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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.
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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.
The nurse is counseling a family with a child who has been abused by adult family friend in the past. When explaining about the child?s needs, which of the following would be most important for the nurse to stress?
- A. A supportive relationship with an adult
- B. Long-term psychotherapy
- C. Antidepressant medications
- D. Short-term separation from the parents
Correct Answer: A
Rationale: A supportive relationship with a trusted adult is critical for an abused child?s recovery, providing safety and emotional stability. Long-term psychotherapy or medications may be needed but are secondary, and separation from parents is not indicated unless they are the abusers.
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 group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents?
- A. View death as reversible
- B. Mourn by talking about the loss
- C. Need repeated explanations to understand the loss
- D. Express a time limit for socially acceptable grieving
Correct Answer: B
Rationale: Adolescents typically mourn by talking about the loss, as they have developed cognitive and social skills to express grief verbally. Viewing death as reversible or needing repeated explanations is characteristic of younger children, and time limits for grieving are not typical.
The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?
- A. Delusions
- B. Paranoid delusions
- C. Low self-concept
- D. Extroversion
Correct Answer: C
Rationale: Children of alcoholics often develop low self-concept due to unstable family dynamics, neglect, or emotional stress. Delusions or paranoid delusions are not typical without a psychotic disorder, and extroversion is a personality trait, not a symptom.