Nokea
A nurse is collecting data about sleep patterns from the parent of a preschooler during a well-child visit. The parent states, 'My child has nightmares three to four times each week. I hope they grow out of this soon.' Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares?
- A. The child can describe what they were frightened of.
- B. The child usually goes back to sleep immediately.
- C. The child becomes fully awake and is in a panic.
- D. The child is easily comforted by the presence of the parent.
Correct Answer: B
Rationale: Sleep terrors involve partial arousal with no memory and quick return to sleep. Nightmares involve recall, prolonged waking, panic, and easier comforting.
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A nurse is reinforcing teaching with the parents of a preschooler who has recently started to stutter. Which of the following instructions should the nurse include?
- A. Critique your child's speech.
- B. Look away from your child when they start to stutter.
- C. Avoid completing your child's sentences.
- D. Tell your child to take a deep breath when they are stuttering.
Correct Answer: C
Rationale: Avoiding sentence completion reduces pressure and supports fluency. Critiquing, looking away, or suggesting deep breaths may increase anxiety and worsen stuttering.
A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
- A. I will administer pain medication on a schedule.
- B. I will limit visits from siblings who are under the age of 18.
- C. You should go home when your child needs to rest.
- D. You should allow your child to die at home.
Correct Answer: A
Rationale: Scheduled pain medication ensures comfort. Limiting sibling visits, dictating parental presence, or suggesting home death disregard family preferences and needs.
A nurse is reinforcing teaching with the parent of a child who has a bacterial upper respiratory infection. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will force my child to drink fluids when they have a fever.
- B. I will use a dehumidifier in my child's room.
- C. I will keep my child's towels separate from those of the rest of the family.
- D. I will make sure my child eats three meals a day, even though their appetite is not good right now.
Correct Answer: C
Rationale: Separating towels prevents infection spread. Forcing fluids, using a dehumidifier, or insisting on three meals are not specific or recommended for bacterial infections.
A nurse is reinforcing teaching about injury prevention with the parents of a toddler. Which of the following instructions should the nurse include in the teaching?
- A. Install window guards on windows.
- B. Place scatter rugs over hardwood floors.
- C. Keep doors locked.
- D. Supervise at playgrounds.
- E. Turn pot handles toward the front of the stove.
Correct Answer: A,C,D
Rationale: Window guards prevent falls, locked doors limit access to hazards, and supervision at playgrounds ensures safety. Scatter rugs increase tripping risks, and pot handles should face inward to prevent burns.
A nurse is reinforcing teaching with the parent of a child who is newly diagnosed with diabetes mellitus. Which of the following guidelines should the nurse include?
- A. Your child should increase carbohydrate intake when sick.
- B. You should omit your child's bedtime snack.
- C. Your child's meal plan should consist mainly of proteins.
- D. Your child's meal plan should include a snack before physical activity.
Correct Answer: D
Rationale: A snack before activity prevents hypoglycemia. Increased carbs when sick requires guidance, bedtime snacks prevent overnight lows, and meals should balance nutrients, not focus on proteins.