The parents of a 5-year-old boy are concerned about how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child’s behavior is likely related to which factor?

The child is imitating the adults’ behavior and just trying to be nice to everyone.

The child is afraid of losing his father and trying to show how much he loves him.

The boy is afraid of being hurt himself and thinks being especially good will protect him from accidents.

The boy believes he caused the accident by telling his father he “hoped he crashed” when the boy couldn’t go along.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

Choice A reason: Ice cream and milk may coat the throat, increasing mucus and infection risk post-tonsillectomy. Vomiting dark blood is normal, but new bleeding requires attention, making this incorrect, as dairy is not recommended for easing swallowing in the immediate postoperative period for the child.

Choice B reason: Earache from referred pain is common post-tonsillectomy but may persist beyond the fourth day. Vomiting old blood with guidance on new bleeding is more accurate, making this incorrect, as it underestimates the duration and management of ear pain in the recovery period.

Choice C reason: Vomiting dark old blood is normal post-tonsillectomy due to swallowed blood, but fresh bleeding between days 5-7 indicates potential complications, requiring clinic contact. This aligns with pediatric postoperative care, making it the correct explanation for caregivers during discharge teaching for the child.

Choice D reason: Severe throat pain for 2 weeks is expected but should be monitored, not dismissed, as it may signal complications. Guidance on bleeding is more critical, making this incorrect, as it downplays the need for vigilance regarding pain in the postoperative recovery period.

A. As the child grows, the gross and fine motor skills increase. B. The child’s nervous system is fully developed at birth. C. The child has underdeveloped gross motor skills and well-developed fine motor skills. D. The child has underdeveloped fine motor skills and well-developed gross motor skills.

Correct Answer is A

Explanation

Choice A reason: As children grow, their nervous system matures, improving gross (e.g., walking) and fine (e.g., writing) motor skills through myelination and neural connections. This aligns with pediatric neurology development milestones, making it the most correct statement about the child’s nervous system and motor skill progression.

Choice B reason: The nervous system is not fully developed at birth; it matures through childhood with ongoing myelination and synaptic growth. Motor skill development reflects this, making this incorrect compared to the accurate depiction of progressive skill improvement in children as the nervous system matures.

Choice C reason: Children develop gross motor skills (e.g., crawling) before fine motor skills (e.g., grasping), not the reverse. Both skills improve with growth, making this incorrect, as it misrepresents the developmental sequence of motor skill acquisition in the child’s nervous system development.

Choice D reason: Fine motor skills are less developed than gross motor skills in early childhood, but both improve with growth. Stating gross skills are well-developed oversimplifies, making this incorrect compared to the comprehensive statement about both skills increasing with nervous system maturation in children.

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Naxlex Comprehensive Predictor Exams

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:

Correct Answer is C

Explanation

What information is most correct regarding the nervous system of the child?

Correct Answer is A

Explanation

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