The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Use of car seats and other safety measures

Use of supplements and vitamins

Prenatal and perinatal histories

The child's race and ethnicity

The child's toileting habits

Answer and Explanation

Correct Answer : A,B,E

A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.

B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.

C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.

D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.

E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.

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Correct Answer is D

Explanation

A. Set of building blocks: While building blocks can be engaging toys for children, they may not effectively address the emotional needs of a child experiencing distress or separation anxiety. Building blocks are more suitable for activities that promote creativity and fine motor skills.

B. Toy hammer and pounding boarD. Toys that involve physical activity, such as a toy hammer and pounding board, may not be appropriate for a child experiencing emotional distress. These toys may require energy and concentration that the child may not be able to focus on during a tantrum.

C. Picture book about hospitals: While a picture book about hospitals may help familiarize the child with the hospital environment, it may not provide immediate comfort during a tantrum. This type of resource may be more beneficial for preparing the child for medical procedures or explaining what to expect during hospitalization.

D. Stuffed animal: Providing a stuffed animal can offer comfort and reassurance to a child experiencing stress or separation anxiety. A soft and cuddly toy like a stuffed animal can serve as a transitional object, providing emotional support and security when the parent is not present. Children often form attachments to stuffed animals, which can help them cope with unfamiliar or challenging situations.

A. Use mummy restraints during painful procedures. B. Perform the procedure as quickly as possible. C. Have a parent stay with the child during procedures. D. Cluster invasive procedures whenever possible. E. Allow the child to keep a toy from home with her.

Correct Answer is ["C","D","E"]

Explanation

A. Use mummy restraints during painful procedures: Using restraints may increase the child's anxiety and resistance, exacerbating the fear of procedures. It is important to minimize any factors that may increase the child's distress during procedures.

B. Perform the procedure as quickly as possiblE. While it is important to minimize the duration of procedures to reduce discomfort, rushing the procedure excessively may increase the child's

anxiety and make the experience more traumatic. A balance should be struck between efficiency and ensuring the child feels comfortable and secure.

C. Have a parent stay with the child during procedures: Having a familiar caregiver present can provide comfort and reassurance to the child during procedures. The presence of a parent can help the child feel safe and supported, reducing anxiety and fear.

D. Cluster invasive procedures whenever possiblE. Clustering invasive procedures minimizes the frequency of painful experiences for the child, reducing overall distress and anxiety. This approach also allows the child to have longer periods of comfort between procedures.

E. Allow the child to keep a toy from home with her: Providing a familiar toy or comfort item can serve as a distraction and source of comfort for the child during procedures. Allowing the child to hold onto something familiar can help reduce anxiety and provide a sense of security.

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The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

Correct Answer is D

Explanation

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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