A parent is concerned about her children's reaction should their grandmother die.
What understanding will guide the nurse's response?
Young children often understand that other people die, but do not equate it with themselves.
Children can understand the concept of a higher being much like adults can.
The children's response will depend entirely on whether they have been acquainted with death before this.
Children are unlikely to notice their grandmother's absence if no one reminds them.
The Correct Answer is A
Choice A rationale:
Young children often understand that other people die, but do not equate it with themselves. Young children typically begin to grasp the concept of death, but they often don't fully understand it in the same way adults do. Their understanding of death tends to be more external, and they may not relate it to themselves. The nurse's response should be guided by this understanding because it helps in communicating with and supporting children when they encounter the death of a loved one. By recognizing that children may not see death as an immediate threat to themselves, the nurse can provide age-appropriate explanations and reassurance, addressing the child's concerns and fears. It's crucial to be sensitive to the child's emotional state and offer comfort and support as needed.
Choice B rationale:
Children can understand the concept of a higher being much like adults can. While children may have some understanding of the concept of a higher being, their understanding is often simpler and less abstract than that of adults. It's important for the nurse to acknowledge a child's spirituality and beliefs when discussing death, but it's not the primary understanding that guides the nurse's response. The primary focus should be on the child's understanding of death itself and how it may affect them or their loved ones.
Choice C rationale:
The children's response will depend entirely on whether they have been acquainted with death before this. While prior exposure to death may influence a child's response, it is not the sole determining factor. Even children who have not experienced death before may still have various emotional reactions when a loved one dies. The nurse should approach each child individually, taking into consideration their unique experiences and emotions rather than relying solely on past exposure to death.
Choice D rationale:
Children are unlikely to notice their grandmother's absence if no one reminds them. This choice is not an appropriate understanding to guide the nurse's response. Children are likely to notice the absence of a loved one, especially a grandmother, regardless of whether someone reminds them. They may not fully understand the implications of death, but they will notice the change in their daily life and routines. It is essential to support and communicate with them during this period rather than assume they won't notice the absence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Stating that "My stairway is always free of clutter" indicates a good understanding of safety, as a clutter-free stairway reduces the risk of accidents. This choice shows awareness of safety measures.
Choice B rationale:
Keeping medications in a locked cabinet is a responsible practice, ensuring that children do not have easy access to potentially harmful substances. This choice reflects a commitment to safety.
Choice C rationale:
The statement "I only leave my child in the car for brief moments" is concerning as leaving a child unattended in a car even for a short time can be dangerous. Extreme temperatures and other hazards pose significant risks to the child's safety, indicating a need for further education on this issue.
Choice D rationale:
Stating, "I continue to provide a great deal of indirect supervision for my child," is a positive sign that the parent is actively engaged in supervising their child. This choice demonstrates a good understanding of the importance of supervision and safety.
Correct Answer is C
Explanation
Choice A rationale:
If a 16-month-old child is unable to climb steps, it may not be a significant cause for concern at this age. Climbing steps is a complex motor skill that children typically develop later in toddlerhood.
Choice B rationale:
Preferring finger feeding at 16 months is not necessarily a cause for concern. Many children continue to use finger feeding even when they have started using utensils. This can be part of their developmental process.
Choice C rationale:
A 16-month-old child not walking independently is a significant concern. By this age, most children should be taking their first independent steps or showing signs of readiness to walk. Delayed independent walking can be a sign of developmental issues, and it is essential to address this with a healthcare provider.
Choice D rationale:
Limited to single words is also a developmental milestone concern, but it may not be as immediate a concern as not walking independently. Many children develop language skills at different rates, and limited vocabulary at 16 months may not be as alarming as a delay in motor skills like walking.
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