The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

"It is best to just ignore this and to not respond to his questions."

"He will eventually figure this out on his own."

"You have to keep repeating that his grandfather is never coming back."

"This is normal; children his age do not understand the permanence of death."

Answer and Explanation

The Correct Answer is D

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

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Correct Answer is C

Explanation

A. Telling about safety procedures during baths: While bath safety is important, it may not be the most relevant topic for a 9-month-old, who may already have established bathing routines. Additionally, the focus of anticipatory guidance at this age is often broader than just one specific activity.

B. Warning about small objects left on the floor: While important for safety, this advice may be more pertinent when the child is older and more mobile. At 9 months, infants are typically not yet crawling or exploring the environment as extensively.

C. Advising how to create a toddler-safe homE. At 9 months, infants are becoming more mobile and curious, so advising on how to create a safe environment is crucial to prevent accidents and injuries as the child begins to explore their surroundings.

D. Cautioning about putting the baby in a walker: Walkers are generally not recommended due to safety concerns, but this advice may be more relevant when the child is closer to reaching the appropriate age for walker use.

A. Do nothing: this is a normal condition for toddlers. B. Notify the primary care healthcare provider about the condition. C. Refer the toddler to a physical therapist. D. Explain that the child will need a back brace.

Correct Answer is A

Explanation

A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no

intervention is usually necessary.

B. Notify the primary care healthcare provider about the condition: Lordosis alone is not

typically considered a concerning finding in toddlers unless it is severe or accompanied by other

symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.

C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.

D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.

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The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Correct Answer is C

Explanation

The nurse is examining the posture of a male toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding?

Correct Answer is A

Explanation

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