A young child on the pediatric unit cannot express himself well. What therapeutic intervention might the nurse implement that allows children to act out their feelings?
- A. Art therapy
- B. Play therapy
- C. Music therapy
- D. Bibliotherapy
Correct Answer: B
Rationale: Play therapy allows a young child to act out with dolls or figures concerns that the child may be unable to adequately express verbally.
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A parent asks the nurse to describe what is meant by a 'learning disability.' Which is the nurse's most helpful response?
- A. A child may have difficulty with perception, language, comprehension, or memory.'
- B. It is characterized by inattention, impulsiveness, and hyperactivity.'
- C. The child's intellectual ability limits his learning.'
- D. The child has difficulty learning because of brain damage.'
Correct Answer: A
Rationale: Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence but may experience difficulties in perception, language, comprehension, and conceptualization.
A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
- A. He gives up the band to spend time with his girlfriend.
- B. He spends all of his time at the library studying to qualify for the honor society.
- C. He gives his guitar away and spends his time listening to music in his room.
- D. He withdraws all of his money out of the bank to buy an expensive leather jacket.
Correct Answer: C
Rationale: A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.
What is an appropriate nursing intervention for a hospitalized child who is autistic?
- A. Place the child in a location where she can watch all of the activity on the unit.
- B. Use the child's chronological age as a guide for communication.
- C. Keep the child's room free of toys or objects that she might want to take home with her.
- D. Organize care to provide as few disruptions to the routine as possible.
Correct Answer: D
Rationale: During hospitalization, the nurse should provide a highly structured environment with few disruptions for a child who is autistic.
How would the nurse identify a member of the child guidance team who is a medical doctor with special training in psychoanalytic theory?
- A. Psychiatrist
- B. Psychoanalyst
- C. Psychologist
- D. Counselor
Correct Answer: A
Rationale: The psychiatrist is a medical doctor with special training in psychoanalytic theory.
What would be the appropriate response to an adolescent who states, 'This has been the worst day of my life?'
- A. You should focus your mind on positive thoughts.'
- B. Everybody has a bad day now and then.'
- C. You're young. What could be so terrible?'
- D. Tell me about the worst day of your life.'
Correct Answer: D
Rationale: The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention.
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