Nokea
The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother complains that the children are constantly fighting and have intense sibling rivalry. When statement would be most appropriate when advising the parents about how to respond to the sibling rivalry?
- A. Try reacting to each as unique individuals with talents and interests distinctly their own.
- B. Be firm about telling the children they have to cooperate with one another.
- C. Slowly decrease the amount of attention and control shown to the older child.
- D. Make sure they have a quiet, subdued home environment to avoid stimulating conflict.
Correct Answer: A
Rationale: Treating children as unique individuals with distinct talents reduces sibling rivalry by fostering individual identity and reducing competition. Forcing cooperation, reducing attention to one child, or enforcing a quiet environment may not address the root cause and could escalate tension.
You may also like to solve these questions
The nurse is working with a child who has engaged in bullying. Which of the following would be most effective for the nurse to implement?
- A. Psychoeducation
- B. Bibliotherapy
- C. Early intervention program
- D. Social skills training
Correct Answer: D
Rationale: Social skills training is most effective for addressing bullying, as it teaches empathy, communication, and conflict resolution, targeting the root behaviors. Psychoeducation provides knowledge, bibliotherapy uses reading, and early intervention is broader, not specific to bullying.
While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, 'That will never happen to me.' The nurse interprets this as which of the following?
- A. Invincibility fable
- B. Formal operations
- C. Egocentric thinking
- D. Relational aggression
Correct Answer: A
Rationale: The statement reflects the invincibility fable, a common adolescent belief that they are immune to negative consequences. Formal operations refer to cognitive development, egocentric thinking is self-focused but not specific to risk, and relational aggression involves social harm, not denial of risk.
The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response?
- A. Talk about scary, morbid novels all the time.
- B. Complain of aches and pains, stomachaches, that sort of thing.
- C. Suddenly become afraid of leaving home to go to school.
- D. Become obsessed with religious rituals, Bible verses, and prayer.
Correct Answer: B
Rationale: Children aged 10 often express grief somatically, such as through aches or stomachaches, as a way to process loss. Talking about morbid novels, fear of leaving home, or religious obsession are less typical grief responses and may indicate other issues.
A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching?
- A. We will try to alter their routines so they don?t think about the past.
- B. We will make sure that they understand that they did not cause the divorce.
- C. We will develop a regular and consistent schedule for visitation.
- D. We will make sure that we are consistent in the limit that we set.
Correct Answer: A
Rationale: Altering routines to avoid the past may disrupt stability and hinder processing the divorce, indicating a need for further teaching. Ensuring children don?t feel responsible, consistent visitation, and consistent limits are appropriate strategies to reduce emotional problems.
A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following?
- A. Children grieve in similar ways regardless of their age.
- B. Children often use fantasy to fill in their gaps in understanding.
- C. Families tend to grieve at similar times after the loss.
- D. Children and adults grieve much in the same manner.
Correct Answer: B
Rationale: Children often use fantasy to process grief, filling gaps in their understanding due to developmental limitations, indicating successful teaching. Grief varies by age, families may grieve at different times, and children?s grief differs from adults? due to cognitive differences.