Nokea
Which of the following nursing interventions is most appropriate to include when preparing a care plan for the child in the educational setting?
- A. Work with the teacher to establish clear behavioral expectations for the classroom.
- B. Place a chair in the corner of the room as a potential consequence for poor behavior.
- C. Allow the child to move about the room as desired provided the behavior is not disruptive.
- D. Plan separate learning experiences with more creative assignments and activities.
Correct Answer: A
Rationale: Clear expectations provide structure, beneficial for ADHD management.
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When the client calls the nurse to report the following physical changes, which symptom is considered a serious side effect of clozapine that needs to be reported immediately to the prescribing physician?
- A. Frequent diarrhea
- B. Severe sore throat
- C. Gradual weight loss
- D. Ringing of the ears
Correct Answer: B
Rationale: Severe sore throat may indicate agranulocytosis, a life-threatening side effect of clozapine.
Which outcome would the nurse expect providing honest explanations, including discussion about unpleasant experiences, to produce in a seriously ill school-age child?
- A. Confidence in caregivers
- B. Less anxiety about treatments
- C. Willingness to talk about feelings
- D. None of the above
Correct Answer: A
Rationale: Honesty builds trust and confidence in caregivers.
Which information is most important to communicate each time the adolescent attends a group meeting?
- A. The date and time of the next meeting
- B. The qualifications of the participating therapists
- C. That everyone should use this support resource
- D. That client information is kept confidential
Correct Answer: D
Rationale: Confidentiality encourages trust and participation in therapy.
When crisis intervention is provided, which nursing action takes priority?
- A. Explaining the benefits of professional counseling
- B. Encouraging the survivors to talk about the event
- C. Reassuring the survivors that they will adapt
- D. Advising consulting a physician for drug therapy
Correct Answer: B
Rationale: Talking about the event helps process trauma and is a priority in crisis intervention.
Which is the most appropriate community resource for the nurse to recommend for respite services?
- A. The Office of Family Assistance
- B. The American Association on Mental Retardation
- C. A local children's day-care facility
- D. A home health care agency
Correct Answer: D
Rationale: Home health agencies provide specialized respite care for complex needs.