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.
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Related Questions
Correct Answer is C
Explanation
A. Apply soft restraints to the child's wrists: Restraining a child during a seizure can increase the risk of injury, such as fractures or soft tissue damage, due to the forceful muscle contractions. Seizure management focuses on safety and airway support, not restriction.
B. Insert an oral airway for the child: Forcing an oral airway during an active seizure is dangerous, as it can damage teeth, oral tissues, or obstruct the airway. Airway devices should only be considered after the seizure subsides and the child is no longer clenching the jaw.
C. Move the child to the floor: Lowering the child to the floor prevents falls from the wheelchair and reduces the risk of traumatic injury. It allows the nurse to position the child safely on their side to maintain an open airway once the seizure activity ceases.
D. Place a pillow under the child's knees: Padding the knees does not protect the head or airway, which are the greatest concerns during a seizure. Ensuring safety requires moving the child to the floor and protecting the head, not supporting the knees.
Correct Answer is A
Explanation
A. Administer oral rehydration solution after each diarrheal stool: Oral rehydration solutions replace fluid and electrolytes lost during diarrhea and are the recommended treatment for children. Giving small, frequent amounts after each stool helps prevent dehydration.
B. Encourage intake of carbonated beverages diluted with water: Carbonated drinks, even when diluted, are high in sugar and can worsen diarrhea by drawing more fluid into the intestines. They also lack the necessary electrolyte balance for proper rehydration.
C. Provide the child with a bananas, rice, applesauce, and toast (BRAT) diet: The BRAT diet is no longer recommended for managing diarrhea in children because it is low in protein, fat, and essential nutrients. A normal diet with rehydration is more effective for recovery.
D. Provide chicken or beef broth until the diarrhea subsides: Broths are high in sodium but lack adequate carbohydrate and potassium replacement. They do not provide balanced rehydration and may contribute to electrolyte imbalances if used alone.
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