The parents and their child with a chronic illness have been seen by the nurse in the pediatrician’s office since birth. Which situation is appropriate for instruction by the nurse?
Consents for upcoming surgery.
Growth and development changes.
Recent diagnostic testing and lab work.
Diagnosis of secondary problems.
The Correct Answer is B
Choice A reason: Consents for surgery involve legal and procedural details, typically handled by providers, not nurses. Educating on growth and development is within nursing scope, making this incorrect, as it exceeds the nurse’s role in instructing families of a child with a chronic illness.
Choice B reason: Instructing on growth and development changes helps parents understand their child’s progress despite chronic illness, within the nurse’s educational role. This aligns with pediatric nursing practice, making it the correct situation for the nurse to provide instruction in the pediatrician’s office.
Choice C reason: Explaining diagnostic tests and lab work is typically the provider’s responsibility, as it involves medical interpretation. Growth and development education is nurse-appropriate, making this incorrect, as it falls outside the nurse’s primary instructional role for the chronically ill child’s family.
Choice D reason: Diagnosing secondary problems is a medical responsibility, not within nursing scope for instruction. Growth and development guidance is nurse-led, making this incorrect, as it involves diagnostic communication beyond the nurse’s role in educating the family of the chronically ill child.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
Choice A reason: Imitating adult behavior to be nice does not explain the child’s withdrawal and concern when the father is away. Fear of loss better accounts for these anxiety-driven behaviors post-accident, making this less fitting and incorrect for the child’s emotional response to the traumatic event.
Choice B reason: The child’s withdrawal and concern when the father is away suggest fear of losing him after the accident, a common reaction in young children. This aligns with pediatric psychology evidence on trauma response, making it the correct factor explaining the child’s behavior in this context.
Choice C reason: Fear of personal injury is less likely than fear of losing the father, given the child’s focus on the father’s absence. Withdrawal reflects attachment anxiety, not self-protection, making this less accurate and incorrect compared to the loss-related emotional response observed in the child.
Choice D reason: Believing he caused the accident is possible but less supported without evidence of guilt statements. Fear of loss better explains the child’s withdrawal and concern for the father’s absence, making this speculative and incorrect for the primary behavioral factor affecting the 5-year-old.
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