A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?

Correct Answer: C

Rationale: The correct answer is C) Do not leave cigarettes and matches on the kitchen counter. This recommendation is crucial in preventing burns in preschoolers because children at this age are curious and may try to play with matches or lighters, leading to potential burn injuries. By keeping cigarettes and matches out of reach, parents can significantly reduce the risk of burns in their preschoolers. Option A, not reading to the child in front of the fireplace, is incorrect as it does not directly address burn prevention. Option B, waiting until the child is a teenager to cook on a gas grill, is impractical and does not provide immediate safety measures. Option D, not cooking with the child in the kitchen, is also not as effective as removing potential fire hazards from the child's environment. In an educational context, it is essential for nurses to educate parents on specific, actionable steps to prevent common injuries such as burns in preschoolers. By providing practical advice like keeping matches and cigarettes out of reach, nurses can empower parents to create a safe environment for their children.

Correct Answer: C

Rationale: The correct recommendation for the parents to enroll their daughter in a peer support group focused on teenage drinking (Option C) is the most appropriate choice in this scenario. This option is the best course of action because it provides the teenager with a supportive environment where she can engage with peers who are facing similar challenges. Peer support groups offer understanding, empathy, and shared experiences, which can be highly effective in helping teenagers address their alcohol consumption. Option A, talking to their daughter at length regarding the dangers associated with drinking, could be a good approach, but it may not be as effective as the peer support group in providing ongoing support and understanding. Option B, using the cell phone as a punishment, is not directly related to addressing the underlying issue of alcohol consumption and may not be effective in changing behavior. Option D, providing literature regarding the dangers of drinking, may be helpful as a supplemental resource, but it lacks the interactive and supportive elements that a peer support group can offer. In an educational context, it is important for nurses, parents, and caregivers to understand the value of peer support in addressing substance use issues among teenagers. Peer support groups can provide a safe space for adolescents to share their struggles, receive encouragement, and learn from others who have overcome similar challenges. By recommending enrollment in a peer support group, the nurse is promoting a holistic and supportive approach to addressing the teenager's alcohol consumption.

Correct Answer: B

Rationale: In this scenario, option B is the correct answer as the teenager who feels that her friends and family do not care about her is at increased risk for acquiring a sexually transmitted disease (STD). This feeling of isolation and lack of support may lead her to seek validation and connection through risky behaviors, including engaging in unprotected sexual activities. By providing anticipatory guidance to this teenager, healthcare professionals can address underlying emotional issues and educate her on the importance of safe sex practices to reduce the risk of acquiring an STD. Option A, a teenager asking for information about condoms, may actually demonstrate a proactive approach to practicing safe sex, which is a positive behavior that can help reduce the risk of STD transmission. Options C and D do not directly indicate increased risk for acquiring an STD based on the information provided. In an educational context, it is important for healthcare professionals to understand the social and emotional factors that can influence adolescents' behaviors related to sexual health. By recognizing indicators of emotional distress and providing appropriate support and guidance, healthcare providers can effectively promote healthy behaviors and reduce the risk of STD transmission among teenagers.

Correct Answer: C

Rationale: In male genital development, the correct answer is C) Stage 3. This stage is characterized by the initial enlargement of the penis. During Stage 3, boys typically experience rapid growth and development of the genitalia, including the enlargement of the penis. This stage is also marked by the development of pubic hair and testicular enlargement. Option A) Stage 1 is incorrect because this stage is characterized by prepubertal genitalia without significant changes. Option B) Stage 2 is incorrect as it represents the beginning of testicular enlargement but not the initial enlargement of the penis. Option D) Stage 4 is incorrect as it corresponds to further growth and maturation of the genitalia and secondary sexual characteristics after the initial enlargement of the penis in Stage 3. Understanding the stages of male genital development is crucial in both clinical practice and education, especially in areas such as pediatric endocrinology and adolescent health. Recognizing the normal progression of male genital development aids healthcare providers in assessing and monitoring the growth and maturation of boys, identifying potential abnormalities, and providing appropriate health promotion and maintenance interventions.

Correct Answer: A

Rationale: In discussing interventions for weight reduction with a 30-year-old woman with a BMI of 36, it is crucial to prioritize the most effective and evidence-based approaches. Option A (4, 3, 2, 1) is the correct order of interventions to be discussed. 1. **Step 4 (Physical Activity)**: Starting with physical activity is essential as it plays a significant role in weight reduction by increasing energy expenditure and promoting overall health. 2. **Step 3 (Behavioral Changes)**: Next, addressing behavioral changes like improving eating habits and portion control is crucial for sustainable weight loss. 3. **Step 2 (Nutritional Counseling)**: Providing guidance on healthy eating habits and balanced nutrition supports weight management and overall well-being. 4. **Step 1 (Setting Realistic Goals)**: Beginning with setting realistic and achievable goals is fundamental in building motivation and ensuring success in weight reduction efforts. **Why Other Options Are Incorrect**: - Option B (4, 2, 3, 1) prioritizes nutritional counseling before addressing physical activity, which is less effective for weight reduction. - Option C (3, 4, 2, 1) focuses on behavioral changes before physical activity and nutritional counseling, missing the importance of exercise in weight management. - Option D (3, 2, 1, 4) delays setting realistic goals until the end, which could hinder the patient's motivation and commitment to the weight reduction plan. **Educational Context**: Understanding the sequential order of interventions in weight reduction discussions is crucial for healthcare providers to effectively guide patients in achieving their goals. By following a systematic approach, providers can empower individuals to make sustainable lifestyle changes and improve their overall health outcomes.