The daughter of a divorced couple is hospitalized for injuries received in an automobile accident. The custodial father is at work when the mother arrives extremely agitated and demanding to see her daughter immediately. Which action will be most appropriate for the nurse to take at this time?
Ask the child if she would like to see her mother.
Tell the mother what room the child is in.
Ask the mother if she is allowed to see the child.
Check to see who is allowed to have contact with the child.
The Correct Answer is D
Choice A reason: Asking the child about seeing her mother places an unfair burden on her, especially post-accident when she may be distressed. Verifying legal contact permissions ensures compliance with custody agreements, making this inappropriate and incorrect compared to confirming authorized visitors in this sensitive situation.
Choice B reason: Directing the mother to the room without checking custody status risks violating legal restrictions, potentially escalating conflict. Confirming who is allowed contact protects the child, making this hasty and incorrect compared to the nurse’s responsibility to verify permissions in a divorce-related hospital scenario.
Choice C reason: Asking the mother about her permission may be unreliable, as agitation could lead to inaccurate claims. Checking official records ensures adherence to custody orders, making this inadequate and incorrect compared to the nurse’s duty to verify authorized contact for the hospitalized child objectively.
Choice D reason: Checking who is allowed contact verifies legal custody arrangements, ensuring the child’s safety and compliance with court orders in a divorce situation. This aligns with pediatric hospital protocols, making it the most appropriate action to address the mother’s demand while protecting the injured daughter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.
Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.
Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.
Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.
Correct Answer is C
Explanation
Choice A reason: Red meat, poultry, and fish are animal products excluded from a vegan diet, which is plant-based. Students identifying these correctly understand veganism excludes them, making this incorrect, as it does not indicate a need for more information about vegan dietary restrictions in the presentation.
Choice B reason: Red meat and poultry are not part of a vegan diet, which avoids all animal products. Students listing these show understanding of vegan exclusions, making this incorrect, as it does not reflect a misunderstanding requiring further education about vegan diet principles for the students.
Choice C reason: Vegan diets exclude dairy, meat, poultry, fish, and eggs, as they are animal-derived. Identifying these as included indicates a misunderstanding, as vegans consume only plant-based foods, making this the correct choice for needing more information, per nutritional education standards for high schoolers.
Choice D reason: Meat, poultry, fish, and eggs are excluded from vegan diets, and students listing them understand this restriction. This does not indicate a knowledge gap, making it incorrect compared to including dairy, which reflects a common misconception about veganism among the student group.
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