Try Naxlex NCLEX-RN (Free-Trial)

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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Determining the chief complaint identifies the primary reason for the visit, guiding the assessment and care plan for the child. This aligns with pediatric nursing triage principles, making it the prioritized step to ensure focused, efficient care during the first visit to the clinic.

Choice B reason: Interviewing the caregiver provides context but follows identifying the chief complaint, which directs the conversation. The complaint sets the visit’s focus, making this secondary and incorrect compared to prioritizing the reason for the child’s visit in the initial pediatric clinic appointment.

Choice C reason: Obtaining biographical data is administrative and less urgent than addressing the child’s health concern. The chief complaint drives the clinical encounter, making this less critical and incorrect compared to prioritizing the identification of the primary issue in the first clinic visit.

Choice D reason: Recording the health history is important but comes after understanding the chief complaint, which shapes the history-taking. Identifying the complaint ensures relevance, making this subsequent and incorrect compared to the prioritized step of determining the reason for the child’s visit.

A. While attending to the child, reassure the sister and suggest interventions she can help with. B. Ask the sister if she prefers to leave the exam room. C. Reassure the child that he is going to be fine and that his sister is just nervous. D. Ask his sister to calm down so that she can help her brother remain calm as well.

Correct Answer is A

Explanation

Choice A reason: Reassuring the sister while attending to the child and involving her in interventions reduces her anxiety, stabilizing the 5-year-old’s emotional state. This aligns with pediatric emergency care principles, making it the best initial action to manage the escalating anxiety in the emergency room.

Choice B reason: Asking the sister to leave may increase her distress and isolate the child, worsening his anxiety. Reassuring and involving her is more supportive, making this counterproductive and incorrect compared to the nurse’s role in calming both the caregiver and child effectively.

Choice C reason: Reassuring the child about his sister’s nerves doesn’t address her anxiety, which is escalating his distress. Involving the sister in care reduces both anxieties, making this insufficient and incorrect compared to the nurse’s priority of stabilizing the emotional environment in the ER.

Choice D reason: Asking the sister to calm down may heighten her distress, as she’s already hysterical, and doesn’t offer support. Reassuring and involving her helps both, making this ineffective and incorrect compared to the nurse’s action to reduce anxiety for the child and caregiver.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

In understanding the physiology of the musculoskeletal system, the nurse recognizes that which of the following are stored in the bones?

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?

The nurse is attempting to include family in the care of a hospitalized, terminally ill adolescent. Which interventions can be appropriately delegated to family members? (Select all that apply)

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?