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If the admitting nurse documents all of the following parental behaviors, which behavior is most likely to suppress this child's ability to reach the maximum potential for development?
- A. The parent dresses and undresses the teen.
- B. The parent answers all the medical questions.
- C. The parent exaggerates the teen's abilities.
- D. The parent assumes blame for the teen's condition.
Correct Answer: A
Rationale: Over-involvement like dressing the teen hinders independence.
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To help the parents cope with their disappointment and loss of their 'perfect' baby, which nursing action is most appropriate initially?
- A. Encourage the parents to verbalize their feelings.
- B. Treat the child as a normal newborn.
- C. Refer the couple to community resources for assistance.
- D. Encourage the parents to consider long-term institutional placement.
Correct Answer: A
Rationale: Encouraging verbalization allows parents to express grief and begin processing their emotions, which is critical initially for coping with the diagnosis.
When caring for a newborn experiencing opioid withdrawal, the nurse frequently puts the baby in the crib when crying.
- A. Reduce environmental stimuli.
- B. Touch the newborn frequently.
- C. Stroke the newborn's skin gently.
- D. Leave the newborn unwrapped.
Correct Answer: A
Rationale: Reducing stimuli helps calm the newborn and manage withdrawal symptoms.
When the parents ask about the side effects of taking methylphenidate hydrochloride (Ritalin), the nurse correctly explains that the child may have which common cluster of signs and symptoms?
- A. Nausea, vomiting, and diarrhea
- B. Fatigue, drowsiness, and dry mouth
- C. Insomnia, tachycardia, and anorexia
- D. Hypotension, bradycardia, and constipation
Correct Answer: C
Rationale: Insomnia, tachycardia, and anorexia are common side effects of Ritalin.
Which advice given to the preschooler's mother is most appropriate for relieving the 4-year-old child's anxiety?
- A. Give your child some new toys.
- B. Let your child stay up later at night.
- C. Invite the child's grandparents to visit.
- D. Spend more time alone with your child.
Correct Answer: D
Rationale: Quality time with the parent enhances the child's sense of security.
Which suggestion is likely to be most beneficial to the mother?
- A. Give the child simple responsibilities to perform.
- B. Teach the child to print first and last names.
- C. Buy a set of mathematic flash cards that teach addition.
- D. Have the child watch children's daytime television programs.
Correct Answer: A
Rationale: Responsibilities foster independence and readiness for kindergarten.