare while my partner and I are at work.": Specialty pediatric hospitals focus on providing treatment and support for serious medical conditions, not acting as daycare services for working parents.

D. "My toddler will receive first aid and health education while they are here.": Basic first aid and general health education are not the primary focus of specialty pediatric hospitals. The primary focus is specialized medical care for complex or chronic conditions.

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A nurse is evaluating newly hired nurse's understanding about stress in school-age children who are 6 to 12 years old. Which of the following statements made by the newly hired nurse demonstrates an understanding? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 1-day-old newborn whose caregiver reports that their child refuses to breast or bottle feed. The nurse performs an assessment and notes the newborn is lethargic and refuses to feed. Which of the following disorders would the nurse suspect?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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