A nurse is observing children at play. Which situation depicts associative play?
Two 2-1/2 year old children are playing with trucks next to each other but not interacting
Six 8-year-old children and playing kickball at recess.
A 9 month old infant is shaking a rattle their father hands to them
Two 4-year old children and playing house together
The Correct Answer is D
A. Two 2-1/2 year old children are playing with trucks next to each other but not interacting.
This situation describes parallel play, where children play alongside each other without direct interaction. It's typical in toddlers.
B. Six 8-year-old children are playing kickball at recess.
This situation describes a group engaging in a physical activity (kickball). It doesn't specifically represent associative play, which involves more interaction between children.
C. A 9-month-old infant is shaking a rattle their father hands to them.
This scenario represents a form of solitary play, as the infant is playing alone with the rattle.
D. Two 4-year-old children are playing house together.
This situation describes associative play. In associative play, children engage in similar or identical activities without rigid organization or rules. In this case, the children are playing house together, involving some interaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ridiculing their fears so they understand that there is no need to be afraid.
This option is not recommended. Ridiculing a child's fears can be emotionally harmful and may lead to increased anxiety. It's important to approach fears with empathy and support.
B. Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are.
While providing information and reassurance is important, simply dismissing or explaining away a child's fears may not be sufficient. Preschoolers may need more concrete strategies and involvement in managing their fears.
C. Actively involving them in finding practical methods to deal with the frightening experience.
This is the recommended choice. Actively involving preschoolers in finding practical methods allows them to participate in the process, promoting a sense of control and autonomy. It encourages them to develop coping skills.
D. Forcing them to confront the frightening object or experience in the presence of their parents.
Forcing a child to confront their fears may intensify anxiety and is generally not a recommended approach. It's essential to respect a child's pace and provide support as they work through their fears.
Correct Answer is C
Explanation
A. Ask the patient to wait a little longer for the medicine to work.
This option may not be appropriate, especially if the child is experiencing significant pain. It's essential to address the child's pain promptly rather than asking them to wait, as adequate pain management is crucial for the child's well-being.
B. Review whether the morphine dose is therapeutic for his weight.
While reviewing the dose for the child's weight is important, it may not be the immediate next step in this situation. If the child is experiencing pain that persists after one hour, the priority is to address the immediate pain concern. The nurse can later review the medication orders and dosages in collaboration with the healthcare provider.
C. Call the physician immediately.
This is the most appropriate next step in this scenario. If the child is experiencing pain despite having received morphine one hour ago, contacting the physician is important to discuss the current situation, assess the need for additional pain management, and potentially make adjustments to the treatment plan.
D. Encourage the child to use television as a form of distraction.
Distraction can be a helpful complementary measure for managing pain, but it may not be sufficient in this case if the pain persists. The primary focus should be on addressing the pain through appropriate medical interventions, and calling the physician is a more urgent step.
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