The mother of a 7-year-old child is concerned that the child "touches and plays" with the genitals despite being punished for doing so. Which response should the nurse make to the mother? (SELECT ALL THAT APPLY)

"How often do you punish him by giving him a time-out or by using physical discipline?"

"Physical punishment is not the best way to modify a child's behavior."

"It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body."

"Constantly touching the genitals indicates a urinary tract infection in a toddler."

"Give him a little time, and he'll grow out of it. He's just too young to understand right now."

Answer and Explanation

Correct Answer : B,C,E

A. "How often do you punish him by giving him a time-out or by using physical discipline?": This response focuses on the mother's disciplinary methods rather than addressing the child's behavior directly. It may come across as judgmental or critical of the mother's parenting approach and does not provide helpful guidance or support.

B. "Physical punishment is not the best way to modify a child's behavior.": This response is appropriate because it addresses the mother's concern about punishment for the child's behavior. It educates the mother about the ineffectiveness and potential harm of physical punishment in modifying behavior. Instead, positive reinforcement, redirection, and open communication are recommended strategies for guiding children's behavior.

C. "It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body.": This response normalizes the child's behavior of touching and playing with his genitals as part of natural childhood development. It reassures the mother that such behavior is common and not necessarily indicative of abnormality or misconduct. Education about normal childhood sexual development can alleviate parental concerns and promote understanding and acceptance.

D. "Constantly touching the genitals indicates a urinary tract infection in a toddler.": This response is incorrect and may unnecessarily alarm the mother. While frequent touching of the genitals could indicate discomfort or irritation associated with a urinary tract infection in a toddler, it is not the case for a 7-year-old child. Additionally, it is essential to avoid making medical diagnoses without proper assessment by a healthcare professional.

E. "Give him a little time, and he'll grow out of it. He's just too young to understand right now." This response acknowledges the child's developmental stage and suggests that the behavior is likely temporary and will naturally resolve as the child matures. It reassures the mother that the behavior is typical for a child of this age and may not require immediate intervention.

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Correct Answer is C

Explanation

A. That both partners are in good health: While good health can contribute to a satisfying sexual relationship, it is not the sole determinant. Health status alone does not guarantee a mutually-satisfying sexual relationship.

B. Being of the same sociocultural background: While sharing a sociocultural background may facilitate understanding and communication in some cases, it is not a universal requirement for a healthy sexual relationship. Partners from diverse backgrounds can have fulfilling relationships with effective communication and mutual respect.

C. Open communication: Open communication is essential for building trust, understanding preferences, expressing needs and desires, and resolving conflicts in a sexual relationship. It allows partners to discuss their feelings, concerns, and expectations openly, leading to greater intimacy and satisfaction.

D. Awareness of the partner's needs: Being aware of the partner's needs is important, but without open communication, it can be challenging to understand those needs fully. Open communication facilitates the expression and acknowledgment of needs, making it easier for partners to address them effectively.

A. Administering diuretics as ordered B. Providing good skin and mouth care C. Monitoring intake and output D. Obtaining daily weights

Correct Answer is ["B","C","D"]

Explanation

A. Administering diuretics as ordered: This option is not appropriate for dehydration management. Diuretics are medications that increase urine output and are typically used to treat fluid overload rather than dehydration. Administering diuretics to a dehydrated client could exacerbate fluid loss and worsen the condition.

B. Providing good skin and mouth care: This is a suitable intervention for managing dehydration. Dehydration can lead to dry skin and mucous membranes. Providing good skin care, including moisturizing, can help prevent skin breakdown. Additionally, ensuring adequate oral hygiene and providing moist mouth swabs can alleviate discomfort associated with dry mouth.

C. Monitoring intake and output: This is an essential nursing intervention for managing dehydration. Monitoring the client's fluid intake and output allows the nurse to assess the balance between fluid intake and loss. Decreased urine output is a common sign of dehydration, while monitoring intake helps ensure the client is receiving adequate fluids.

D. Obtaining daily weights: This is an appropriate nursing intervention for managing dehydration. Daily weights can help assess changes in fluid balance. A sudden increase in weight may indicate fluid retention, while a decrease may indicate ongoing fluid loss, both of which are important to monitor in dehydration.

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The mother of a 7-year-old child is concerned that the child "touches and plays" with the genitals despite being punished for doing so. Which response should the nurse make to the mother? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When working with clients of any age, the nurse keeps in mind that the key to mutually-satisfying, healthy sexual relationships between partners is most often:

Correct Answer is C

Explanation

The nurse caring for a client diagnosed with dehydration recognizes that which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D"]

Explanation

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