Nokea
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.
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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.
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.
The nurse is planning a counseling session with a group of at-risk adolescents on the topic of drug abuse. Which teaching strategy would be most effective?
- A. Handing out educational pamphlets and showing slides of car accidents related to teen drug use.
- B. Showing informational videotapes and providing Internet addresses on the topic of drug addiction.
- C. Giving information by lecturing and using pre- and posttest quizzing about the information.
- D. Involving peers in teaching the effective group problem-solving skills.
Correct Answer: D
Rationale: Peer-led teaching is highly effective for adolescents, as they are more likely to engage with and trust peers. Involving peers in teaching problem-solving skills fosters relatability and active participation, unlike passive methods like pamphlets, videos, or lectures.
A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family?s home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
- A. Make immunization appointments for the children in a nearby town?s public health clinic.
- B. Help the family find funding and manpower to patch and repair the roof of their home.
- C. Determine the educational readiness of the two children.
- D. Report the family for child abuse because of neglect.
Correct Answer: B
Rationale: Repairing the roof is the highest priority to ensure a safe, habitable environment, protecting the children from health risks due to exposure. Immunizations are important but less urgent, educational readiness is secondary, and reporting neglect is premature without assessing intent or resources.