Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

Daytime attention should be increased.

This is a common practice, especially in some cultural groups.

It is illegal for parents to sleep with their children, and this is reportable abuse.

Separation from parents should be completed by this age.

Answer and Explanation

The Correct Answer is B

Choice A reason: This is not a valid basis for the nurse's response, as it implies that the child sleeps with the parents because of a lack of attention during the day. This may not be the case, and it may also offend the parents by questioning their parenting skills.

Choice B reason: This is a valid basis for the nurse's response, as it acknowledges the diversity and variability of family practices and preferences. It also shows respect and sensitivity for the parents' and the child's needs and comfort.

Choice C reason: This is not a valid basis for the nurse's response, as it is false and exaggerated. Sleeping with one's children is not illegal or abusive, unless there is evidence of harm or neglect. It may also alarm and anger the parents by accusing them of a crime.

Choice D reason: This is not a valid basis for the nurse's response, as it is based on a rigid and arbitrary developmental milestone. There is no fixed age for separating from parents, and it may vary depending on the child's temperament, attachment, and environment. It may also pressure and guilt the parents by implying that they are delaying their child's growth.

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Correct Answer is A

Explanation

Choice A reason: This is the most comprehensive and accurate way of assessing a child's pain, as it takes into account the child's own perception, the parent's observation, and the objective signs of pain.

Choice B reason: This is not the best approach, as the parents may not be able to accurately rate the child's pain, especially if the child is too young or has communication difficulties.

Choice C reason: This is not the best approach, as behavioral clues may not always reflect the intensity or quality of pain, and may be influenced by other factors such as fear, anxiety, or coping strategies.

Choice D reason: This is not the best approach, as physiological measures may not always correlate with pain, and may be affected by other variables such as medication, stress, or illness.

A. Diabetes is a very serious illness. It may be necessary for you to consume foods that you are unaccustomed to eating. B. To be able to provide you with the best information about dietary needs, I need to ask whether you follow a vegan diet. C. I understand that you do not usually eat fruit, but because you are diabetic, it will be essential for you to eat fruit. D. It is very important for you to eat protein at each meal. Meat is an excellent source of protein.

Correct Answer is B

Explanation

Choice A reason: This is not appropriate because it implies that the child's current diet is inadequate or incompatible with diabetes management. It may also offend the parents and the child by disregarding their cultural and religious preferences.

Choice B reason: This is appropriate because it shows respect and sensitivity for the child's and the parents' dietary choices. It also helps the nurse to tailor the dietary education and advice according to the child's needs and preferences.

Choice C reason: This is not appropriate because it contradicts the child's and the parents' beliefs and practices. Hindus consider fruit to be sacred and offer it to their gods. They do not eat fruit after it has been offered, as it is considered prasad, or blessed food.

Choice D reason: This is not appropriate because it assumes that meat is the only or the best source of protein. It may also violate the child's and the parents' ethical or religious values, as some Hindus avoid meat or certain types of meat.

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Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a child's pain, the best approach is for the nurse to:

Correct Answer is A

Explanation

A 10-year-old Hindu child who has just been diagnosed with diabetes is admitted to the pediatric clinical unit. The nurse is counseling the parents and child regarding the child's dietary needs. Which of the following statements by the nurse would be appropriate?

Correct Answer is B

Explanation

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