A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?

Correct Answer: B

Rationale: The correct answer is B: Your child may seem unduly anxious in the presence of strangers. This response is most appropriate as it aligns with the typical behavior of young children who have experienced a traumatic event like an automobile accident. Children at this age may exhibit increased anxiety and fear when around unfamiliar individuals due to the stress and uncertainty of their situation. This behavior is a common reaction to trauma. Choice A is incorrect because while changes in appearance may impact the child, it is not the most immediate concern in this scenario. Choice C is incorrect as guilt feelings are less likely to be prominent in a 3-year-old child. Choice D is also incorrect as mood swings are not the primary behavior expected in this situation, and the statement lacks specificity compared to the appropriate response.

Correct Answer: B

Rationale: The correct answer is B because it indicates a personal connection and emotional reaction from the nurse due to her past experiences with alcoholic parents, suggesting countertransference. Choice A focuses on the patient's denial, not the nurse's reaction. Choice C pertains to the patient's lack of goals, not the nurse's feelings. Choice D relates to the patient's comment about the nurse, not the nurse's emotional response. In summary, B is correct as it directly reflects the nurse's personal history impacting her feelings towards the patient, while the other choices do not address the nurse's emotional reaction.

Correct Answer: A

Rationale: The correct answer is A: Rapport. Rapport is crucial in building a therapeutic nurse-client relationship. It involves creating a connection based on acceptance, warmth, and a nonjudgmental attitude, which helps in establishing trust and communication. Building rapport fosters a positive environment for effective care and understanding between the nurse and client. Trust (B) is built on rapport and is a result of it. Respect (C) and professionalism (D) are important in nursing practice but do not directly address the specific characteristic described in the question.

Correct Answer: B

Rationale: The correct answer is B because switching from prn (as-needed) pain medication to patient-controlled analgesia empowers the patient to manage their pain effectively, addressing the issue of feeling powerless and dependent on nursing staff for pain relief. This intervention also aligns with the patient's impulsivity and need for immediate gratification. Choice A is incorrect because teaching coping strategies may not address the immediate pain relief the patient desires. Choice C is incorrect as it focuses on addressing the behavior without addressing the underlying issue of pain management. Choice D is incorrect because it does not provide a solution to the immediate problem of pain control and may not be relevant to the patient's current behavior.

Correct Answer: B

Rationale: The correct answer is B: Your child may seem unduly anxious in the presence of strangers. This response is most appropriate as it aligns with the typical behavior of young children who have experienced a traumatic event like an automobile accident. Children at this age may exhibit increased anxiety and fear when around unfamiliar individuals due to the stress and uncertainty of their situation. This behavior is a common reaction to trauma. Choice A is incorrect because while changes in appearance may impact the child, it is not the most immediate concern in this scenario. Choice C is incorrect as guilt feelings are less likely to be prominent in a 3-year-old child. Choice D is also incorrect as mood swings are not the primary behavior expected in this situation, and the statement lacks specificity compared to the appropriate response.