The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?

Before answering questions, find out what the child thinks about the subject.

Expand upon the topic when answering questions to prevent further confusion.

Provide a less than honest response to shelter the child from knowledge that is too advanced.

Be prepared to thoroughly cover a topic before the child asks about it.

Answer and Explanation

The Correct Answer is A

A.   Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B.   Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C.   Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D.   Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.

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Correct Answer is ["A","B","C"]

Explanation

A. Wanting friends to visit more than parents is more indicative of this stage, as they reflect the client's interest in social relationships.
B. Being very concerned with implications of laws or regulations demonstrates abstract thinking and consideration of complex societal issues, characteristic of middle formal operational thinking.
C. Wanting to make decisions about healthcare independently reflects increasing autonomy and ability to think abstractly.
D. Difficulty understanding implications of a diagnosis may indicate cognitive limitations rather than middle formal operational thinking.
E. Reporting occasional marijuana use may indicate behavior but does not necessarily reflect cognitive development according to Piaget's theory.

A. Have the parent stand near and/or rub the child's feet during the procedure. B. Use restraint or "holding down" of the child during the procedure to prevent injury. C. Insert a saline lock if the child will require multiple doses of parenteral medications. D. Avoid using numbing techniques for multiple blood draws or IV insertion.

Correct Answer is C

Explanation

A. Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B. Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C. A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D. Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.

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The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a cognitive assessment on a 16-year-old client. Which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget's theory? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

Correct Answer is C

Explanation

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