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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.
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When performing a brief check of the client's mental status, which question is most appropriate for assessing the client's orientation?
- A. What is today's date?
- B. How did you get here?
- C. Where were you born?
- D. Who is currently the U.S. president?
Correct Answer: A
Rationale: Asking the date assesses orientation to time, a key component.
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.
When reviewing the assessment data, the nurse would expect to note which characteristic physical finding?
- A. Extremely low body weight
- B. Erosion of dental enamel
- C. Cessation of menstruation
- D. Patchy loss of hair
Correct Answer: B
Rationale: Erosion of dental enamel is caused by frequent vomiting in bulimia.
When caring for a newborn experiencing opioid withdrawal, the nurse frequently puts the baby in the crib when crying.
- A. Reduce environmental stimuli.
- B. Touch the newborn frequently.
- C. Stroke the newborn's skin gently.
- D. Leave the newborn unwrapped.
Correct Answer: A
Rationale: Reducing stimuli helps calm the newborn and manage withdrawal symptoms.
The nurse correctly explains that this is normal behavior for toddlers who are developing which psychosocial characteristic?
- A. Integrity
- B. Identity
- C. Autonomy
- D. Generativity
Correct Answer: C
Rationale: The 'no' phase reflects toddlers asserting autonomy, per Erikson's stages.