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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sexual curiosity typically emerges in later stages of development and is not a primary characteristic of the toddler stage.
B. Erikson's stage of initiative versus guilt occurs in early childhood (ages 3 to 6) and involves the child's exploration of the world and taking initiative in activities, leading to a sense of purpose or potential guilt if they're restricted or criticized.
C. Imaginary playmates might appear around this age but are not the primary characteristic defining this stage of development.
D. Negative behaviors associated with the need for autonomy are more commonly observed in toddlers, but they are not the defining characteristic of this developmental stage.
Correct Answer is C
Explanation
A. Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B. At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C. Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D. Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.
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