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."
"Ask her if she would like to have her favorite 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."
The Correct Answer is C
A. "Ask her if she is ready to eat her sandwich for lunch." Asking if the child is ready to eat might increase resistance, as toddlers often assert their autonomy by saying "no." This does not provide an option that would allow the toddler to make a choice.
B. "Ask her if she would like to have her favorite sandwich for lunch." This is a yes/no question which might lead to refusal, especially if the child is already in a stage of negativism, where they are more likely to resist being told what to do.
C. "Tell her that she may have a sandwich or soup for lunch." Offering choices between two acceptable options gives the toddler a sense of control, which can help reduce oppositional behavior. This approach aligns with the developmental stage of toddlers who are asserting independence.
D. "Tell her she is having her favorite sandwich for lunch." Telling the child what they will have to eat might lead to resistance. Providing a choice rather than making a statement gives the child more agency in their decision-making.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mucosal ulceration – This is an acute side effect of radiation therapy, not a late adverse effect.
B. Nausea – Nausea is a short-term side effect that occurs during or shortly after radiation therapy.
C. Desquamation – Skin peeling (desquamation) is a common acute reaction to radiation but is not considered a late effect.
D. Short stature – Radiation therapy in young children can affect growth, particularly if the brain or spine is irradiated. Damage to the pituitary gland can lead to growth hormone deficiency, resulting in delayed growth and short stature, which are considered late effects of radiation therapy.
Correct Answer is A
Explanation
A. "Lifts head 45° when lying prone." By 2 months of age, infants begin lifting their heads about 45 degrees while on their stomachs, which is an early sign of developing neck and upper body strength.
B. "Rolls over from back to abdomen." Rolling from back to abdomen typically occurs around 6 months of age.
C. "No head lag when pulled into a sitting position." Head lag is still present at 2 months, but it gradually disappears by 4 months as neck muscles strengthen.
D. "Rolls over from abdomen to back." Rolling from abdomen to back typically occurs around 4 months of age, followed by rolling from back to abdomen at about 6 months.
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