The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

“Try having her eat with the family and she will want what others are eating.”

“It is important that each time she eats, she has a variety of foods.”

“Food jags are common in this age. This probably won’t last long.”

“She should be discouraged from having food likes or dislikes. Have her eat everything.”

Answer and Explanation

The Correct Answer is C

Choice A reason: Eating with family may encourage variety but does not address the normalcy of food jags in 6-year-olds. Reassuring about their transient nature reduces caregiver stress, making this less direct and incorrect compared to normalizing the child’s selective eating behavior for the concerned caregiver.

Choice B reason: Insisting on variety at every meal may escalate mealtime stress, as food jags are normal and temporary in 6-year-olds. Acknowledging their common occurrence is more supportive, making this pressuring and incorrect for addressing the caregiver’s nutritional concern about the child’s eating habits.

Choice C reason: Food jags, where a child fixates on one food, are common at age 6 and typically resolve naturally. Reassuring the caregiver reduces anxiety and aligns with pediatric nutrition guidance, making this the prioritized response to address concerns about the child’s nutrition and eating patterns.

Choice D reason: Discouraging food preferences risks mealtime conflicts, as food jags are developmentally normal. Normalizing their temporary nature supports the caregiver without forcing the child, making this unhelpful and incorrect compared to reassuring about the common, transient behavior in 6-year-olds.

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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.

A. “This might or might not be a problem. Watch your daughter for signs of lethargy, unusual irritability, stupor, or vomiting. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome.” B. “This might or might not be a problem. Watch your daughter for signs of nasal discharge, sneezing, itching of the nose, or dark circles under the eyes. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome.” C. “This is a serious problem. Aspirin is likely to cause Reye syndrome, and she should be admitted to the hospital for observation as a precaution.” D. “This is unlikely to be a problem. Half an aspirin is not enough to cause harm. Reye syndrome generally only develops from prolonged use of aspirin in connection with a virus.”

Correct Answer is A

Explanation

Choice A reason: Half an aspirin with a viral infection poses a small Reye syndrome risk, warranting monitoring for symptoms like lethargy or vomiting. This aligns with pediatric safety guidelines, making it the best response to inform the mother while ensuring vigilance for the 9-year-old’s health.

Choice B reason: Nasal discharge and sneezing are unrelated to Reye syndrome, which involves neurological symptoms like stupor. Monitoring for lethargy or vomiting is correct, making this incorrect, as it lists irrelevant symptoms for the mother’s concern about Reye syndrome in her child.

Choice C reason: Admitting for observation overstates the risk, as a single half aspirin rarely causes Reye syndrome. Monitoring for specific symptoms is sufficient, making this alarmist and incorrect compared to the nurse’s balanced response to the mother’s concern about the viral infection.

Choice D reason: Downplaying the risk as unlikely ignores the potential, though rare, link between aspirin and Reye syndrome in viral infections. Monitoring for symptoms is prudent, making this dismissive and incorrect compared to advising vigilance for the 9-year-old’s safety post-aspirin use.

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The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

Nursing Test Bank

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Correct Answer is C

Explanation

Correct Answer is A

Explanation

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