Nokea
When discussing the home environment with the parents, the nurse should explain that which one of the following is the most appropriate environment for an autistic child?
- A. Stimulating, with a variety of sensory experiences
- B. Consistent, with a minimum of physical change
- C. Flexible, with the freedom to initiate activity
- D. Strict, with narrow limits for acceptable behavior
Correct Answer: B
Rationale: Consistency minimizes anxiety and supports routine.
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If the unprescribed drug is an anabolic steroid, which other physical effect is common?
- A. Decreased lung capacity
- B. Bronzed skin
- C. Occurrence of or worsened acne
- D. Brittle nails
Correct Answer: C
Rationale: Acne is a common side effect of anabolic steroids.
Of the following suggestions, which one would best prevent nursing personnel from becoming injured when providing the adolescent with care?
- A. Apply soft wrist restraints before ambulating the client.
- B. Ask a parent to care for the client.
- C. Explain steps involved in care before touching the client.
- D. Medicate the client immediately before ambulation.
Correct Answer: C
Rationale: Explaining steps reduces fear and potential for aggressive reactions.
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.
Which statement is the best explanation for the adolescent's behavior?
- A. Aggression is a common behavior manifested by cognitively disabled people.
- B. Aggression is a response that occurs when a person feels frustrated or frightened.
- C. Aggression is an indication that the client has a poor opinion of the care provided.
- D. Aggression is a common way for adolescents to communicate they are experiencing pain.
Correct Answer: B
Rationale: Frustration or fear often triggers aggression in cognitively disabled individuals.
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.