Question 1

A nurse is working with a child who has a chronic illness requiring medication and frequent hospitalizations.The parents refuse to allow the child to go to the playroom,fearing germs from other children will harm their child.Which actions by the nurse are most appropriate? (Select all that apply.)
A)Allow the parents to voice their concerns without being judgmental.
B)Consult with a child developmental specialist for appropriate in-room activities.
C)Document the parents' choice on the patient record and inform the staff.
D)Help the parents see the ways their child is normal while having an illness.
E)Tell the parents that the playroom and all its objects are disinfected often.

Accepted Answer

The nurse should first listen to the parents' concerns in an open,nonjudgmental way to promote communication.Parents of ill children should be helped to see their child as a child with an illness,rather than a sick child.This viewpoint allows the child more freedom to participate in age-appropriate activities that stimulate growth and development and a sense of self-esteem.If this approach is not successful,a consultation for in-room activities would be beneficial.Of course the outcome should be noted on the chart,but this alone does not help this problem.Educating the parents about the ways in which infection control is practiced in the playroom is a helpful strategy,but this in itself is insufficient and dismissive of their concerns.

Question 2

A nurse is providing anticipatory guidance to the parents of a 5-month-old baby.Which nursing statements are appropriate by the nurse to these parents? (Select all that apply.)
A)"Do not leave the child alone on the changing table."
B)"Until the age of 3,falls are common due to large head size."
C)"Peek-a-boo is an appropriate game for this age."
D)"Wrap up mini-blind ties so the child can't reach them."
E)"You need to childproof all your cabinets now."

Accepted Answer

An infant begins to roll over by the age of 6 months and could easily fall off a changing table with this newfound skill.Infants respond strongly to peek-a-boo games due to the development of object permanence.Head size matches torso size by about 1 year of age.Wrapping up mini-blind cords and childproofing cabinets can be done at any time,but those are activities more appropriate for the family with an increasingly mobile toddler.

Question 3

The pediatric nurse teaches the mother of a toddler how to choose appropriate toys/activities to stimulate growth and development of her child.Which activities are appropriate for the nurse to include in the teaching session? (Select all that apply.)
A) Board games
B) Large crayons
C) Sliding down a slide
D) Tricycle
E) Watercolor pencils

Accepted Answer

The answer of The pediatric nurse teaches the mother of...

Question 4

A mother brings her 8-year-old son into the clinic for a well-child visit.She is concerned because her son does not take responsibility for completing and handing in his school assignments on time,and his teacher has given him several warnings for missing homework.Which responses are appropriate for the nurse to this child's mother? (Select all that apply.)
A)"A good discipline strategy for this stage of development is a time-out in a specific location,which could include focusing on homework at this time."
B)"As a parent,you should refrain from rescuing your child from the consequences of his behaviors and allow him to learn a valuable lesson from them."
C)"At 8,children can internalize rules,so it's important to allow him to be responsible for his actions and to accept the consequences of his behavior."
D)"Eight-year-old children are not ready to accept the consequences of their actions and need to be constantly reminded of their responsibilities."
E)"Natural consequences are important,and removing privileges,especially time with friends,is often a successful technique at this age."

Accepted Answer

Because the child in this stage of development is beginning to internalize rules,it is important to allow the child more independence and,thus,more awareness of the natural consequences of behavior.An effective parenting technique is to refrain from "rescuing" the child from the consequences of his or her behavior.Time-outs are more appropriate for preschool-age children.Grounding or restricting privileges is a more appropriate discipline measure for a school-age child,and restricting time with friends is a good technique for adolescents.

Question 5

The nurse is preparing to provide information to the parents of a 14-year-old who is within normal limits for growth and development.What information is appropriate for the nurse to include? (Select all that apply.)
A)Children of this age can anticipate long-term consequences of choices.
B)Growth,although slowed,can still be significant.
C)The child of this age may be able to give informed consent in some situations.
D)The child of his age is not normally worried about sexual identity.
E)Peer group influence is often stronger than family influence.

Accepted Answer

Adolescents are in the stage of formal operations and can think abstractly.They are able to anticipate long-term consequences of choices.Growth continues during this period and,although slower than in other stages,can still be significant.Depending on state law and the teen's age,a teen may be able to give informed consent in situations such as seeking birth control or assistance with substance abuse.Establishing a sexual identity is one of the three main tasks of this age group.Peers often have more influence over the teen than family.

Question 6

A nurse is providing anticipatory guidance to the parents of a school-age child.What information is appropriate for the nurse to include for school-age children? (Select all that apply.)
A)Discuss physical changes related to puberty.
B)Discuss smoking and substance abuse.
C)Provide simple explanations for questions.
D)Read short stories daily to help language.
E)School-age children require 8 to 12 hours of sleep each night.

Accepted Answer

Appropriate anticipatory guidance for a school-age child is to discuss physical changes that will occur in puberty (before they happen),discuss smoking and substance abuse (hopefully before they are exposed to it),and inform parents that children this age still need 8 to 12 hours of sleep a night.Simple explanations and short stories are more appropriate for toddlers.

Question 7

A toddler has been adopted from a foreign country and has the nursing diagnosis of delayed growth and development related to poor nutrition.Which activities should the nurse include in the plan of care to assist the child to meet outcomes? (Select all that apply.)
A)Allow the toddler to use a fork and knife with supervision.
B)Allow toddler to choose foods within appropriate parameters.
C)Consult with a dietician to provide a high-calorie,high-protein diet.
D)Force the toddler to eat if he or she chooses not to at mealtime.
E)Provide only foods that the toddler can eat with the fingers.

Accepted Answer

At the toddler stage,the child can use a cup and a spoon and is able to verbalize food preferences.A dietary consult is appropriate to help plan high-protein,high-calorie meals and snacks that are preferred by the child.A toddler is not dexterous enough for a knife and fork.Eating should not be forced.Finger foods are a good choice for eating,but in the toddler stage,foods should not be limited to only finger foods because the child should be able to use a spoon.

Question 8

A nurse is teaching parents about appropriate discipline for their toddler.Which information is appropriate for the nurse to include in the session? (Select all that apply.)
A)Be firm and specific but respectful.
B)Deliver consequences immediately.
C)Tie consequences to the action if possible.
D)Time-outs are 5 minutes for each year of life.
E)Try to anticipate and avoid tantrums.

Accepted Answer

Effective discipline involves parents being firm and specific.They should be respectful and speak as they would want to be spoken to.The most effective consequences are delivered immediately and are tied to the action in a logical way.If parents can recognize triggers for temper tantrums,they can avoid them (e.g.,a child who is tired needs a nap or bedtime).A rule of thumb for time-out is 1 minute for each year of life.

Question 9

The nurse is preparing to educate the parents of an 8-year-old child about normal growth and development.Which information should the nurse include? (Select all that apply.)
A)Boys and girls play equally with each other.
B)Children frequently have best friends at this age.
C)Peer approval is not yet important,but will be for teens.
D)Puberty changes should be discussed before they occur.
E)Typical weight gain is 4-6 lb (1.8-2.7 kg)/year.

Accepted Answer

School-age children typically gain 4-6 lb/year.This is an appropriate time to begin discussing changes that occur during puberty because those changes can be frightening and the child should be prepared for them.Friends,especially best friends,which become apparent at this age,are usually of the same gender.Peer approval is becoming increasingly important at this stage.

Question 10

A school nurse is working with high school students.The nurse wants to influence these teenagers to make healthy decisions.Which actions are most appropriate by the school nurse to influence health decisions? (Select all that apply.)
A)Discouraging questioning rules
B)Discussing without judging
C)Encouraging critical thought
D)Listening carefully to the teen
E)Paying attention to nonverbal cues

Accepted Answer

A teenager is able to think abstractly and can be led to think critically and solve problems.At this level of emotional development an adolescent can take responsibility for his or her own actions and is beginning to internalize a personal set of values.Therefore,guiding them,but being an open communicator,is appropriate per their development.Adolescence is a time of great questioning,and this should not be discouraged.

Quiz 20: Caring for the Developing Child

A nurse is working with a child who has a chronic illness requiring medication and frequent hospitalizations.The parents refuse to allow the child to go to the playroom,fearing germs from other children will harm their child.Which actions by the nurse are most appropriate? (Select all that apply.)

A nurse is providing anticipatory guidance to the parents of a 5-month-old baby.Which nursing statements are appropriate by the nurse to these parents? (Select all that apply.)

The pediatric nurse teaches the mother of a toddler how to choose appropriate toys/activities to stimulate growth and development of her child.Which activities are appropriate for the nurse to include in the teaching session? (Select all that apply.)

The nurse is preparing to provide information to the parents of a 14-year-old who is within normal limits for growth and development.What information is appropriate for the nurse to include? (Select all that apply.)

A nurse is providing anticipatory guidance to the parents of a school-age child.What information is appropriate for the nurse to include for school-age children? (Select all that apply.)

A toddler has been adopted from a foreign country and has the nursing diagnosis of delayed growth and development related to poor nutrition.Which activities should the nurse include in the plan of care to assist the child to meet outcomes? (Select all that apply.)

A nurse is teaching parents about appropriate discipline for their toddler.Which information is appropriate for the nurse to include in the session? (Select all that apply.)

The nurse is preparing to educate the parents of an 8-year-old child about normal growth and development.Which information should the nurse include? (Select all that apply.)

A school nurse is working with high school students.The nurse wants to influence these teenagers to make healthy decisions.Which actions are most appropriate by the school nurse to influence health decisions? (Select all that apply.)