A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?

Place a heated fan at the bedside to facilitate drying.

Support the casted arm with a firm grasp.

Tell the child, "This will make your arm feel better."

Wrap the arm of the child's doll or toy prior to the procedure.

Answer and Explanation

The Correct Answer is D

A. Place a heated fan at the bedside to facilitate drying: Using a heated fan can increase the risk of burns to the child's skin underneath the cast. The drying process for a cast should occur naturally, and artificial heat sources should not be used.

B. Support the casted arm with a firm grasp: While it's important to support the child's arm during the casting procedure, doing so with a firm grasp may not be necessary or appropriate. The nurse should follow the orthopedic surgeon's instructions regarding the positioning and support of the arm during casting.

C. Tell the child, "This will make your arm feel better": This statement may not accurately reflect the purpose of the cast, as casting is typically done to immobilize and protect the injured limb during the healing process. It's important to provide developmentally appropriate explanations to children about medical procedures, but this particular statement may not be helpful or accurate in this context.

D. Wrap the arm of the child's doll or toy prior to the procedure: This action helps familiarize the child with the procedure and can serve as a form of therapeutic play. By involving the child's toy or doll, the nurse can help reduce anxiety and fear associated with the casting procedure. It also provides an opportunity for the child to understand what will happen to their own arm, promoting a sense of familiarity and control over the situation.

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Correct Answer is B

Explanation

A. "Who is lying about you and trying to poison you?": This response may come across as confrontational and may not effectively address the client's underlying fear or paranoia. It could potentially escalate the client's anxiety or reinforce their delusions by implying that the nurse believes the accusations are valid.

B. "You seem to be having very frightening thoughts.": This response acknowledges the client's experience without directly challenging or validating the content of their delusions. It conveys empathy and concern while also opening the door for further exploration of the client's feelings and experiences. By acknowledging the frightening nature of the client's thoughts, the nurse demonstrates understanding and provides an opportunity for therapeutic dialogue.

C. "You are mistaken. Nobody is lying about you or trying to poison you.": This response denies the client's reality and contradicts their experience, which can be invalidating and may cause the client to feel misunderstood or dismissed. It's important to avoid outright denial of the client's beliefs, as it can damage the therapeutic relationship and hinder effective communication.

D. "Why do you think you are being lied about and poisoned?": While this response seeks to explore the client's thoughts and feelings, it may be perceived as challenging or confrontational. It could unintentionally reinforce the client's delusions by inviting them to elaborate on their paranoid beliefs without first acknowledging the distress they are experiencing.

A. Reprimand the client about the potential damage that has occurred due to overexercising her body B. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. C. Praise the client for looking at herself in a mirror. D. Restrict the client from being weighed.

Correct Answer is B

Explanation

A. Reprimand the client about the potential damage that has occurred due to overexercising her body: Reprimanding the client is not a therapeutic approach and may worsen the client's feelings of guilt or shame. It's essential to approach clients with eating disorders with empathy and understanding rather than criticism.

B. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise: Encouraging the client to communicate with a nurse when she feels the urge to exercise is a supportive intervention. This allows the nurse to provide assistance, encouragement, or distraction techniques to help the client cope with the urge in a healthier way.

C. Praise the client for looking at herself in a mirror: Praising the client for looking at herself in a mirror may inadvertently reinforce body image concerns or obsessive behaviors related to appearance. Instead of focusing on the client's appearance, it's important to encourage behaviors and thoughts that promote self-acceptance and body positivity.

D. Restrict the client from being weighed: Restricting the client from being weighed may exacerbate anxiety and control issues related to weight. It's essential to monitor the client's weight as part of their overall health assessment and treatment plan. However, discussions about weight should be conducted sensitively and in collaboration with the client, focusing on health rather than numbers.

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A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?

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