A patient arrives at the hospital with a stained, ragged baby blanket.
When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.
What is the best course of action for the nurse?
Distract him until he gets involved in another activity, then take the blanket for washing.
Acknowledge that it seems to be his favorite blanket and allow him to keep it with him.
Tell him that you want to take it home to wash and that you will bring it back.
Suggest getting him another blanket so that he will not mind giving that one up. .
The Correct Answer is B
Choice A rationale
Distracting the patient and then taking the blanket for washing might seem like a practical solution, but it can lead to trust issues. The patient may feel betrayed or tricked, which can negatively affect the therapeutic relationship between the nurse and the patient.
Choice B rationale
Acknowledging that the blanket seems to be his favorite and allowing him to keep it with him is the best course of action. The blanket likely provides comfort and security to the patient.
Taking it away, even temporarily, can cause distress. The nurse should respect the patient’s attachment to the blanket and look for alternative solutions for maintaining hygiene, such as offering to clean the blanket when the patient is ready to part with it temporarily.
Choice C rationale
Telling the patient that you want to take the blanket home to wash and that you will bring it back might not be reassuring enough for the patient. The patient may worry about the blanket getting lost or not returned, which can cause unnecessary anxiety.
Choice D rationale
Suggesting getting him another blanket so that he will not mind giving up the current one might not work. The patient’s attachment is likely to the specific blanket, not to blankets in general. A new blanket will not have the same familiarity and comforting effect as the old one.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Egocentrism is a characteristic of cognitive development typically seen in the preoperational stage (2-7 years), where children believe everyone sees the world as they do. However, expressing sadness about being home alone does not specifically indicate egocentrism.
Choice B rationale
Magical thinking, also a characteristic of the preoperational stage, involves beliefs that thoughts can cause actions. Feeling sad about being home alone could be a manifestation of this, as the child might believe their sadness can change the situation.
Choice C rationale
Centration is the tendency to focus on one aspect of a situation and neglect others. The child’s statement does not provide evidence of centration.
Choice D rationale
Reversibility, the understanding that actions can be reversed, is a characteristic of the concrete operational stage (7-11 years)14. The child’s statement does not provide evidence of reversibility.
Correct Answer is B
Explanation
Choice A rationale
An eight-year-old child who weighs 60 pounds, rides a bike without training wheels, and is an active swimmer is showing appropriate developmental milestones for their age. Riding a bike and swimming are complex activities that require good motor coordination and balance. These activities also indicate that the child is physically active, which is beneficial for overall health.
Choice B rationale
A three-year-old child who weighs 28 pounds, requires help with feeding, dislikes most foods, and refuses to drink milk may be showing signs of a feeding disorder or picky eating, which can lead to nutritional deficiencies and impact growth and development. This child requires further evaluation to determine the cause of these feeding difficulties and to develop a plan to address them.
Choice C rationale
A six-month-old who weighs 16 pounds, continues to breastfeed, has started solid foods, and is beginning to crawl is showing appropriate developmental milestones for their age. The World Health Organization recommends exclusive breastfeeding for the first six months of life, followed by the introduction of appropriate complementary foods. Crawling is also a typical developmental milestone that usually appears between 6 and 10 months of age.
Choice D rationale
A four-year-old child who weighs 40 pounds, eats from the same plate every meal, and is occasionally a picky eater is within normal behavior for their age. It’s common for
preschoolers to have food preferences and to want routines, such as using the same plate. Picky eating is also a common behavior at this age and usually isn’t a cause for concern unless it leads to nutritional deficiencies or other health problems.
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