The parent of a recently readmitted 3-year-old child with a chronic illness tells the nurse, "I am not sure what to do about my other children. Every time she comes back to the hospital, they have to go to the babysitter. They are telling me that it is not fair that their sister gets all my attention." Which is the nurse's best assessment of this situation?

The family has ineffective mechanisms to deal with a child with a chronic illness

The siblings are immature and need counseling.

Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.

The siblings need to better understand their sister's illness and needs.

Answer and Explanation

The Correct Answer is C

A. This response assumes the family’s coping mechanisms are dysfunctional, which may not be accurate or helpful in the immediate situation.

B. Labeling the siblings as immature and suggesting counseling without further assessment is premature.

C. Jealousy and resentment are normal reactions among siblings when one child receives a lot of attention due to illness. The nurse can help the parent recognize these feelings and suggest ways to address them.

D. While it’s important for the siblings to understand their sister’s illness, this response does not acknowledge the emotional aspect of their jealousy and resentment.

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Correct Answer is ["B","C","D"]

Explanation

A. Delaying the injection may increase the child's anxiety and fear regarding the procedure; it is better to proceed without unnecessary delays.

B. Providing comfort measures after the injection helps to ease the child's distress and provides reassurance during recovery.

C. Accepting and acknowledging the child’s aggressive behavior as a normal reaction to fear helps the child process their feelings, while offering healthy outlets helps manage these feelings.

D. Offering a brief, concrete explanation helps prepare the child for what to expect, reducing anxiety and making the procedure more manageable.

A. I can give my baby a soft, squishy ball to play with. B. A soft, button-eyed stuffed animal is a good toy for my baby C. My baby can play with colorful rattle D. My baby can play with a cloth book that they can touch.

Correct Answer is B

Explanation

A. A soft, squishy ball is safe for infants and can help with tactile exploration and motor skills.

B. A soft, button-eyed stuffed animal may pose a choking hazard if buttons become detached, thus requiring additional guidance on safe toy choices.

C. Colorful rattles are excellent for stimulating an infant’s senses and encouraging grasping and shaking.

D. Cloth books are appropriate for infants, promoting sensory exploration through touch and visual engagement.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to give an injection to a 3-year-old child. Which of the actions by the nurse is appropriate? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

The nurse is teaching parents about appropriate toys infants can play with. The nurse is aware that more instruction is needed when a parent states which of the following?

Correct Answer is B

Explanation

According to Kohlberg, children develop moral reasoning as they mature. Which statement is most characteristic of a preschooler's stage of moral development?

A nurse is providing teaching about teething and dental care to the parent of a 9-month-old infant. Which statement by the parent indicates an understanding of the teaching?

A 4-year-old child is admitted to the pediatric unit for a minor surgical procedure. The child believes that the surgery is a punishment for being "bad." Which response by the nurse is most appropriate to address the child's magical thinking?

A pediatric nurse is explaining Erickson's stages to a nursing student. Which of the following behaviors would indicate a four-year-old has successfully mastered the initiative vs guilt stage?

A nurse is preparing to assess a preschool age child. Which of the following is an appropriate action by the nurse to prepare the child for the assessment?

An order of Rocephin 500 mg IV q 12 h has been ordered for a child who weighs 33 pounds. According to the drug guide, the safe dose for this medication is 75 mg/kg/day divided into q 12 h doses. What is the safe dosage (of a single dose) of this med for this patien?

The nurse is providing medication instructions to a parent of a young toddler. Which statement by the parent indicates a need for further instruction?