A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Offer the child a choice of taking the medication with juice or water.
Tell the child he will have to have a shot instead.
Hide the medication in a large dish of ice cream.
Tell the child it is candy.
The Correct Answer is A
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Correctly identifies the need to inform the doctor if the child's temperature is not controlled.
B. Overhydration can be a concern; drinking such a significant volume of water every 30 minutes might not be appropriate, especially with a respiratory infection.
C. Properly involves checking the child's blood sugar regularly as required in diabetes management.
D. Understands the need to report changes in breathing or signs of confusion, which can indicate worsening symptoms.
Correct Answer is B
Explanation
A. The influenza vaccine is typically recommended annually but might not be specifically administered during a pre-college physical unless it's flu season.
B. Meningococcal vaccine is often required for college admission due to the risk of meningitis outbreaks in communal living settings like college dormitories.
C. BCG vaccine is primarily used in countries with a higher prevalence of tuberculosis and is not routinely administered in most places for college entry.
D. Pneumococcal vaccine might be recommended for certain health conditions or specific circumstances but is not typically administered routinely during pre-college physicals.
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