Nokea
A hospitalized schoolager states: 'I'm not afraid of this place, I'm not afraid of anything.' This statement is most likely an example of which of the following?
- A. Regression
- B. Repression
- C. Reaction formation
- D. Rationalization
Correct Answer: C
Rationale: Reaction formation is the schoolager's typical defensive response when hospitalized. In reaction formation, expression of unacceptable thoughts or behaviors is prevented (or overridden) by the exaggerated expression of opposite thoughts or types of behaviors.
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A child breaks out with the varicella infection (chickenpox) while hospitalized for a minor surgical procedure. Which interventions should the nurse implement? (Select one that does not apply.).
- A. Place a mask on the child before transporting the child outside the room.
- B. Immunize exposed family members with the varicella vaccine.
- C. Place the child in strict isolation to prevent an outbreak on the unit.
- D. Determine which staff have had varicella before making assignments.
Correct Answer: B
Rationale: Varicella is airborne; a mask during transport, strict isolation (negative pressure room), and staff immunity checks prevent spread. Vaccine is post-exposure prophylaxis but not immediate nursing action.
Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?
- A. A shorter urethra in females
- B. Frequent emptying of the bladder
- C. Increased fluid intake
- D. Ingestion of acidic juices
Correct Answer: A
Rationale: In females, the urethra is shorter than in males. This decreases the distance for organisms to travel, thereby increasing the chance of the child developing a urinary tract infection.
Mother Riza brings her normally developed 3-year old to the clinic for a check-up. The nurse would expect that the child would be at least skilled in...
- A. Riding a bicycle
- B. Tying shoelaces
- C. Stringing large beads
- D. Using blunt scissors
Correct Answer: C
Rationale: Stringing large beads is a fine motor skill expected of a 3-year-old.
The first White House Conference on Children and Youth was called by President __
- A. Theodore Roosevelt
- B. Franklin Roosevelt
- C. Woodrow Wilson
- D. Herbert Hoover
Correct Answer: A
Rationale: Theodore Roosevelt called the first White House Conference in 1909.
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
- A. Age
- B. Estrogen level
- C. Body temperature
- D. Level of feminine hygiene
Correct Answer: B
Rationale: Estrogen levels and the $\mathrm{pH}$ of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.