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Which strategy is most appropriate for developing a positive, therapeutic relationship with the injured child at the time of assessment?
- A. The nurse should make an effort to have prolonged eye contact with the child.
- B. The nurse should maintain a body position at the same level as the child.
- C. The nurse should separate the child from the parent during the interview.
- D. The nurse should ask the child direct questions about the parent.
Correct Answer: B
Rationale: A non-threatening posture at the child's level builds trust.
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What is the most appropriate recommendation for eliminating the 2-year-old's tantrums?
- A. Give the child candy before entering the store.
- B. Ask the child to stop kicking and screaming.
- C. Explain to the child that this behavior is childish.
- D. Remind the child of how a big person acts.
Correct Answer: B
Rationale: Calmly addressing the behavior sets boundaries without reinforcing it.
Besides involuntary tremors, which other side effect should the nurse advise the family to anticipate?
- A. Muscle weakness
- B. Muscle atrophy
- C. Muscle contractures
- D. None of the above
Correct Answer: A
Rationale: Haloperidol can cause extrapyramidal symptoms, including muscle weakness.
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 assessment finding best indicates that a child taking methylphenidate hydrochloride (Ritalin) is experiencing undesirable side effects?
- A. The child has altered elimination patterns.
- B. The child develops intolerance to certain foods.
- C. The child has an elevated blood pressure.
- D. The child has evidence of skin breakdown.
Correct Answer: C
Rationale: Elevated blood pressure is a concerning side effect of Ritalin.
If and when the autistic child actually makes an effort to self-feed, which of the following suggestions is most appropriate for the nurse to make?
- A. Note if the self-feeding effort is repeated.
- B. Stop feeding the child thereafter.
- C. Demonstrate approval in some way.
- D. Offer food more frequently during the day.
Correct Answer: C
Rationale: Positive reinforcement encourages repetition of desired behaviors.