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 C
Explanation
Rationale:
A. The child withdraws and attempts to hide because they think the pain is a form of punishment: This is more typical of toddlers who have limited understanding and may associate pain with punishment, rather than preschoolers who have a better grasp of cause and effect.
B. The child denies being scared about pain in an attempt to seem brave, and withdraws to a game on mom's phone: While distraction techniques are effective, preschoolers are more likely to show visible signs of distress rather than denying fear completely, as their emotional expression is more open.
C. The child makes facial expressions such as brow contracting and chin quivering in anticipation of the pain: Preschool-aged children often express fear and anxiety about painful procedures through facial cues and body language, showing clear anticipation and emotional response.
D. The child kicks, hits and cries due to lack of control over the situation: This aggressive and oppositional behavior is more characteristic of toddlers or children with less developed coping skills, rather than preschoolers who generally have more emotional regulation.
Correct Answer is D
Explanation
Rationale:
A. Recommend immediate drug testing to confirm substance use: While drug testing may be part of the assessment process, it is not the first priority. Establishing trust and gathering history from the adolescent is essential before moving to diagnostic measures.
B. Reassure the parent that behavioral changes are a normal part of adolescence: Although moodiness and peer changes can occur in adolescence, the presence of multiple risk factors, withdrawal, irritability, poor academic performance, requires further assessment rather than reassurance.
C. Tell the adolescent that substance use can lead to serious consequences and should be avoided: Providing education about risks is important, but doing this before assessing the situation may shut down communication and make the teen defensive.
D. Ask the adolescent directly about substance use in a private, non-judgmental manner: This allows the nurse to gather accurate information in a confidential environment, promoting trust and honest disclosure which are critical for further planning and intervention.
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