During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included
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A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
- A. Do not read to the child while sitting on the sofa in front of the fireplace.
- B. Do not cook on a gas grill until the child is a teenager.
- C. Do not leave cigarettes and matches on the kitchen counter.
- D. Do not cook with the child in the kitchen.
Correct Answer: C
Rationale: The most important recommendation is to avoid leaving cigarettes and matches accessible to children, as they like to imitate adults.
Which of the following scenarios best describes a nurse using metacommunication?
- A. Using both touch and silence when counseling an individual
- B. Practicing reflection when interacting with an individual
- C. Discussing with an individual how to solve a problem
- D. Understanding that an individual needs a break before proceeding
Correct Answer: D
Rationale: Metacommunication is about understanding the relationship and context of the message being communicated.
A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
- A. Put the child in time out whenever he skips a meal
- B. Offer him foods he likes such as cookies and chips
- C. Limit the child’s consumption of juices and cookies
- D. Talk to the child about how important it is to eat three meals a day
Correct Answer: C
Rationale: Toddlers often assert independence by refusing food, and empty calorie foods like juices and cookies should be limited to promote healthy eating habits.
Which represents a disadvantage of screening?
- A. Utilization of group screening methods
- B. Utilization of multiple test screening
- C. Utilization of a test with high specificity
- D. Utilization of a test with low sensitivity
Correct Answer: D
Rationale: Tests with low sensitivity produce false negatives, potentially leading to missed diagnoses and delays in treatment.
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
- A. Walk around the neighborhood
- B. Interview members of the community
- C. Obtain town morbidity and mortality rates
- D. Go to the town hall to obtain the number of parks in the community
Correct Answer: B
Rationale: The nurse should interview community members to understand their perceptions and confirm the hypothesis about sedentary lifestyles.