The nurse is working with a 12-year-old who is hospitalized with a chronic illness. Which action by the nurse might help the chronically ill preteen thrive while hospitalized?
Encourage the client to wear his or her own clothes, talk to friends on the phone, and interact with other clients who have similar illnesses.
Make all treatment and care decisions; the preteen is too young to have any responsibility for his or her own care.
Encourage the client to keep his or her limitations foremost in mind when trying a new skill or task at which his or her peers have begun to excel.
Create a clear list of behavioral rules to give the client when he or she arrives.
The Correct Answer is A
Choice A reason: Wearing personal clothes, connecting with friends, and interacting with peers with similar illnesses fosters normalcy and emotional well-being in a 12-year-old. This aligns with pediatric psychosocial care for chronic illness, making it the correct action to help the preteen thrive during hospitalization.
Choice B reason: Making all decisions excludes the 12-year-old from care involvement, undermining autonomy and coping. Encouraging personal expression and peer connection supports thriving, making this disempowering and incorrect compared to fostering independence and emotional health in a chronically ill preteen in the hospital.
Choice C reason: Focusing on limitations discourages confidence and resilience, hindering a 12-year-old’s adaptation to chronic illness. Promoting normalcy through clothes and social interaction is more supportive, making this negative and incorrect for helping the preteen thrive during their hospital stay with a chronic condition.
Choice D reason: Strict behavioral rules may provide structure but do not address emotional and social needs like personal expression and peer support. Encouraging normalcy fosters thriving, making this less impactful and incorrect compared to actions promoting psychosocial well-being in a hospitalized 12-year-old with chronic illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Prescribing medication to calm an infant is premature without investigating the cause of restlessness and prolonged wakefulness. An in-depth assessment identifies underlying issues like medical or environmental factors, making this reactive and incorrect compared to a thorough evaluation of the infant’s behavior.
Choice B reason: Reporting to a supervisor is unnecessary before assessing the infant’s restlessness and wakefulness. Conducting an in-depth investigation allows the nurse to gather data on potential causes, making this less direct and incorrect compared to initiating a thorough assessment of the infant’s condition first.
Choice C reason: Restlessness and prolonged wakefulness in an infant warrant an in-depth investigation to identify causes like medical issues, feeding problems, or environmental factors. This aligns with pediatric nursing assessment principles, ensuring a comprehensive approach to the infant’s behavior, making it the correct response for the nurse.
Choice D reason: Assuming the behavior is normal because the mother reports it dismisses potential underlying issues causing restlessness. An in-depth investigation is needed to rule out medical or environmental factors, making this incorrect, as it risks overlooking conditions requiring intervention in the infant’s care.
Correct Answer is A
Explanation
Choice A reason: Setting a good example by always wearing a seat belt models safe behavior, which children are likely to emulate. This prioritizes consistent safety habits, aligning with pediatric safety education principles, making it the most effective instruction for promoting car safety in families during a health fair presentation.
Choice B reason: Rewarding with candy for seat belt use may encourage compliance but risks unhealthy eating habits and extrinsic motivation. Modeling seat belt use fosters intrinsic safety habits, making this less effective and incorrect compared to the nurse’s priority of setting a consistent example for car safety.
Choice C reason: Stopping the car for unbuckled restraints addresses behavior but may be impractical and unsafe on busy roads. Modeling seat belt use prevents issues by reinforcing norms, making this reactive approach less prioritized and incorrect for the primary car safety instruction in a family setting.
Choice D reason: Explaining seat belt laws may inform but is less effective for young children who respond better to role modeling than legal consequences. Parental example drives behavior, making this less impactful and incorrect compared to prioritizing consistent seat belt use by adults in the family.
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