Nokea
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?
- A. Death is personified as the bogeyman or devil
- B. Death is perceived as being irreversible
- C. The child feels guilty for the grandmother's death
- D. The child is worried that he, too, might die
Correct Answer: A
Rationale: Death is personified as the bogeyman or devil. Personification of death is typical of this developmental level.
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A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
- A. Expressing feelings of low self-worth
- B. Discussing remorse and guilt for actions
- C. Displaying dependence on others
- D. Expressing anger toward others
Correct Answer: A
Rationale: Clients with severe depression and suicidal ideation often struggle to express feelings of low self-worth , which contributes to their emotional withdrawal. Discussing remorse or dependence may be present but is less central. Expressing anger is more typical in other conditions like bipolar disorder.
The nurse is reinforcing teaching to parents about childhood nutrition and feeding practices. The nurse recognizes that which snack is best for a toddler?
- A. 1/2 cup orange juice
- B. Dry, sweetened cereal
- C. Raw carrot sticks
- D. Slice of cheese
Correct Answer: D
Rationale: A slice of cheese (D) is a nutrient-dense, easy-to-chew snack suitable for a toddler, providing protein and calcium. Orange juice (A) is high in sugar, sweetened cereal (B) lacks nutritional value, and raw carrot sticks (C) pose a choking hazard.
The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?
- A. I will allow my baby to sleep with a pacifier.
- B. I will dress my baby in a sleeping sack to prevent my baby from getting cold.
- C. I will make sure there is a firm mattress in the crib.
- D. I will only place one teddy bear in the crib to comfort my baby
Correct Answer: D
Rationale: Placing a teddy bear in the crib (D) increases suffocation risk, requiring further teaching. Pacifiers (A), sleep sacks (B), and firm mattresses (C) are safe.
An adult is prescribed sulfisoxazole (Gantrisin) for a urinary tract infection. Which comment by the client indicates understanding of the treatment regimen?
- A. When I feel better, I can stop taking the medicine.
- B. I will stay out of the sun when I am taking this drug.
- C. I should restrict fluids during the evening as long as I am on the medicine.
- D. I will bring in a urine specimen every day while I am taking the drug.
Correct Answer: B
Rationale: Sulfisoxazole causes photosensitivity; avoiding sun exposure is critical to prevent skin reactions, indicating understanding.
A charge nurse working in a long term care facility is making out assignments. Which assignment made by a registered nurse to an unlicensed assistive personnel (UAP) requires intervention by the supervisor?
- A. Provide decubitus ulcer care and apply a dry dressing
- B. Bathe and feed a client on bed rest
- C. Oral suctioning of an unresponsive elderly client
- D. Teaching a family intermittent (bolus) feedings via G-tube before discharge
Correct Answer: D
Rationale: Teaching a family intermittent (bolus) feedings via G-tube before discharge. Initial teaching cannot be delegated to a UAP or a PN and must be done by RNs.