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the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet.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 D

Explanation

Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.

Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.

Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.

Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.

A. Vitamin E. B. Vitamin D. C. Iron. D. Calcium.

Correct Answer is B

Explanation

Choice A reason: Vitamin E is not typically deficient in evaporated milk formulas, and supplementation is not standard. Vitamin D is critical to prevent rickets in infants, making this incorrect, as it does not address the primary nutritional gap in homemade evaporated milk formulas for an 8-month-old.

Choice B reason: Evaporated milk lacks sufficient vitamin D, essential for calcium absorption and bone health in an 8-month-old. Ensuring vitamin D supplementation prevents rickets, aligning with pediatric nutrition guidelines, making it the correct ingredient to include in the infant’s homemade formula diet.

Choice C reason: Iron is important but less critical in evaporated milk, which retains some iron, and infants have stores until 6 months. Vitamin D is the primary deficiency, making this incorrect compared to addressing the urgent need for vitamin D in the 8-month-old’s formula.

Choice D reason: Evaporated milk contains adequate calcium, unlike vitamin D, which is deficient and critical for bone development. Ensuring vitamin D inclusion is prioritized, making this incorrect, as calcium supplementation is not the primary concern in the infant’s evaporated milk formula diet.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

Correct Answer is B

Explanation

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