During a routine well child visit, the parent of a 10-year-old child tells the nurse. "My child doesn't want my help with anything anymore." What is the best response from the nurse?
"Let your child know that (s)he should inform you when (s)he needs to have something done"
"Children of this age need to learn to solve problems and assume more responsibility for themselves"
"Just let your child know you are the parent, and that what you are doing is the right thing"
"Continue to do what you have been doing for your child. Ten is too young for children to make any decisions for themselves”
The Correct Answer is B
Rationale:
A. "Let your child know that (s)he should inform you when (s)he needs to have something done": While communication is important, this response does not acknowledge the child’s developmental need for increasing independence, which is key at this age.
B. "Children of this age need to learn to solve problems and assume more responsibility for themselves": This response recognizes the developmental stage of a 10-year-old, who is beginning to seek autonomy and develop problem-solving skills, promoting healthy growth and self-confidence.
C. "Just let your child know you are the parent, and that what you are doing is the right thing": This authoritarian approach may undermine the child’s emerging independence and could damage the parent-child relationship.
D. "Continue to do what you have been doing for your child. Ten is too young for children to make any decisions for themselves": This dismisses the child’s developmental needs and may hinder their progress toward independence and self-management skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
Calculation:
Desired dose = 400 mg.
Available concentration = 325 mg per 10.15 mL.
- Calculate the volume to administer in milliliters (mL).
Volume (mL) = Desired dose (mg) / (Available amount (mg) / Available volume (mL))
= 400 mg / (325 mg / 10.15 mL)
= 400 mg / 32.02 mg/mL
= 12.492 mL.
- Round to the nearest tenth
= 12.5 mL.
Correct Answer is A
Explanation
Rationale:
A. Acute Lymphoblastic Leukemia (ALL): ALL is the most common pediatric cancer, typically affecting children between the ages of 2 and 5. Clinical signs include pallor, fatigue, petechiae, recurrent fevers, and bone marrow suppression. A CBC often shows elevated WBCs with a predominance of immature lymphoblasts on a peripheral smear.
B. Hodgkin's Lymphoma: This cancer usually presents in older children and adolescents, often with painless cervical lymphadenopathy, night sweats, fever, and weight loss. It does not typically present with massive lymphoblast proliferation in peripheral blood, as seen in this case.
C. Acute Myelogenous Leukemia (AML): AML is more common in adults but can occur in children. It presents with similar symptoms of bone marrow failure but is characterized by myeloblasts rather than lymphoblasts on the blood smear.
D. Non-Hodgkin's Lymphoma: Pediatric non-Hodgkin's lymphoma often presents with rapidly enlarging lymph nodes, mediastinal mass, or abdominal symptoms. It is not primarily a bone marrow disease and would not typically show high lymphoblast counts in the peripheral blood.
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