A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:

Developmental delays occur because of hospitalizations.

The child is too young to be potty trained.

Regression is sometimes seen during hospitalization.

The child is experiencing urinary urgency as a result of the hospitalization.

Answer and Explanation

The Correct Answer is C

A. Developmental delays occur because of hospitalizations.

This statement implies that the hospitalization itself causes developmental delays, which is not accurate. Hospitalization might disrupt routines, but it does not directly cause developmental delays.

B. The child is too young to be potty trained.

The child was previously "potty-trained," so age is not the primary factor. Regression in toilet training can occur for various reasons.

C. Regression is sometimes seen during hospitalization.

This statement is correct. Regression, including reverting to behaviors like wearing diapers, can occur in response to stress, illness, or changes in routine, such as hospitalization.

D. The child is experiencing urinary urgency as a result of the hospitalization.

While urinary urgency can be a possibility, the given scenario emphasizes the regression to wearing diapers, which is more indicative of behavioral regression rather than a physical issue like urgency.

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Correct Answer is C

Explanation

A. Separation from parents should be completed by this age

This statement is not accurate. The age at which a child separates from their parents can vary widely and is influenced by cultural, familial, and individual factors. There is no strict rule that separation should be completed by a specific age, and it can vary from one family to another.

B. Daytime attention should be increased

This statement does not directly address the issue of co-sleeping. It suggests increasing daytime attention but does not provide guidance or understanding about the parents' choice to have their child sleep with them.

C. This is a common practice, especially in some cultural groups

This statement recognizes the cultural diversity in child-rearing practices. Co-sleeping is indeed a common practice in many cultures, and acknowledging this fact helps to avoid making value judgments based on one's own cultural perspective.

D. It is illegal for parents to sleep with their children, and this is reportable abuse

This statement is not accurate. Co-sleeping itself is not illegal, and it is not considered abuse. The appropriateness of co-sleeping can depend on various factors, but it is not inherently illegal or abusive.

A. Allow the child to hold the thermometer in their mouth until it beeps. B. If the child protests tell them you will come back later. C. Have the parents wait outside the room. D. Ask the child if it is ok to take their temperature.

Correct Answer is ["A","D"]

Explanation

A. Allow the child to hold the thermometer in their mouth until it beeps:

Allowing the child to hold the thermometer can provide a sense of control and involvement in the process. It may help reduce anxiety and make the experience less intimidating for the child. The beeping sound indicates when the temperature measurement is complete.

B. If the child protests, tell them you will come back later:

This choice is not recommended because it ignores the child's immediate needs and concerns. It may increase anxiety or fear, and delaying the process may not be in the best interest of the child's well-being.

C. Have the parents wait outside the room:

While it's common to have parents present during medical procedures for emotional support, in this case, involving the parents may not directly address the child's need for control during the temperature measurement.

D. Ask the child if it is ok to take their temperature:

Asking the child for permission respects their autonomy and involves them in the decision-making process. It promotes a sense of control and may reduce any potential resistance or fear the child might have.

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A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:

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Naxlex Comprehensive Predictor Exams

Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

Correct Answer is C

Explanation

A nurse is caring for a 5 year old and needs to measure their temperature using an electronic oral thermometer. Which intervention will provide the child with an increased sense of control?

Correct Answer is ["A","D"]

Explanation

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