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: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.
Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.
Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.
Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.
Correct Answer is D
Explanation
Choice A reason: Slightly crooked teeth may complicate oral hygiene but are not a primary cause of cavities, which depend more on brushing and diet. Malocclusions affect chewing efficiency, making this less accurate and incorrect compared to the functional impact of misaligned teeth noted during the assessment.
Choice B reason: Malocclusions do not directly cause infections or tooth loss unless severe and untreated. Slight cross-over primarily impacts chewing and jaw function, not infection risk, making this exaggerated and incorrect for the primary reason to seek orthodontic consultation for the teenager’s teeth.
Choice C reason: Social impacts like dating or hiring are speculative and not the primary clinical concern for slight malocclusions. Chewing and jaw efficiency are direct functional issues, making this psychosocial focus less relevant and incorrect for the orthodontic referral rationale in this clinical scenario.
Choice D reason: Slight malocclusions, like crossed front teeth, can impair chewing and jaw function, leading to inefficient mastication or strain. This functional concern justifies orthodontic evaluation, aligning with dental health principles, making it the correct reason to recommend seeing an orthodontist for the teenager.
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