Nokea
Which is most therapeutic for the nurse to say privately to the parent in this situation?
- A. All children know how to frustrate parents.
- B. You need to stop pleading with your child to eat.
- C. You're concerned that your child is starving.
- D. I know how you're feeling; I'm a parent, too.
Correct Answer: C
Rationale: Acknowledging concern validates the parent's emotions and opens dialogue.
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During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.
Which nursing strategy is best to help the child overcome the fear of being in the unfamiliar hospital environment?
- A. Bringing a favorite blanket from home
- B. Providing age-specific toys such as a stuffed animal
- C. Having one or both parents nearby at all times
- D. Placing the child in a room with a same-aged child
Correct Answer: C
Rationale: Parental presence provides the most comfort and security for a young child.
If the adolescent benefits from therapy that focuses on growing up in an alcoholic household, the nurse is most likely to observe the adolescent developing an ability to do what?
- A. Keep promises
- B. Trust others
- C. Solve problems
- D. Honor commitments
Correct Answer: B
Rationale: Trust is a key area of growth for those from alcoholic households.
During the nursing assessment, which of the following suggests that the mother may be continuing to abuse heroin?
- A. The mother states, 'I am tired all the time and find myself needing to sleep when the baby sleeps.'
- B. The nurse notes a variety of small ecchymotic areas on the arms and legs of the mother.
- C. The mother appears indifferent to the crying of the newborn.
- D. The mother has a body odor and the newborn appears unkempt.
- E. The mother expresses an inability to afford public transportation to the clinic.
- F. The mother states that the father of the child is no longer associated with the family.
Correct Answer: B,C,D
Rationale: Ecchymotic areas suggest injection sites, indifference may indicate substance use, and poor hygiene is a common sign of ongoing abuse.
The nurse advises the parents of a child taking methylphenidate hydrochloride (Ritalin) that, to avoid potentiating the drug's effects, it is best if their child refrains from consuming which food?
- A. Citrus foods
- B. Cola beverages
- C. Processed meats
- D. Saturated fats
Correct Answer: B
Rationale: Caffeine in cola can enhance Ritalin's stimulant effects.