The nurse is teaching the parents of a 12-year-old boy about appropriate approaches when raising an adolescent. Which comment should be included in the discussion?

"Maintain a firm set of rules."

Try to be open to his views."

"Remind him that he is still your little boy."

"Find out if his friends are worthy of him."

Answer and Explanation

The Correct Answer is B

A. "Maintain a firm set of rules."

While having rules is important, maintaining a rigid approach without considering the adolescent's perspective can lead to conflict and resistance. Adolescents often appreciate having a voice and being heard.

B. Try to be open to his views."

This option acknowledges the importance of valuing the adolescent's opinions and perspectives. Encouraging open communication fosters trust and mutual respect between parents and their adolescent children.

C. "Remind him that he is still your little boy."

Using this approach may unintentionally undermine the adolescent's growing sense of

independence and identity. It's essential to recognize and respect their transition into young adulthood.

D. "Find out if his friends are worthy of him."

While it's important to be aware of the adolescent's social circle, framing it in terms of the

friends being "worthy" may come across as judgmental. It's more effective to focus on fostering healthy relationships and providing guidance on making positive social choices.

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Correct Answer is B

Explanation

A. At 6 years, children are expected to have mastered the ability to descend stairs without needing to place both feet on each step or hold onto the railing.

B. By 3 years of age, children typically begin to walk up stairs using a reciprocal pattern, placing only one foot on each step, but may still require a railing for support when going down.

C. At 4 years, children should be able to go both up and down stairs using a reciprocal pattern and without the need for a rail.

D. By 5 years, the expectation is that children can confidently navigate stairs in a manner similar to adults, without placing both feet on each step or requiring railing support.

A. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 B. A 10-year-old child who has sickle cell anemia who reports severe chest pain C. A 1-year-old toddler who has roseola and a temperature of 39°C (102.2°F) D. A 4-year-old child who has asthma and a PCO2 of 37 mm

Correct Answer is B

Explanation

A. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016: While diabetes insipidus requires monitoring and management, a urine specific gravity of 1.016 alone does not indicate acute distress or an emergency situation. The child may need adjustments in fluid intake or medication, but this can typically be addressed in a less urgent manner.

B. A 10-year-old child who has sickle cell anemia who reports severe chest pain: Severe chest pain in a child with sickle cell anemia could indicate a vaso-occlusive crisis affecting the chest, which is potentially life-threatening. Prompt assessment and intervention are necessary to

manage the pain and prevent complications, including acute chest syndrome or respiratory compromise.

C. A 1-year-old toddler who has roseola and a temperature of 39°C (102.2°F): Roseola is typically a benign viral illness characterized by fever and a rash. While a fever in a young child

requires monitoring and symptomatic management, it is not usually considered an emergency unless accompanied by other concerning symptoms such as dehydration or respiratory distress.

D. A 4-year-old child who has asthma and a PCO2 of 37 mm: While asthma exacerbations can be serious, a PCO2 level of 37 mm indicates normal carbon dioxide levels, which do not suggest acute respiratory distress or impending respiratory failure. However, if the child is experiencing severe respiratory distress, cyanosis, or altered mental status, immediate assessment and

intervention would be warranted.

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The nurse is teaching the parents of a 12-year-old boy about appropriate approaches when raising an adolescent. Which comment should be included in the discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions aredevelopmentally appropriate at which of the following ages?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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