A parent is discussing the sleep needs of a preschooler with the nurse. Which information will the nurse share with the parent?

Most preschoolers sleep soundly all night long.

Preschoolers may have trouble settling down after a busy day.

On average, the preschooler needs to sleep 10 hours a night.

It is important that the 5-year-old get a nap every day.

Answer and Explanation

The Correct Answer is B

Choice A reason: Stating most preschoolers sleep soundly all night is inaccurate, as many experience disruptions like nightmares or bedtime resistance due to developmental stages. This oversimplification risks misleading parents, potentially causing frustration when addressing common sleep challenges, and may delay establishing effective bedtime routines critical for healthy sleep patterns.

Choice B reason: Preschoolers often struggle to settle down after busy days due to overstimulation or developmental changes affecting self-regulation. This accurate information helps parents anticipate challenges, encouraging consistent bedtime routines to promote restful sleep. Addressing this supports healthy sleep hygiene, critical for cognitive and emotional development in preschool-aged children.

Choice C reason: Preschoolers typically need 10-11 hours of sleep nightly, but stating exactly 10 hours is imprecise and overlooks individual variation. This risks setting rigid expectations, potentially causing parental concern if sleep needs differ. Accurate guidance focuses on flexible ranges and behavioral factors like settling difficulties for optimal sleep.

Choice D reason: Daily naps are not essential for all 5-year-olds, as many transition out of napping by this age, relying on nighttime sleep. Mandating naps risks disrupting nighttime rest or causing unnecessary parental pressure. Flexible guidance on sleep needs better supports preschoolers’ developmental changes and individual sleep patterns.

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Correct Answer is A

Explanation

Choice A reason: Agnosticism is the belief that the existence of ultimate reality or God is unknown or unknowable. The nurse should consider this when planning care, respecting the patient’s uncertainty about spiritual matters and avoiding assumptions about religious practices, ensuring care aligns with their belief system.

Choice B reason: Assuming the patient is devoid of spirituality is incorrect, as agnosticism does not preclude spiritual beliefs or practices. Agnostics may find meaning in non-religious spirituality. This assumption risks alienating the patient, making it an inappropriate consideration for care planning.

Choice C reason: Agnosticism does not imply finding no meaning in relationships. Patients may value human connections despite uncertainty about ultimate reality. This assumption misrepresents the patient’s beliefs and could lead to insensitive care, making it incorrect for planning based on their agnosticism.

Choice D reason: Agnostics are uncertain about God’s existence, not certain of its absence, which aligns with atheism. This misinterpretation of agnosticism could lead to inappropriate care assumptions, dismissing potential spiritual needs. The nurse should focus on the patient’s uncertainty, making this incorrect.

A. Providing health promotion. B. Offering transcendence. C. Establishing presence. D. Doing for.

Correct Answer is C

Explanation

Choice A reason: Health promotion involves teaching lifestyle changes, not physical touch or emotional support, as seen here. Presence focuses on being with the patient empathetically. Assuming health promotion misaligns with the action, risking neglect of the patient’s emotional and spiritual needs, critical for comfort in terminal illness care settings.

Choice B reason: Offering transcendence involves fostering spiritual meaning, not physical touch or presence. The nurse’s hand-touching establishes emotional connection, not existential exploration. Assuming transcendence overlooks the relational aspect of presence, potentially missing the patient’s immediate need for comfort and connection in the context of terminal illness care.

Choice C reason: Establishing presence involves being physically and emotionally available, as shown by sitting and touching the patient’s hand. This empathetic connection, rooted in Watson’s caring theory, fosters comfort and trust, critical for terminally ill patients. Presence supports emotional well-being, ensuring holistic care and dignity in end-of-life situations.

Choice D reason: Doing for involves performing tasks like bathing, not emotional support through touch. The nurse’s action establishes presence, not task-oriented care. Assuming doing for risks misinterpreting the action, potentially neglecting the patient’s need for empathetic connection, essential for psychological comfort in terminal illness care.

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A parent is discussing the sleep needs of a preschooler with the nurse. Which information will the nurse share with the parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who professes to being an agnostic. Which information should the nurse consider when planning care for this patient’s belief system?

Correct Answer is A

Explanation

The nurse caring for a terminally ill patient sits down and lightly touches the patient’s hand. Which technique is the nurse using?

Correct Answer is C

Explanation

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?

The nurse adds a nursing diagnosis of Ineffective Breathing Pattern to a patient’s care plan. Which sleep condition likely caused the nurse to assign this nursing diagnosis?

A nurse is teaching the staff about a nursing theory that views a person, family, or community developing a normal line of defense. Which theory is the nurse describing?

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?

A nurse is using Watson’s model to provide care to patients. Which carative factor will the nurse use?

The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?