Nokea
A nurse is developing a plan of care for a family who is experiencing problems related to their child?s chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique?
- A. Psychoeducation
- B. Social skills training
- C. Bibliotherapy
- D. Assertiveness training
Correct Answer: C
Rationale: Using stories written by parents of chronically ill children is bibliotherapy, which promotes insight and coping through reading relevant materials. Psychoeducation involves direct teaching, social skills training targets interpersonal behaviors, and assertiveness training focuses on communication skills.
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A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family?s home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
- A. Make immunization appointments for the children in a nearby town?s public health clinic.
- B. Help the family find funding and manpower to patch and repair the roof of their home.
- C. Determine the educational readiness of the two children.
- D. Report the family for child abuse because of neglect.
Correct Answer: B
Rationale: Repairing the roof is the highest priority to ensure a safe, habitable environment, protecting the children from health risks due to exposure. Immunizations are important but less urgent, educational readiness is secondary, and reporting neglect is premature without assessing intent or resources.
A nurse is working with a child for which an out-of-home placement has occurred. Which of the following would the nurse anticipate as the child?s initial response?
- A. Despair
- B. Withdrawal
- C. Protest
- D. Detachment
Correct Answer: C
Rationale: Protest is the initial response in children experiencing out-of-home placement, often manifesting as anger or resistance due to separation. Withdrawal, despair, or detachment may follow later as part of the grief process, per Bowlby?s attachment theory.
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
- A. Invincibility fable
- B. Formal operations
- C. Egocentric thinking
- D. Relational aggression
Correct Answer: A
Rationale: The statement reflects the invincibility fable, a common adolescent belief that they are immune to negative consequences. Formal operations refer to cognitive development, egocentric thinking is self-focused but not specific to risk, and relational aggression involves social harm, not denial of risk.
A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?
- A. Your child may not be able to accept how the injury has changed your child?s appearance.
- B. Your child may seem unduly anxious in the presence of strangers.
- C. Your child may experience some guilt feelings associated with the accident.
- D. Your child will exhibit intermittent periodic mood swings, but these should be brief.
Correct Answer: B
Rationale: A 3-year-old is likely to exhibit stranger anxiety, especially in a stressful hospital setting, as they are developmentally prone to fear of unfamiliar people. Appearance concerns, guilt, or mood swings are more typical in older children with greater cognitive awareness.
The nurse is counseling a family with a child who has been abused by adult family friend in the past. When explaining about the child?s needs, which of the following would be most important for the nurse to stress?
- A. A supportive relationship with an adult
- B. Long-term psychotherapy
- C. Antidepressant medications
- D. Short-term separation from the parents
Correct Answer: A
Rationale: A supportive relationship with a trusted adult is critical for an abused child?s recovery, providing safety and emotional stability. Long-term psychotherapy or medications may be needed but are secondary, and separation from parents is not indicated unless they are the abusers.