A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
You sound overwhelmed. Let’s talk about this some more.
I agree. His well-being is the most important.
Tell me more about how you are feeling about your son’s activities.
You might want to use tutors to home-school him.
The Correct Answer is C
Choice A reason: You sound overwhelmed. Let’s talk about this some more. This response acknowledges the mother’s feelings and opens the door for further discussion. However, it does not directly address her specific concerns about physical activities. While it is empathetic, it lacks the focus needed to explore her worries about her son’s participation in school activities.
Choice B reason: I agree. His well-being is the most important. This response validates the mother’s concern but may inadvertently reinforce her fears without providing a balanced perspective. It does not encourage a discussion about the benefits of physical activity for children with diabetes or how to manage his condition safely during such activities.
Choice C reason: Tell me more about how you are feeling about your son’s activities. This response is the most appropriate as it invites the mother to express her specific concerns and feelings. It shows empathy and a willingness to understand her perspective, which can lead to a more productive conversation about managing her son’s diabetes while allowing him to participate in physical activities.
Choice D reason: You might want to use tutors to home-school him. This response suggests an alternative that may not be necessary or beneficial. Home-schooling might isolate the child and prevent him from enjoying social interactions and physical activities that are important for his overall development. It does not address the mother’s concerns directly and may not be the best solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason:
The statement “Long attention span” is generally not associated with autism spectrum disorder (ASD). Children with ASD often have difficulty maintaining attention on tasks or activities, especially those that do not interest them. They may exhibit hyperfocus on specific interests but typically struggle with sustained attention in other areas.
Choice B reason:
The statement “Delayed language development” is a common characteristic of ASD. Many children with autism experience delays in speech and language skills. They may have difficulty with verbal communication, understanding language, and using language in social contexts. This delay can vary widely among individuals with ASD.
Choice C reason:
The statement “Speaking with direct eye contact” is not typically associated with ASD. Children with autism often avoid direct eye contact and may find it uncomfortable or overwhelming. They might look away or use peripheral vision instead of making direct eye contact during conversations.
Choice D reason:
The statement “Repetitive behavior” is a hallmark of ASD. Children with autism often engage in repetitive behaviors, such as hand-flapping, rocking, or repeating certain actions or phrases. These behaviors can be a way to self-soothe or cope with sensory overload.
Choice E reason:
The statement “Playing with toys repetitively” is also characteristic of ASD. Children with autism may play with toys in a repetitive manner, such as lining them up, spinning them, or focusing on specific parts of the toy rather than using them in imaginative play. This repetitive play is part of the broader pattern of repetitive behaviors seen in ASD.
Correct Answer is C
Explanation
Choice A reason:
Oxygen saturation of 95% is within the normal range (typically 95-100%) and indicates adequate oxygenation. However, it does not specifically indicate that the lung has re-expanded. Oxygen saturation can be influenced by various factors, including supplemental oxygen and overall respiratory function.
Choice B reason:
Occasional bubbling in the water seal chamber can indicate air leakage from the pleural space, which suggests that the lung has not fully re-expanded. Continuous or intermittent bubbling usually signifies that air is still escaping from the lung into the pleural space.
Choice C reason:
No fluctuations in the water seal chamber, also known as “tidaling,” is a key indicator that the lung has re-expanded. When the lung is fully expanded, the pleural space is eliminated, and there is no longer a pressure difference to cause fluctuations in the water seal chamber. This finding suggests that the lung is now in contact with the chest wall and functioning normally.
Choice D reason:
No reports of pleuritic chest pain can indicate that the client is experiencing less discomfort, but it is not a definitive sign that the lung has re-expanded. Pain levels can vary based on individual pain tolerance and the effectiveness of pain management strategies.
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