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What advice is most appropriate to give the parents at this time?
- A. Tell the parents to disregard their son's behavior; it is normal grieving.
- B. Advise the parents to tell their son to snap out of it; his life is not over.
- C. Suggest transferring their son to another school.
- D. Advise the parents to ask their son about having thoughts of suicide.
Correct Answer: D
Rationale: Directly addressing suicidal thoughts is critical for safety.
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Which additional nursing action is most beneficial for reducing the child's anxiety?
- A. Offer the child a reward for good behavior.
- B. Let the child handle some of the equipment.
- C. Show the child others who have infusing fluids.
- D. None of the above
Correct Answer: B
Rationale: Handling equipment familiarizes the child with the procedure, reducing fear.
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 of the following information documented by the nurse provides the most evidence that the mother is bonding with her newborn with Down syndrome?
- A. The mother smiles and talks to the baby.
- B. The mother asks questions about infant care.
- C. The mother wants to see visitors who come.
- D. The mother feeds and burps the baby.
Correct Answer: A
Rationale: Smiling and talking to the baby indicate emotional engagement and attachment, key signs of bonding.
Which suggestion is most appropriate for the nurse to offer the parents in this situation?
- A. Avoid controlling the child.
- B. Praise accomplishments as deserved.
- C. Avoid discussing peer comments.
- D. Show disapproval of negative labels.
Correct Answer: B
Rationale: Praising accomplishments boosts self-esteem and counters ridicule.
Which of the following behaviors exhibited by the child demonstrates the most severe reaction to prolonged hospitalization?
- A. Clinging to the parents
- B. Shaking the crib frantically
- C. Thrashing about
- D. Ignoring the parents
Correct Answer: D
Rationale: Ignoring parents indicates severe emotional withdrawal, a significant concern.