What is the most appropriate recommendation for eliminating the 2-year-old's tantrums?
- A. Give the child candy before entering the store.
- B. Ask the child to stop kicking and screaming.
- C. Explain to the child that this behavior is childish.
- D. Remind the child of how a big person acts.
Correct Answer: B
Rationale: Calmly addressing the behavior sets boundaries without reinforcing it.
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Which outcome would the nurse expect providing honest explanations, including discussion about unpleasant experiences, to produce in a seriously ill school-age child?
- A. Confidence in caregivers
- B. Less anxiety about treatments
- C. Willingness to talk about feelings
- D. None of the above
Correct Answer: A
Rationale: Honesty builds trust and confidence in caregivers.
When planning care for an autistic child, which nursing intervention is most appropriate?
- A. Providing interactive play activities
- B. Applying soft restraints while in bed
- C. Using a consistent caregiver
- D. Rocking the child as a calming technique
Correct Answer: C
Rationale: Consistency reduces anxiety in autistic children.
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.
When the client calls the nurse to report the following physical changes, which symptom is considered a serious side effect of clozapine that needs to be reported immediately to the prescribing physician?
- A. Frequent diarrhea
- B. Severe sore throat
- C. Gradual weight loss
- D. Ringing of the ears
Correct Answer: B
Rationale: Severe sore throat may indicate agranulocytosis, a life-threatening side effect of clozapine.
When the parents ask about the side effects of taking methylphenidate hydrochloride (Ritalin), the nurse correctly explains that the child may have which common cluster of signs and symptoms?
- A. Nausea, vomiting, and diarrhea
- B. Fatigue, drowsiness, and dry mouth
- C. Insomnia, tachycardia, and anorexia
- D. Hypotension, bradycardia, and constipation
Correct Answer: C
Rationale: Insomnia, tachycardia, and anorexia are common side effects of Ritalin.
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