Nokea
A toddler with a chronic illness that requires frequent hospitalization is likely to experience which psychosocial developmental challenge?
- A. Fixation with feelings of inadequacy
- B. Interference with the development of autonomy
- C. Distortion of differentiation of self from parent
- D. Delayed language, fine-motor, and self-care skills
Correct Answer: B
Rationale: Toddlers with chronic illnesses requiring frequent hospitalization may experience interference with the development of autonomy. This is because the need for constant medical care can restrict their independence and ability to explore and make choices, which are essential aspects of achieving autonomy according to Erikson's stages of psychosocial development.
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- A. Decreased heart rate.
- B. Sunken fontanelle.
- C. Increased urine output.
- D. Dry mucous membranes.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?
- A. We should give our child acetaminophen when they have a fever.
- B. We should place our child in a cool bath during a seizure.
- C. We should call 911 if the seizure lasts longer than 5 minutes.
- D. We should try to keep our child's fever under control.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
- A. Bilateral bronchial breath sounds.
- B. Diaphragmatic respiration.
- C. A resting respiratory rate of 35 breaths per minute.
- D. Flaring of the nares.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 16-year-old adolescent with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse is teaching the adolescent about the importance of airway clearance techniques. Which statement by the adolescent indicates a need for further teaching?
- A. I should do my airway clearance exercises every day.
- B. I don't need to do my airway clearance exercises if I feel okay.
- C. Airway clearance helps prevent mucus buildup in my lungs.
- D. I should continue my airway clearance routine even when I'm not sick.
Correct Answer: B
Rationale: The correct answer is B. Airway clearance exercises are essential for individuals with cystic fibrosis to prevent mucus buildup in their lungs. It is crucial to perform these exercises regularly, even when feeling well, to maintain lung health and prevent complications. Therefore, the statement indicating that the exercises are not needed if feeling okay shows a misunderstanding and requires further teaching.
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- A. Most children are potty trained by this age, so you should be concerned
- B. Every child develops at their own pace. Let's discuss some strategies to help
- C. Your child may need to be evaluated for developmental delays
- D. It's best to force your child to use the potty to encourage training
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.