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Parents of a preschool child ask the nurse, "Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?
- A. It is best to delay the punishment if a rule is broken.
- B. The child is too young for rules. At this age, unrestricted freedom is best.
- C. It is best to set the rules and reason with the child when the rules are broken.
- D. Set clear and reasonable rules and expect the same behavior regardless of the circumstances.
Correct Answer: D
Rationale: Clear and reasonable rules provide structure and help children understand expectations, promoting consistent behavior and discipline.
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The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)
- A. Reassessments
- B. Nursing care provided
- C. Initial assessments
- D. All of the above
Correct Answer: D
Rationale: Proper documentation includes reassessments, initial assessments, care provided, and the patient's response, but incident reports are typically documented separately.
The nurse is reviewing the importance of role learning for children. The nurse understands that children's roles are primarily shaped by which members?
- A. Peers
- B. Parents
- C. Siblings
- D. Grandparents
Correct Answer: B
Rationale: Parents play the primary role in shaping their children's roles and behaviors, especially in early childhood, through modeling, guidance, and expectations.
An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral value is the nurse displaying when supporting the adolescent to make decisions?
- A. Justice
- B. Autonomy
- C. Beneficence
- D. Nonmaleficence
Correct Answer: B
Rationale: Supporting an adolescent in making decisions about their care reflects the moral value of autonomy, emphasizing the importance of respecting the patient's right to make informed choices.
Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)
- A. All below
- B. Considering alternative actions
- C. Using formal and informal thinking to gather data
- D. Giving deliberate thought to a patient's problem
Correct Answer: A
Rationale: Clinical reasoning involves deliberate and thoughtful decision-making, considering alternatives, and using both formal and informal data gathering methods to provide optimum care.
The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?
- A. Child abuse
- B. Cultural practice to rid the body of disease
- C. Cultural practice to treat enuresis or temper tantrums
- D. Child discipline measure common in the Vietnamese culture
Correct Answer: B
Rationale: This practice, known as "coining," is a cultural method believed to rid the body of illness and is not indicative of child abuse.