The nurse is preparing to give an injection to a 3-year-old child. Which of the actions by the nurse is appropriate? (Select all that apply)
Allow the child to wait until later that afternoon after a trip to the playroom to receive the injection.
Provide comfort measures after the procedure, such as touching, holding, or providing a favorite toy.
Accept aggressive behavior, within reasonable limits, as a normal response, and provide healthy outlets for the child.
Offer a brief, concrete explanation of the procedure and then perform it.
Correct Answer : B,C,D
A. Delaying the injection may increase the child's anxiety and fear regarding the procedure; it is better to proceed without unnecessary delays.
B. Providing comfort measures after the injection helps to ease the child's distress and provides reassurance during recovery.
C. Accepting and acknowledging the child’s aggressive behavior as a normal reaction to fear helps the child process their feelings, while offering healthy outlets helps manage these feelings.
D. Offering a brief, concrete explanation helps prepare the child for what to expect, reducing anxiety and making the procedure more manageable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A soft, squishy ball is safe for infants and can help with tactile exploration and motor skills.
B. A soft, button-eyed stuffed animal may pose a choking hazard if buttons become detached, thus requiring additional guidance on safe toy choices.
C. Colorful rattles are excellent for stimulating an infant’s senses and encouraging grasping and shaking.
D. Cloth books are appropriate for infants, promoting sensory exploration through touch and visual engagement.
Correct Answer is A
Explanation
A. Preschoolers are in Kohlberg's preconventional stage, where their understanding of morality is based on the consequences of their actions—whether they are punished or rewarded.
B. Understanding and obeying rules is more characteristic of older children in the conventional stage of moral development.
C. Preschoolers are primarily motivated by personal consequences rather than pleasing peers.
D. Respect for authority becomes more developed in the conventional stage, which occurs in later childhood.
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