A single woman brings her 10-year-old daughter in for the first well-child visit at the clinic. The nurse discovers they recently relocated to that area due to the mother’s job, the child is now attending a “tough” school and she is home, scared and alone, for several hours after school. Which action should the nurse prioritize to assist this family?
Discuss concerns about anxiety and depression.
Provide information for preventing drug and alcohol use among teens.
Provide a list of emergency contact numbers.
Provide a list of local after-school programs.
The Correct Answer is D
Choice A reason: Discussing anxiety and depression is relevant but premature without addressing the immediate issue of the child being alone and scared after school. After-school programs provide supervision and safety, making this less urgent and incorrect compared to resolving the primary concern of unsupervised time for the child.
Choice B reason: Preventing drug and alcohol use is important but not the priority for a 10-year-old scared and alone after school. After-school programs address immediate safety and social needs, making this secondary and incorrect compared to tackling the child’s current unsupervised and fearful situation at home.
Choice C reason: Emergency contact numbers are useful but do not resolve the ongoing issue of the child being alone and scared daily. After-school programs offer structured supervision, directly addressing the primary concern, making this less critical and incorrect for the nurse’s priority action for this family.
Choice D reason: Providing a list of after-school programs addresses the child’s fear and isolation by offering supervised, engaging activities, reducing unsupervised time at home. This prioritizes safety and emotional well-being, aligning with pediatric nursing goals for supporting relocated families, making it the correct action to assist them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Walking then running is a gross motor sequence, not proximodistal, which progresses from central to peripheral control. Arm waving to foot grasping shows this pattern, making this incorrect, as it does not illustrate the infant’s proximodistal development in the instructor’s class.
Choice B reason: Rolling over precedes eye tracking, but proximodistal development involves motor control from trunk to extremities. Arm waving to foot grasping better illustrates this, making this incorrect, as it does not reflect the central-to-peripheral progression of infant motor development in the lesson.
Choice C reason: Imitating sounds to speaking is linguistic, not proximodistal, which focuses on motor control from core to limbs. Arm waving to foot grasping demonstrates this pattern, making this incorrect, as it does not represent the physical developmental sequence taught in the infant development class.
Choice D reason: Kicking and arm waving involve trunk and proximal muscles, while grasping the foot uses distal control, illustrating proximodistal development. Students choosing this show understanding, aligning with infant motor development principles, making it the correct example for a successful class on infant development.
Correct Answer is D
Explanation
Choice A reason: The “shortcut” scale is not a standard method for the West nomogram, which calculates body surface area (BSA) for precise dosing. Using BSA ensures accuracy for a 76-lb, 50-inch child, making this simplified approach incorrect for calculating a safe pediatric medication dosage in clinical practice.
Choice B reason: Aligning height and weight to a percentage of adult dosage is not how the West nomogram works; it calculates BSA. The correct method uses BSA relative to adult BSA, making this incorrect, as it skips the critical step of surface area calculation for accurate pediatric dosing.
Choice C reason: Multiplying height and weight and dividing the adult dosage is not a nomogram method. The West nomogram uses BSA to adjust doses, comparing child and adult surface areas, making this mathematically incorrect and inappropriate for calculating a safe pediatric medication dose for the child.
Choice D reason: The West nomogram calculates a child’s BSA using height (50 inches) and weight (76 lb), then divides by the average adult BSA (1.7 m²) to find the proportion of the adult dose (300 mg). This method ensures accurate pediatric dosing, making it the correct choice for safe administration.
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