The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?

“The preschooler is developing a conscience."

"The preschooler's morals are his or her own, right or wrong."

"The preschooler sees morality as internal to self."

“The preschooler has no sense of right and wrong."

Answer and Explanation

The Correct Answer is A

A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to

internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.

B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are

beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.

C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.

D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.

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Correct Answer is A

Explanation

A. "Keep a night light on in your child's room." - This option addresses the child's fear of

monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.

B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.

C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.

D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.

A. At the beginning B. Before auscultating the chest and abdomen C. Before examining the head and neck D. At the end

Correct Answer is D

Explanation

A. At the beginning: It is not necessary to examine the tympanic membrane at the very beginning of the physical examination.

B. Before auscultating the chest and abdomen: While the tympanic membrane examination may precede auscultation of the chest and abdomen, it is not typically performed before all other components of the physical examination.

C. Before examining the head and neck: Examination of the tympanic membrane is usually part of the head and neck assessment, so it would not occur before examining these areas.

D. At the enD. Examination of the tympanic membrane is typically performed towards the end of the physical examination, after other components such as inspection, palpation, and auscultation have been completed. This sequence allows the nurse to maintain the flow of the examination and ensures a thorough assessment of all body systems.

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The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

Correct Answer is D

Explanation

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

The nurse explains to parents of school-age children that according to Kohlberg's theory of moral development, their child is at the conventional stage of moral development. Which is the nurse's best explanation for the motivation for school-age children to follow rules?

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.

The neonatal nurse assesses newborns for iron deficiency anemia. Which newborn is at highest risk for this disorder?

A parent of a toddler asks a nurse at a well-child visit how the child's frequent tempertantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?