Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Buying toys for a hospitalized child

Asking questions if families are not participating in the care

Clarifying information for families

Spending off-duty time with children and families

Learning about the family's religious preferences

Answer and Explanation

Correct Answer : B,C,E

A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.

B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.

C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.

D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.

E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.

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Correct Answer is A

Explanation

A. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.

B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.

C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.

D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.

A. Provide a daily session with a play therapist. B. Discourage visits from the client's friends. C. Vary the child's schedule each day. D. Encourage the client to complete school work.

Correct Answer is D

Explanation

A. While play therapy can be beneficial, it is not the most relevant action for a 10-year-old child in this context.

B. Discouraging visits from friends can lead to feelings of isolation and is not aligned with Erikson's stage of industry vs. inferiority, where children need opportunities for social interaction.

C. A consistent routine is important for children to feel secure and reduce anxiety.

D. Encouraging the child to continue with schoolwork fosters a sense of accomplishment and helps maintain normalcy, promoting their psychosocial development.

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Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

Correct Answer is A

Explanation

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer is D

Explanation

A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing health promotion teaching to an adolescent. Which of the following is the leading cause of death among this age group?

The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following potential side effects of this medication?

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents indicates an understanding of the teaching?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is teaching a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?