Nokea
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
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The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
- A. Although the actual reports are not shared, I can tell you the blood sugar is 200 mg.
- B. I'll write them down for you and bring them to your room.
- C. Come to the conference room where we can have privacy while you look at them.
- D. I'll notify the health care provider that you wish to see the reports.
Correct Answer: C
Rationale: With a family-centered care approach, hospitals welcome parents, and parents have access to information 24 hours a day.
What was one of the major strides in pediatric care made by Dr. Abraham Jacobi?
- A. Pediatric wards in hospitals
- B. Free inoculations against smallpox
- C. Milk stations in the city of New York
- D. Serving nutritious foods in orphanages
Correct Answer: C
Rationale: Dr. Abraham Jacobi, referred to as the father of pediatrics, initiated the establishment of milk stations in New York demonstrating how to sanitize milk for children.
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
- A. Child abandonment
- B. Child mismanagement
- C. Child maltreatment
- D. Child torment
Correct Answer: C
Rationale: Child maltreatment is a broad term used to describe neglect and abuse of children.
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of years.
Correct Answer: 6 or six
Rationale: A child's refraction does not reach 20/20 until about the age of 6.
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
- A. Very dependent children
- B. Children requiring special education
- C. Children with special needs
- D. Children requiring long-term care
Correct Answer: C
Rationale: The definition of children with special needs includes congenital abnormalities, malignancies, GI diseases, and CNS anomalies.