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.
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Which warning signs of suicide should the nurse include?
- A. Withdrawal
- B. Apathy
- C. Angry outbursts
- D. Lower standardized test scores in reading and math
- E. Delusions
- F. Incoherent speech
Correct Answer: A,B,C
Rationale: Withdrawal, apathy, and angry outbursts are common suicide warning signs.
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.
What is the best guidance the nurse can give the mental health technician caring for the anorectic client?
- A. Blend the food and administer it by tube feeding.
- B. Remind the client that the intake is being recorded.
- C. Review the treatment goals with the client again.
- D. Remove the food without making any comments.
Correct Answer: D
Rationale: Removing food without comment avoids power struggles and maintains neutrality.
If the adolescent is typical of others who have grown up in an alcoholic family, the nurse would expect to assess for problems in which area?
- A. Low self-esteem
- B. Managing stress
- C. Long-term learning
- D. Fear of authority
Correct Answer: A
Rationale: Low self-esteem is common in children of alcoholics due to unpredictable environments.
As the infant's growth continues, which physical characteristic of Down syndrome is the nurse correct in describing to the parents?
- A. Large head and curved index fingers
- B. Long fingers and protruding tongue
- C. Small head and upward-slanting eyes
- D. Simian creases on the soles of the feet
Correct Answer: C
Rationale: Down syndrome is characterized by a small head and upward-slanting eyes, among other features.
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