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Which response by the nurse provides the best explanation of the child's behavior?
- A. Thumb sucking is a primitive form of self-stimulation and security.
- B. Thumb sucking is a regressive behavior with a comforting effect.
- C. Thumb sucking substitutes for the missing fluids due to postoperative restriction of fluids.
- D. Thumb sucking satisfies the child's increased need for a familiar touch.
Correct Answer: B
Rationale: Thumb sucking is a regressive behavior triggered by stress, offering comfort.
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If this diagnosis is accurate, it is most important for the nurse to assess for which characteristic finding?
- A. The mother is obsessed with the fear that her child will die.
- B. The mother is well versed in normal health patterns among children.
- C. The mother is responsible for creating the child's symptoms.
- D. The mother is overreacting to minor variations in her child's health.
Correct Answer: C
Rationale: Munchausen syndrome by proxy involves a caregiver causing or fabricating symptoms.
Of the following community resources, which referral is the nurse most likely to suggest for this client?
- A. Alcoholics Anonymous
- B. Al-Anon
- C. Alateen
- D. The Substance Abuse Council
Correct Answer: C
Rationale: Alateen supports teens affected by a family member's alcoholism.
The nurse is most correct to support the parents as they move through the grieving process. Place the following stages of the grieving process in the chronologic order in which they will most likely occur.
- A. Depression
- B. Anger
- C. Denial
- D. Bargaining
- E. Acceptance
Correct Answer: C,B,D,A,E
Rationale: The Kubler-Ross model typically follows the order: Denial, Anger, Bargaining, Depression, Acceptance.
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.
When describing the characteristic developmental stage of school-age children, which statement by the nurse is most accurate?
- A. School-age children begin developing long-lasting friendships.
- B. School-age children are learning to work beside and with others.
- C. School-age children are preoccupied with finding a purpose in life.
- D. School-age children are striving for independence from others.
Correct Answer: B
Rationale: School-age children focus on industry, working collaboratively, per Erikson's stages.