A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

Have a parent stay with the child during procedures.

Allow the child to keep a toy from home with her.

Cluster invasive procedures whenever possible.

Perform the procedure as quickly as possible.

Use mummy restraints during painful procedures

Answer and Explanation

Correct Answer : A,B,C,D

Allowing a parent to be present provides comfort and reassurance to the child. The familiar presence of a parent can help reduce anxiety and fear.

Allowing the child to have a familiar toy from home can provide a sense of security and distraction during procedures. It can help redirect the child's attention and provide a comforting element.

If there are multiple invasive procedures that need to be done, it is best to schedule them close together rather than spreading them out over a longer period. Clustering procedures reduces the number of times the child needs to go through the distressing experience and minimizes the overall stress and anxiety.

Minimizing the duration of the procedure helps reduce the child's discomfort and anxiety. Swift and efficient execution of the procedure can help make it less distressing for the child.

Using mummy restraints during painful procedures is not a recommended strategy.

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Correct Answer is C

Explanation

Hospitalization can be a challenging and unfamiliar experience for children, especially when they are separated from their family and siblings. Providing clear information about visitation policies and explaining the reasons for restrictions can help the child understand and cope better with the situation.

While orienting her parents and explaining hospital schedules can be beneficial, the focus should be on directly addressing the needs and concerns of the child to support her adjustment. Using caring and comforting language is important, but it should be combined with age-appropriate explanations and addressing specific concerns related to the child's situation.

A. Participates in imaginary play B. Builds a section of cards C. Controls impulsive feelings

Correct Answer is A

Explanation

Preschoolers, typically between the ages of 3 and 5 years, engage in imaginative and pretend play. They often create scenarios, role-play, and use their imagination to create fictional situations and characters. This type of play is important for their cognitive, social, and emotional development.

Building a section of cards and controlling impulsive feelings are not specific developmental tasks typically associated with preschoolers. While building with blocks or other construction toys can enhance fine motor skills and problem-solving abilities, building a section of cards is not a common developmental milestone. Controlling impulsive feelings is an ongoing process that develops over time and requires guidance and support from parents and caregivers, but it is not solely expected of preschoolers.

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A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

An 8-year-old girl is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. What intervention will help her most in her adjustment to the hospital?

Correct Answer is C

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is A

Explanation

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