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The nurse is discussing discipline issues with a group of caregivers of preschool-aged children who have a cognitive impairment. One father tells the group that after he tells his child to stop doing something, the child just continues. Parents in the group make the following statements. Which statement indicates an understanding of disciplining the cognitively impaired child?

“We hold a family meeting to explain to our other children that she gets away with things they will not get away with because of her impairment.”

“We always take away a privilege our child has been looking forward to, such as going to a movie next weekend.”

“My wife and I just ignore the behavior and if there is a mess, clean up the mess. He doesn’t understand that he has an impairment.”

“We wait until a behavior happens a second time and immediately put our child in time-out.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Explaining differential treatment to siblings fosters resentment and doesn’t teach the impaired child. Time-out after repetition reinforces boundaries, making this unhelpful and incorrect compared to a direct discipline strategy addressing the cognitively impaired preschooler’s continued behavior effectively.

Choice B reason: Taking away privileges like movies is too abstract for a cognitively impaired preschooler to connect to behavior. Immediate time-out is clearer, making this ineffective and incorrect compared to a concrete, immediate consequence tailored to the child’s cognitive limitations in discipline.

Choice C reason: Ignoring behavior and cleaning up avoids teaching consequences, reinforcing unwanted actions in a cognitively impaired child. Time-out provides structure, making this counterproductive and incorrect compared to a strategy that directly addresses and corrects the preschooler’s behavior with appropriate discipline.

Choice D reason: Waiting for a second occurrence and using immediate time-out provides clear, consistent consequences, suitable for a cognitively impaired preschooler’s understanding. This aligns with pediatric behavioral strategies, making it the correct statement reflecting effective discipline for the child’s continued behavior issues.

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Correct Answer is C

Explanation

Choice A reason: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.

Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.

Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.

Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.

A. “Milk is a perfect food, and babies should be able to have all the milk they want.” B. “Children have a hard time getting enough iron from food during their first few years.” C. “A family’s economic problems are often a cause of malnutrition.” D. “Caregivers sometimes don’t understand the importance of iron and proper nutrition.”

Correct Answer is A

Explanation

Choice A reason: Milk is not a perfect food, as excessive intake in babies can displace iron-rich foods, causing iron-deficiency anemia. This misconception overlooks milk’s low iron content, making it the correct choice for a false statement compared to accurate causes discussed among nurses.

Choice B reason: Children struggle to get enough iron in early years due to rapid growth and limited dietary sources, a true statement. Milk as a perfect food is the misconception, making this correct and incorrect for identifying a false belief about iron-deficiency anemia in children.

Choice C reason: Economic problems contribute to malnutrition, including iron deficiency, by limiting access to nutritious foods, a valid point. The milk misconception directly misleads about dietary causes, making this accurate and incorrect compared to the false statement about milk’s role in anemia prevention.

Choice D reason: Caregivers’ lack of nutrition knowledge can lead to inadequate iron intake, a true cause of anemia. The milk statement is the misconception, as it wrongly promotes milk over iron sources, making this correct and incorrect for identifying the false belief in the discussion.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a child who is lying quietly on the bed. Which action should the nurse take?

Correct Answer is C

Explanation

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

Correct Answer is A

Explanation

During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child?

The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

What information is most correct regarding the nervous system of the child?

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?