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Extract:


Question 1 of 5

The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?

Correct Answer: A

Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.

Question 2 of 5

Convert 4 ounces to an equivalent amount in tablespoons.

Correct Answer: B

Rationale: 1 ounce = 2 tablespoons, so 4 ounces × 2 = 8 Tbsp. Other options are incorrect conversions.

Question 3 of 5

The client tells the nurse he has trigeminal neuralgia. What would the nurse expect in the client's history?

Correct Answer: B

Rationale: Trigeminal neuralgia causes severe facial pain, often triggered by stimuli like cold air, unlike lead exposure, ambulation issues, or leg pain.

Question 4 of 5

The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?

Correct Answer: A

Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.

Extract:

On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.


Question 5 of 5

The first action taken by the nurse should be to

Correct Answer: A

Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.

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