Nokea
To minimize this child's apprehension about the bone marrow puncture, which nursing strategy is most appropriate?
- A. Explain the procedure shortly before it is done.
- B. Give the information as soon as the test is scheduled.
- C. Postpone teaching about the procedure until specific questions are asked.
- D. Wait for the physician to explain the procedure to the child and parents.
Correct Answer: A
Rationale: Explaining shortly before reduces anxiety while ensuring understanding.
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Which nursing action is most appropriate in this situation?
- A. Asking the client why he or she is so suspicious
- B. Putting the chart away
- C. Handing the client the form to read
- D. Telling the client that it is illegal to read the client record
Correct Answer: B
Rationale: Putting the chart away maintains privacy without escalating suspicion.
Which advice given to the preschooler's mother is most appropriate for relieving the 4-year-old child's anxiety?
- A. Give your child some new toys.
- B. Let your child stay up later at night.
- C. Invite the child's grandparents to visit.
- D. Spend more time alone with your child.
Correct Answer: D
Rationale: Quality time with the parent enhances the child's sense of security.
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.
The nurse advises the parents to look for which change as evidence that methylphenidate hydrochloride (Ritalin) is achieving its desired effect?
- A. The child is less easily distracted.
- B. The child does not seem fatigued.
- C. The child's moods are more stable.
- D. None of the above
Correct Answer: A
Rationale: Reduced distractibility indicates improved focus, the primary goal of Ritalin.
Which nursing action best conveys an interest in this client and her situation?
- A. Making frequent eye contact with her
- B. Reviewing birth control clinic literature
- C. Writing down information the client provides
- D. Avoiding long pauses between questions
Correct Answer: C
Rationale: Writing down information shows attentiveness and validates the client's concerns.