The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Change the routine of the preschooler often to stimulate initiative.

Do not set limits on the preschooler's behavior as this results in low self-esteem.

As a parent, decide how and with whom the child will play.

Reward the child for initiative in order to build self-esteem.

Answer and Explanation

The Correct Answer is D

A. Change the routine of the preschooler often to stimulate initiativE. While providing variety and new experiences is important for stimulating a child's curiosity and creativity, abruptly changing routines too often can disrupt the child's sense of security and stability. Consistency in routines helps preschoolers feel secure and understand expectations.

B. Do not set limits on the preschooler's behavior as this results in low self-esteem: Setting appropriate limits and boundaries is essential for preschoolers to develop a sense of security and learn socially acceptable behavior. However, overly strict or rigid limits can stifle initiative and creativity. It's important for parents to strike a balance between setting limits and allowing for exploration and initiative.

C. As a parent, decide how and with whom the child will play: Encouraging preschoolers to

make their own choices about play activities and playmates fosters independence and initiative. Parents should provide opportunities for free play and exploration within safe boundaries,

allowing the child to make decisions and learn from their experiences.

D. Reward the child for initiative in order to build self-esteem: Positive reinforcement for initiative-taking behavior encourages preschoolers to explore their environment, try new

activities, and develop confidence in their abilities. By praising and acknowledging their efforts, parents can help build their child's self-esteem and motivation to take on new challenges.

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Correct Answer is B

Explanation

A. "Activity will increase the respiratory rate": While activity can indeed affect respiratory rate, counting for a full minute allows for a more accurate assessment of the newborn's baseline respiratory rate, regardless of activity level.

B. "The rate and rhythm of breath are irregular in newborns": This statement reflects an understanding of why a complete minute is necessary for counting the respiratory rate in newborns. Newborns often have irregular breathing patterns, so counting for a full minute helps ensure an accurate assessment of their respiratory rate.

C. "Newborns are abdominal breathers": While newborns primarily use their diaphragm to

breathe (abdominal breathing), this fact alone does not explain why the respiratory rate should be counted for a full minute.

D. "Newborns do not expand their lungs fully with each respiration": While newborns may not fully expand their lungs with each breath, this factor is not the primary reason for counting the respiratory rate for a full minute.

A. "Can you stand very still while I feel how warm you are?" B. "I am going to listen to your heart." C. "Can I listen to your lungs?" D. "I am going to take your blood pressure now."

Correct Answer is B

Explanation

A. "Can you stand very still while I feel how warm you are?": Toddlers may have difficulty understanding abstract requests or instructions. Asking a toddler to stand still to feel warmth may not effectively communicate the purpose of the assessment and may lead to confusion or

resistance.

B. "I am going to listen to your heart.": This statement provides clear, simple language that the toddler can understand. It prepares the child for the assessment and helps establish trust and cooperation.

C. "Can I listen to your lungs?": While this statement is appropriate for assessing respiratory sounds, it may not be as clear or specific as stating the intention to listen to the heart. Toddlers may not understand the term "lungs" as readily as "heart."

D. "I am going to take your blood pressure now.": This statement may cause anxiety or fear in the toddler, especially if they are unfamiliar with the procedure. It is important to prepare the child for each aspect of the assessment in a developmentally appropriate manner.

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The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

Correct Answer is B

Explanation

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is B

Explanation

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