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 D
Explanation
Choice A reason: Cartilage is a connective tissue, not stored in bones, which house minerals like calcium. Minerals are critical for bone strength, making this incorrect, as it misidentifies the substances stored in the musculoskeletal system in the nurse’s understanding of bone physiology.
Choice B reason: Vitamins, like vitamin D, are stored in tissues, not bones, which store minerals for structural integrity. Minerals are the primary storage component, making this incorrect, as it does not reflect the physiological role of bones in the nurse’s musculoskeletal knowledge.
Choice C reason: Spinal fluid is contained in the central nervous system, not stored in bones, which hold minerals. Minerals support bone function, making this incorrect, as it confuses bone physiology with unrelated systems in the nurse’s understanding of the musculoskeletal system.
Choice D reason: Bones store minerals like calcium and phosphorus, essential for strength and metabolic functions. This aligns with musculoskeletal physiology, making it the correct answer for the nurse’s recognition of what is stored in bones as part of their anatomical knowledge.
Correct Answer is B
Explanation
Choice A reason: Intravenous administration isn’t inherently safer, as it carries risks like infection or extravasation. Less trauma from fewer injections is accurate, making this incorrect, as it overstates safety compared to the true benefit of reduced physical and emotional trauma in pediatric IV medication delivery.
Choice B reason: Intravenous medication reduces the need for multiple injections, minimizing physical and emotional trauma for children. This aligns with pediatric nursing principles for patient comfort, making it the correct statement about the advantage of IV administration compared to repeated intramuscular or subcutaneous injections.
Choice C reason: IV medications are absorbed rapidly, not slowly, due to direct bloodstream delivery. Less trauma from fewer injections is the true benefit, making this incorrect, as it misrepresents the pharmacokinetics of intravenous administration in the context of pediatric medication delivery.
Choice D reason: IV medication is delivered into veins, not fatty tissue, which describes subcutaneous injections. Reduced trauma from fewer injections is accurate, making this incorrect, as it confuses IV administration with another route in the nurse’s understanding of medication delivery methods.
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