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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Forming clay vases requires fine motor skills but may lack the complexity to engage an 8-year-old’s cognitive and creative abilities. A model plane offers a challenging, age-appropriate task, making this less stimulating and incorrect for the developmental needs of an 8-year-old in the playroom.
Choice B reason: Stacking blocks is too simplistic for an 8-year-old, better suited for younger children developing basic motor skills. A model plane engages advanced dexterity and problem-solving, making this insufficiently challenging and incorrect for the cognitive level of an 8-year-old in the hospital.
Choice C reason: Assembling a model plane suits an 8-year-old’s fine motor skills, concentration, and interest in complex tasks. This project aligns with developmental stages for school-aged children, promoting engagement and skill-building, making it the best choice for the playroom activity for the child.
Choice D reason: Building a sandcastle is creative but less structured than a model plane, which challenges an 8-year-old’s dexterity and focus. Sandcastles may be less engaging for hospitalized children, making this incorrect compared to the structured, skill-based task of model plane assembly in the playroom.
Correct Answer is D
Explanation
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.
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