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To help the parents cope with their disappointment and loss of their 'perfect' baby, which nursing action is most appropriate initially?
- A. Encourage the parents to verbalize their feelings.
- B. Treat the child as a normal newborn.
- C. Refer the couple to community resources for assistance.
- D. Encourage the parents to consider long-term institutional placement.
Correct Answer: A
Rationale: Encouraging verbalization allows parents to express grief and begin processing their emotions, which is critical initially for coping with the diagnosis.
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When crisis intervention is provided, which nursing action takes priority?
- A. Explaining the benefits of professional counseling
- B. Encouraging the survivors to talk about the event
- C. Reassuring the survivors that they will adapt
- D. Advising consulting a physician for drug therapy
Correct Answer: B
Rationale: Talking about the event helps process trauma and is a priority in crisis intervention.
Which nursing strategy is best to help the child overcome the fear of being in the unfamiliar hospital environment?
- A. Bringing a favorite blanket from home
- B. Providing age-specific toys such as a stuffed animal
- C. Having one or both parents nearby at all times
- D. Placing the child in a room with a same-aged child
Correct Answer: C
Rationale: Parental presence provides the most comfort and security for a young child.
Which suggestion is likely to be most beneficial to the mother?
- A. Give the child simple responsibilities to perform.
- B. Teach the child to print first and last names.
- C. Buy a set of mathematic flash cards that teach addition.
- D. Have the child watch children's daytime television programs.
Correct Answer: A
Rationale: Responsibilities foster independence and readiness for kindergarten.
If the teenage mother expresses feeling inexperienced and inadequate in caring for the baby, which referral is best?
- A. Project Head Start
- B. Planned Parenthood
- C. Parent-Teacher Association
- D. Parenting classes
Correct Answer: D
Rationale: Parenting classes provide education and support to build confidence and skills.
During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.