Nokea
The nurse is interviewing the father of a 10-month-old girl. The child is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says no firmly and moves her away from the outlet. The nurse should use this opportunity to teach the father what?
- A. That the child should be given a time-out
- B. That the child is old enough to understand the word no
- C. That the child will learn safety issues better if she is spanked
- D. That the child should already know that electrical outlets are dangerous
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is planning an educational session for a group of 9-year-olds and their parents aimed at decreasing injuries and accidents among this age group. Which topics should be included in the educational session to accomplish the goal?
- A. Safety rules when dealing with fire to prevent burns.
- B. Safety rules when dealing with toxic substances to prevent poisonings.
- C. Pedestrian, motor vehicle, and bike safety rules.
- D. Safety information regarding the use of all-terrain vehicles (ATVs).
Correct Answer: C
Rationale: For school-aged children, pedestrian, motor vehicle, and bike safety are critical areas to focus on as accidents involving these are common in this age group. Education about fire safety and toxic substances is also important, but the priority is on preventing accidents in everyday activities. Therefore, choices A, B, and D are not the most relevant for addressing the goal of decreasing injuries and accidents in this age group.
The clinic nurse is reviewing the immunization guidelines for hepatitis B. Which are true of the guidelines for this vaccine?
- A. The hepatitis B vaccination series should be begun at birth
- B. All are applicable
- C. Any child not vaccinated at birth should receive two doses at least 4 months apart
- D. An unimmunized 10-year-old child should receive three doses administered 4 weeks apart
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In planning care for children, the nurse considers children's anxiety about hospitalization. Which measure should be included in the child's plan of care to help reduce anxiety?
- A. Therapeutic play
- B. Time-out
- C. Counseling
- D. Movies
Correct Answer: A
Rationale: Therapeutic play should be included in the child's plan of care to help reduce anxiety during hospitalization. It is an effective strategy that allows children to express their feelings, understand procedures, and reduce anxiety levels. Time-out (choice B) is not suitable for addressing anxiety related to hospitalization. Counseling (choice C) may be beneficial but is not as specifically tailored to reduce anxiety in the hospital setting as therapeutic play. Movies (choice D) may provide a temporary distraction but do not actively involve the child in addressing their emotions and fears associated with hospitalization.
The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?
- A. Fluids in addition to breast milk are not needed.
- B. Water should be given if the infant seems to nurse longer than usual.
- C. Clear juices are better than water to promote adequate fluid intake.
- D. Water once or twice a day will make up for losses resulting from environmental temperature.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
- A. Developmentally appropriate toys
- B. Nutritious snacks served to the children
- C. Handwashing by providers after diaper changes
- D. Certified caregivers for each of the age groups at the facility
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.