The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?
Form vases from blocks of clay
Stack blocks in a tower
Put together a model plane
Build a sandcastle with a water-filled moat
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A fractured bone can occur from accidents or abuse, but alone, it is not specific to maltreatment without inconsistent history or pattern. An untreated burn is more suggestive of neglect or abuse, as it indicates failure to seek care, making this less definitive and incorrect compared to a clear neglect indicator.
Choice B reason: Hyperactivity and anger are behavioral responses that may occur in abused children but are nonspecific and common in other conditions. An untreated burn is a clearer physical sign of potential neglect or abuse, making this behavioral finding less indicative and incorrect for alerting to possible child maltreatment.
Choice C reason: Bruises on knees and elbows are typical in active children from play, not necessarily indicative of abuse. An untreated burn raises stronger suspicion of neglect or intentional injury, making this common finding less concerning and incorrect for identifying potential child maltreatment in a clinical setting.
Choice D reason: An untreated burn is highly suggestive of child abuse or neglect, as it indicates failure to seek medical care for a serious injury. This finding, especially if unexplained or inconsistent with history, aligns with child maltreatment indicators, making it the most alerting sign for the nurse to investigate further.
Correct Answer is D
Explanation
Choice A reason: Children’s liver and pancreatic enzyme levels are not greater than adults’ but are sufficient for age-specific needs. Complex carbohydrate digestion is limited in children due to immature enzymes, making this inaccurate and incorrect compared to the carbohydrate metabolism difference in pediatric gastroenterology.
Choice B reason: Food passes through a child’s gastrointestinal tract faster, not slower, due to shorter intestines and higher motility. Limited complex carbohydrate digestion is the key difference, making this incorrect, as it misrepresents the speed of pediatric gastrointestinal transit compared to adults.
Choice C reason: The child’s gastrointestinal system is not fully mature at birth; it develops over years, particularly in enzyme function. Inability to digest complex carbohydrates reflects this immaturity, making this incorrect compared to the accurate statement about carbohydrate metabolism limitations in children.
Choice D reason: Children have limited ability to break down complex carbohydrates due to immature digestive enzymes, like amylase, compared to adults. This aligns with pediatric gastroenterology evidence, making it the most correct statement about the child’s gastrointestinal system development and function in digestion.
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