Nursing Care of Children Final ATI

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An anxious 12-year-old child receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, 'Is it hard to give someone an injection?' This child's question is evidence that the child has developed which cognitive skill?

  • A. Conservation
  • B. Accommodation
  • C. Decentering
  • D. Class inclusion
Correct Answer: C

Rationale: The correct answer is C: Decentering. Decentering is the ability to consider multiple aspects of a situation, which the child's question demonstrates. In this scenario, the child's question shows that she is thinking beyond her own experience and considering the difficulty or complexity of giving an injection from the nurse's perspective. Choices A, B, and D are incorrect. Conservation refers to understanding that certain properties of an object remain the same despite changes in its appearance. Accommodation is the process of adjusting existing knowledge or creating new mental categories to incorporate new information. Class inclusion involves understanding the relationship between a whole set and its subsets, which is not demonstrated in the child's question.

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As the primary caregiver for a 5-month-old baby, according to Maslow's hierarchy of basic needs, which intervention takes the highest priority?

  • A. Feeding every four hours
  • B. Protection from harm
  • C. Providing stimulation
  • D. Providing love
Correct Answer: A

Rationale: The correct answer is A: Feeding every four hours. According to Maslow's hierarchy of needs, physiological needs, such as food, water, and warmth, take the highest priority. Ensuring that the baby is fed regularly is crucial for survival and overall health. Choice B, protection from harm, relates more to safety needs which come after physiological needs. Choice C, providing stimulation, is associated with higher-level needs like belongingness and esteem. Choice D, providing love, corresponds to esteem and self-actualization needs, which are higher in the hierarchy than physiological needs.

Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?

  • A. Family-centered care reduces the effect of cultural diversity on the family
  • B. Family-centered care encourages family dependence on the health care system
  • C. Family-centered care recognizes that the family is the constant in a child's life
  • D. Family-centered care avoids expecting families to be part of the decision-making process
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

You are developing a plan of care for a hospitalized child. Which age group is most likely to view illness as a punishment for misdeeds?

  • A. Adolescence
  • B. Preschool age
  • C. Infancy
  • D. School age
Correct Answer: B

Rationale: Preschool-aged children often engage in magical thinking, where they may believe that illness is a punishment for misdeeds. This belief is related to their cognitive development stage, where they may attribute cause and effect in a magical or unrealistic way. Adolescents are more likely to view illness as a disruption to their sense of independence or control. Infants lack the cognitive development to associate illness with punishment for misdeeds. School-aged children typically have a more concrete understanding of illness and its causes, moving away from magical thinking.

How is family systems theory best described?

  • A. The family is viewed as the sum of individual members
  • B. A change in one family member cannot create a change in other members
  • C. Individual family members are readily identified as the source of a problem
  • D. When the family system is disrupted, change can occur at any point in the system
Correct Answer: D

Rationale: Family systems theory views the family as a whole, where changes in one member affect the entire system, and changes can occur at any point within the system.

The nurse is using a bulb syringe to suction a neonate after delivery. What is an important consideration?

  • A. Compress the bulb before insertion.
  • B. Clear the mouth and pharynx before the nasal passages.
  • C. Use two bulb syringes, one for the mouth and pharynx and one for the nasal passages.
  • D. Continue using a bulb syringe until secretions are removed as mechanical suction is contraindicated.
Correct Answer: B

Rationale: The correct consideration when using a bulb syringe to suction a neonate after delivery is to clear the mouth and pharynx before the nasal passages to prevent aspiration of amniotic fluid. Compressing the bulb syringe before insertion is important to create suction. Using two bulb syringes is unnecessary, as one is sufficient for both the mouth/pharynx and nasal passages. It is not recommended to continue using a bulb syringe until all secretions are removed; instead, mechanical suction can be employed if more forceful removal of secretions is required.

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