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 C
Explanation
A. Oxygen saturation: An oxygen saturation of 95% is within the normal range for a school-age child and acceptable for a client with cystic fibrosis, who may have mild baseline respiratory compromise.
B. WBC count: A WBC count of 9,600/mm³ is within the normal pediatric range (5,000–10,000/mm³). It does not suggest acute infection or bone marrow suppression, so it is not a reportable finding.
C. HbA1c: An HbA1c of 8.5% is significantly elevated above the normal range (4%–5.9%). This indicates poor glycemic control, suggesting cystic fibrosis–related diabetes, a common complication. This requires provider notification for further evaluation and management.
D. Heart rate: A heart rate of 98/min is within the normal range for school-age children (75–118/min). It does not indicate acute distress or cardiac complications, so it does not warrant immediate reporting.
Correct Answer is D
Explanation
A. Auscultate the abdomen for at least 1 min if bowel sounds are absent: If bowel sounds are absent, the nurse should listen for a full 5 minutes before determining true absence. Listening for only 1 minute may lead to an inaccurate conclusion.
B. Observe abdominal movement to determine the respiratory rate: Abdominal movement is observed for respiratory assessment in infants and younger children. By adolescence, chest movement is more reliable for assessing respiratory rate.
C. Use the FACES scale to assess pain: The FACES scale is typically used for younger children who may struggle with numeric rating scales. A 13-year-old adolescent can generally use a numeric scale (0–10) for accurate self-reporting of pain.
D. Have the child bend forward at the waist and check for asymmetry of the scapula: This is an appropriate screening method for scoliosis in adolescents. Bending forward allows the nurse to detect uneven shoulders, hips, or scapulae, which are common indicators of spinal curvature.
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