The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

Gets upset when a babysitter is in charge, but will do what is asked by the babysitter.

Tries to sweep up spilled cereal but cries when can’t do well.

Refuses to hold anyone’s hand while crossing the street.

Broke a dish but blamed it on a friend the caregivers don’t know.

Answer and Explanation

The Correct Answer is B

Choice A reason: Complying with a babysitter despite being upset shows adaptability, not initiative, which involves self-directed tasks. Attempting to clean cereal reflects proactive behavior, making this less indicative and incorrect compared to an activity demonstrating the 4-year-old’s initiative in the developmental assessment.

Choice B reason: Trying to sweep spilled cereal and crying when failing demonstrates initiative, as the 4-year-old independently attempts a task, a hallmark of Erikson’s initiative stage. This aligns with pediatric developmental milestones, making it the correct activity to document for assessing the child’s growth and development status.

Choice C reason: Refusing to hold hands while crossing the street indicates defiance, not initiative, which involves purposeful self-started activities. Cleaning cereal better reflects initiative, making this incorrect, as it shows autonomy rather than the proactive behavior expected in the initiative stage of development.

Choice D reason: Blaming a broken dish on a fictional friend shows guilt avoidance, not initiative, which involves taking on tasks independently. Attempting a cleanup task is more indicative, making this incorrect compared to the proactive behavior of sweeping cereal in the 4-year-old’s developmental assessment.

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Correct Answer is C

Explanation

Choice A reason: Forming clay vases requires fine motor skills but may lack the complexity to engage an 8-year-old’s cognitive and creative abilities. A model plane offers a challenging, age-appropriate task, making this less stimulating and incorrect for the developmental needs of an 8-year-old in the playroom.

Choice B reason: Stacking blocks is too simplistic for an 8-year-old, better suited for younger children developing basic motor skills. A model plane engages advanced dexterity and problem-solving, making this insufficiently challenging and incorrect for the cognitive level of an 8-year-old in the hospital.

Choice C reason: Assembling a model plane suits an 8-year-old’s fine motor skills, concentration, and interest in complex tasks. This project aligns with developmental stages for school-aged children, promoting engagement and skill-building, making it the best choice for the playroom activity for the child.

Choice D reason: Building a sandcastle is creative but less structured than a model plane, which challenges an 8-year-old’s dexterity and focus. Sandcastles may be less engaging for hospitalized children, making this incorrect compared to the structured, skill-based task of model plane assembly in the playroom.

A. Notifying the family’s religious leader of the tragedy. B. Calling the funeral home to make arrangements for the body transfer. C. Cleaning and making the deceased presentable to the family. D. Presenting the family with the deceased’s personal belongings.

Correct Answer is C

Explanation

Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

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The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

Correct Answer is C

Explanation

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

Correct Answer is C

Explanation

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