The nurse is working with a group of chronically ill school-aged children and their caregivers. Which strategy would be most effective in helping the children reach their self-care treatment goals?
Encourage the child to socialize with healthy peers every day so that he or she is motivated to become as independent as those peers.
The caregiver and child co-write a contract that identifies what reward will be earned when certain self-care treatment goals are mastered.
Frequently reinforce for the child why self-care goals are so important to their overall health.
Make a chart of self-care goals the child should do successfully; add a sticker to the chart each time a goal is reached.
The Correct Answer is B
Choice A reason: Socializing with healthy peers may motivate but doesn’t directly teach self-care skills for chronic illness. A contract with rewards engages the child actively, making this less focused and incorrect compared to a structured strategy ensuring school-aged children achieve treatment goals effectively.
Choice B reason: Co-writing a contract with rewards engages the child in setting and achieving self-care goals, fostering responsibility and motivation. This aligns with pediatric chronic illness management, making it the most effective strategy to help school-aged children master treatment goals with caregiver involvement.
Choice C reason: Reinforcing the importance of goals educates but lacks active engagement compared to a reward-based contract. Contracts promote accountability, making this less effective and incorrect for directly helping chronically ill children achieve self-care treatment goals in a structured, motivating way.
Choice D reason: A sticker chart tracks progress but is less collaborative than a contract, which involves the child in goal-setting. Contracts better foster ownership, making this less engaging and incorrect compared to the co-written contract strategy for achieving self-care goals in school-aged children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.
Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.
Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.
Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.
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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