During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

“That must be confusing, but it’s important for you to support her.”

“Your sister didn’t want to lose her arm; you shouldn’t feel embarrassed.”

“Your sister probably feels more embarrassed than you do.”

“That must be hard. I know you love your sister; it’s normal for you to feel a little embarrassed.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Labeling the feeling as confusion dismisses the child’s embarrassment and focuses on the sister’s needs. Validating the child’s emotions while affirming love normalizes her feelings, making this less empathetic and incorrect for addressing the child’s specific concern about embarrassment during the checkup.

Choice B reason: Stating the sister didn’t want the amputation and shouldn’t cause embarrassment shames the child, dismissing her feelings. Acknowledging embarrassment as normal is more supportive, making this judgmental and incorrect for therapeutically addressing the child’s emotional concern in the clinical setting.

Choice C reason: Suggesting the sister feels more embarrassed speculates on her emotions and minimizes the child’s feelings. Validating the child’s embarrassment while affirming love is more empathetic, making this unhelpful and incorrect for addressing the child’s expressed concern appropriately during the visit.

Choice D reason: Acknowledging the difficulty, affirming love, and normalizing embarrassment validates the child’s feelings while fostering support for her sister. This empathetic response aligns with pediatric psychosocial care principles, making it the most appropriate statement to address the child’s concerns effectively in the checkup.

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Correct Answer is D

Explanation

Choice A reason: Explaining differential treatment to siblings fosters resentment and doesn’t teach the impaired child. Time-out after repetition reinforces boundaries, making this unhelpful and incorrect compared to a direct discipline strategy addressing the cognitively impaired preschooler’s continued behavior effectively.

Choice B reason: Taking away privileges like movies is too abstract for a cognitively impaired preschooler to connect to behavior. Immediate time-out is clearer, making this ineffective and incorrect compared to a concrete, immediate consequence tailored to the child’s cognitive limitations in discipline.

Choice C reason: Ignoring behavior and cleaning up avoids teaching consequences, reinforcing unwanted actions in a cognitively impaired child. Time-out provides structure, making this counterproductive and incorrect compared to a strategy that directly addresses and corrects the preschooler’s behavior with appropriate discipline.

Choice D reason: Waiting for a second occurrence and using immediate time-out provides clear, consistent consequences, suitable for a cognitively impaired preschooler’s understanding. This aligns with pediatric behavioral strategies, making it the correct statement reflecting effective discipline for the child’s continued behavior issues.

A. “Milk is a perfect food, and babies should be able to have all the milk they want.” B. “Children have a hard time getting enough iron from food during their first few years.” C. “A family’s economic problems are often a cause of malnutrition.” D. “Caregivers sometimes don’t understand the importance of iron and proper nutrition.”

Correct Answer is A

Explanation

Choice A reason: Milk is not a perfect food, as excessive intake in babies can displace iron-rich foods, causing iron-deficiency anemia. This misconception overlooks milk’s low iron content, making it the correct choice for a false statement compared to accurate causes discussed among nurses.

Choice B reason: Children struggle to get enough iron in early years due to rapid growth and limited dietary sources, a true statement. Milk as a perfect food is the misconception, making this correct and incorrect for identifying a false belief about iron-deficiency anemia in children.

Choice C reason: Economic problems contribute to malnutrition, including iron deficiency, by limiting access to nutritious foods, a valid point. The milk misconception directly misleads about dietary causes, making this accurate and incorrect compared to the false statement about milk’s role in anemia prevention.

Choice D reason: Caregivers’ lack of nutrition knowledge can lead to inadequate iron intake, a true cause of anemia. The milk statement is the misconception, as it wrongly promotes milk over iron sources, making this correct and incorrect for identifying the false belief in the discussion.

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During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

Correct Answer is A

Explanation

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