The practical nurse (PN) is planning the preoperative teaching plan for a school-age child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the PN to implement?
Provide dolls and equipment to re-enact feelings associated with painful procedures.
Include the child in play therapy with children who are hospitalized for similar surgery.
Provide a family tour of the preoperative unit one week before the surgery is scheduled.
Give the child syringes or hospital masks to play with at home prior to hospitalization.
The Correct Answer is A
A. Provide dolls and equipment to re-enact feelings associated with painful procedures: Therapeutic play helps children express and cope with anxiety.
B. Include the child in play therapy with children hospitalized for similar surgery: May help but can increase anxiety if peers share negative experiences.
C. Provide a family tour of the pre-op unit a week before surgery: Helpful but less effective for immediate anxiety relief.
D. Give child syringes or masks to play with at home before hospitalization: May help familiarity, but direct guided play with healthcare context is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Preferred activities or tokens for each compliance:
Positive reinforcement, such as rewarding desired behavior with activities or tokens, is effective in behavior modification for intellectually disabled clients.
B. Unit tasks for each omission of teeth brushing:
This is a form of punishment and is not as effective in promoting long-term behavioral change as positive reinforcement.
C. Candy for each successful hygiene task, like brushing his teeth:
While it is a form of positive reinforcement, candy is not ideal due to the dental health focus of the task and potential nutritional concerns.
D. Privilege restriction or fines for refusals to complete a hygienic task:
Punitive measures are less effective and can increase resistance.
Correct Answer is A
Explanation
A. Report findings to supervisor for referral to APS: Mandatory reporting protects client safety.
B. Ask daughter who has been caring for client: May alert potential abuser and place client at further risk.
C. Apply dry dressings after cleansing wounds: Necessary, but safety and reporting take precedence.
D. Document the lacerations: Must be done, but immediate action is reporting.
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