A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?
Playing with an imaginary friend
Playing with a large plastic truck
Playing with dress-up clothes
Playing with a jump rope
The Correct Answer is B
A) Playing with an imaginary friend: While imaginative play does begin to develop in toddlers, having an imaginary friend is more typical in older preschool-aged children, around 3 to 4 years old. Therefore, this activity may not be expected in a 30-month-old child.
B) Playing with a large plastic truck: At 30 months old, children are typically engaged in parallel play and are interested in toys that promote gross motor skills and imaginative play. Playing with a large plastic truck is developmentally appropriate, as children at this age enjoy manipulating vehicles and may engage in simple pretend play related to driving or racing.
C) Playing with dress-up clothes: Although some children may enjoy dress-up, this activity tends to be more prominent in slightly older toddlers and preschoolers. A 30-month-old may show interest in dressing up but may not engage in it as frequently or with as much understanding of role play as older children.
D) Playing with a jump rope: Jump rope activities require a level of coordination and motor skills that are typically beyond what a 30-month-old child can achieve. At this age, children are still developing basic motor skills and would not yet be proficient in using a jump rope effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Administer 0.9% sodium chloride IV: While fluid replacement is important in managing a thyroid storm, it is not the immediate priority compared to monitoring critical symptoms.
B) Provide a cooling blanket: Hyperthermia is a concern in a thyroid storm, and cooling measures are necessary, but they are secondary to addressing the cardiovascular effects.
C) Obtain the client's blood glucose: Monitoring blood glucose is important, especially in a hypermetabolic state, but it is not the most immediate concern in the context of a thyroid storm.
D) Monitor the client's cardiac rhythm: This is the priority action. Thyroid storm can cause significant cardiovascular complications, including tachycardia and arrhythmias. Continuous monitoring of the cardiac rhythm is essential to detect any life-threatening changes and to provide prompt intervention if necessary.
Correct Answer is A
Explanation
A) Determine if the client has thoughts about self-harm: In situations of acute grief and trauma, assessing for suicidal ideation is the priority. The nurse must ensure the client's safety first, as the loss of a partner in such a tragic circumstance can lead to overwhelming feelings of despair and hopelessness.
B) Review the client's available social support system: While understanding the client’s social support is important for ongoing care and coping strategies, it is not the immediate priority. Ensuring the client’s safety takes precedence over evaluating their support network.
C) Empower the client to feel that he is in charge of his life: Empowering the client is a valuable goal for long-term recovery, but it should come after assessing immediate safety and mental health needs. The client may not be in a state to feel empowered until basic concerns about their well-being are addressed.
D) Find the client a temporary shelter where he can feel safe: While finding shelter is crucial for the client’s physical safety and security, this action should follow the immediate assessment of the client’s mental health and any risk of self-harm. Ensuring psychological safety is the first step before addressing logistical needs.
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