A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?
"Ask her if she is ready to eat her sandwich for lunch."
"Tell her that she may have a sandwich or soup for lunch."
"Tell her she is having her favorite sandwich for lunch."
"Ask her if she would like to have her favorite sandwich for lunch.
The Correct Answer is B
A. "Ask her if she is ready to eat her sandwich for lunch.": This gives the toddler a yes/no choice, which can invite refusal and worsen negativism, rather than redirecting it constructively.
B. "Tell her that she may have a sandwich or soup for lunch.": Offering limited choices allows the toddler to feel a sense of control and independence while still ensuring acceptable options. This approach helps minimize power struggles common with negativism.
C. "Tell her she is having her favorite sandwich for lunch.": This removes the toddler’s sense of autonomy and may trigger resistance since negativism stems from a desire for independence.
D. "Ask her if she would like to have her favorite sandwich for lunch.": This is a yes/no question, which may prompt a refusal instead of cooperation, making it less effective for managing negativism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pale, oily stools: Celiac disease causes malabsorption due to an immune response to gluten, leading to steatorrhea. The stools are typically pale, foul-smelling, and oily because of impaired fat absorption.
B. Redcurrant, jelly-like stools: This type of stool is characteristic of intussusception, a condition where part of the intestine telescopes into itself, causing bleeding and mucus, not celiac disease.
C. Increased hemoglobin level: Children with celiac disease often experience iron deficiency anemia due to malabsorption, which lowers hemoglobin levels. An increase in hemoglobin would not be expected.
D. Hematemesis: Vomiting blood is not a typical finding in celiac disease. It is more commonly associated with upper gastrointestinal bleeding from ulcers or esophageal varices.
Correct Answer is B
Explanation
A. Respiratory depression: This is more likely with systemic opioid administration rather than with epidural anesthesia. While monitoring is important, respiratory depression is not the primary expected finding with epidurals.
B. Urinary retention: Epidural anesthesia blocks nerve impulses to the bladder, reducing the sensation of fullness and the ability to void. Urinary retention is a common and expected side effect in adolescents after epidural use.
C. Mild sedation: Epidural anesthesia affects sensory and motor nerves locally, not the central nervous system as systemic medications do. Sedation is not typically expected unless additional sedatives or opioids are given.
D. Hypertension: Epidural anesthesia usually lowers sympathetic tone, which can result in hypotension, not hypertension. Elevated blood pressure is not an expected finding post-epidural.
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