Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Buying toys for a hospitalized child

Asking questions if families are not participating in the care

Clarifying information for families

Spending off-duty time with children and families

Learning about the family's religious preferences

Answer and Explanation

Correct Answer : B,C,E

A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.

B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.

C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.

D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.

E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.

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Correct Answer is []

Explanation

Potential Condition: Child maltreatment

Actions to take:

Interview the child separately from the parents

Ask a parent, away from the child

Parameters to monitor:

Signs of fear or apprehension from the child when either parent is present

Negative comments about child from either parent.

Rationale:

Potential Condition: Child Maltreatment

The client’s history of multiple injuries (bloody nose, sutures from hitting cabinet, and spiral fracture) in the context of the parent’s alcohol intoxication, slurring, and aggressive behavior raises concern for possible child maltreatment. The child’s statement about being "clumsy" and the observed scars also support the need for further investigation into possible abuse.

Actions to Take

Interview the child separately from the parents: To ensure the child can speak freely and report any concerns without the influence or presence of the parents, especially when maltreatment is suspected.

Ask a parent, away from the child: The parent should be interviewed privately to assess their behavior and any possible stressors or issues that could indicate abuse or neglect, especially considering their appearance and actions when visiting the child.

Parameters to Monitor

Signs of fear or apprehension from the child when either parent is present: This could indicate emotional distress or fear related to the parent’s behavior. It is important to observe how the child reacts to the presence of each parent during assessments.

Negative comments about the child from either parent: Verbal abuse or negative comments can be a red flag for emotional abuse or neglect. Careful attention should be paid to any signs of verbal maltreatment.

Potential Diagnoses: Incorrect Choices

Muscular Dystrophy: While this could explain a pattern of injury due to muscle weakness, it does not align with the history of multiple injuries caused by trauma or the current family dynamics.

Constipation: No evidence or symptoms supporting constipation were observed in the current assessment.

Strabismus: No direct evidence to suggest strabismus in the child’s history or exam.

A. Participates in imaginary play B. Builds a collection of cards C. Expresses need for privacy D. Controls impulsive feelings

Correct Answer is A

Explanation

A. Preschoolers (ages 3-5) engage in imaginative play, where they create stories and use objects or toys in creative ways. This is a key part of their cognitive and social development.

B. While some preschoolers may begin to show an interest in collecting items, it is more common in school-age children.

C. The need for privacy typically emerges in adolescence, not during the preschool years.

D. Preschoolers are still developing emotional regulation and may struggle with controlling impulses.

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Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Correct Answer is []

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is A

Explanation

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