ATI RN
ATI Nursing Care of Children Questions
Question 1 of 5
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?
Correct Answer: C
Rationale: The correct answer is C. Falling when bending over to touch toes could indicate a developmental delay or a balance issue that may need further assessment. Choices A, B, and D are typical developmental milestones for a 3-year-old child. Pedaling a tricycle without assistance, unscrewing a bolt on a toy, and building a tower of 10 cubes are all age-appropriate activities for a child of this age.
Question 2 of 5
The nurse is discussing parenting in reconstituted families with a new stepparent. The nurse is aware that the new stepparent understands the teaching when which statement is made?
Correct Answer: C
Rationale: In the context of parenting in reconstituted families, option C, "I realize there may be power conflicts bringing two households together," is the correct choice. This statement demonstrates an understanding of the potential challenges that can arise when blending two families, such as power struggles between children, new stepparents, and biological parents. Option A is incorrect because it shows a lack of awareness of the significant changes and adjustments that often come with blending families. Option B is incorrect as it oversimplifies children's desires and the benefits of living in a stable, two-parent household. Option D is also incorrect as it undermines the importance of maintaining connections and relationships with extended family members, which can provide valuable support to children in reconstituted families. Educationally, this question highlights the importance of understanding the complexities of parenting in blended families and the need for new stepparents to be prepared for potential conflicts and challenges that may arise in this unique family dynamic. By selecting the correct response, students demonstrate their grasp of the nuanced issues involved in providing care and support to children in diverse family structures.
Question 3 of 5
The nurse is presenting a staff development program about understanding culture in the healthcare encounter. Which components should the nurse include in the program? (Select all that apply.)
Correct Answer: B
Rationale: In this scenario, option B, "All are applicable," is the correct answer. When discussing understanding culture in the healthcare encounter, it is essential to include all components: cultural humility, cultural sensitivity, and cultural competency. Cultural humility emphasizes self-awareness, openness, and a willingness to learn from others. It involves recognizing and challenging power imbalances in healthcare interactions. Cultural sensitivity refers to being aware of and respectful towards the cultural differences of others. It involves acknowledging diversity and adapting care practices to meet the needs of individuals from different cultural backgrounds. Cultural competency goes beyond awareness and sensitivity. It involves the ability to effectively interact with people from diverse backgrounds, understand their perspectives, and provide culturally appropriate care. Excluding any of these components would limit the nurse's ability to provide holistic and patient-centered care. By including all components in the staff development program, nurses can enhance their cultural competence, improve patient outcomes, and promote health equity.
Question 4 of 5
The parents of a 5-year-old child ask the nurse how they can minimize misbehavior. Which responses should the nurse give? (Select all that apply.)
Correct Answer: D
Rationale: In the context of pediatric nursing, it is essential for nurses to provide parents with guidance on promoting positive behavior in their children. The correct answer, option D, encompasses key strategies for minimizing misbehavior in children. Setting clear and reasonable goals (option A) is crucial as it helps children understand expectations and provides them with a sense of structure and boundaries. Teaching desirable behavior through personal example (option B) is highly effective as children often model their behavior after significant adults in their lives. By demonstrating positive behaviors, parents can encourage their children to emulate these actions. The incorrect option, "Don't call attention to unacceptable behavior" (option C), is not an effective strategy for managing misbehavior in children. Ignoring unacceptable behavior may reinforce it by not addressing the issue or providing guidance on appropriate behavior. Educationally, this question highlights the importance of proactive parenting strategies in fostering positive behavior in children. Nurses play a vital role in educating parents on evidence-based practices that promote healthy development and positive behavior in children. By guiding parents on effective parenting techniques, nurses can support the overall well-being of children and families.
Question 5 of 5
Which describe the feelings and behaviors of early preschool children related to divorce? (Select all that apply.)
Correct Answer: D
Rationale: In the context of early preschool children experiencing divorce, it is crucial for nurses to understand their emotional responses. The correct answer, "D) All of the above," is supported by child development theories and research. Early preschool children may exhibit regressive behaviors such as bedwetting or thumb sucking due to the stress and insecurity resulting from the divorce. They may also fear abandonment as they witness significant changes in their family structure and dynamics. Additionally, young children often have limited understanding of complex situations like divorce and may erroneously blame themselves for the separation of their parents. Options A, B, and C are incorrect because each independently represents a valid emotional response of early preschool children to divorce. It is essential for healthcare providers to recognize and address these feelings to support the emotional well-being of children during this challenging time. By understanding these common reactions, nurses can provide appropriate care, guidance, and resources to help children navigate the emotional impact of divorce effectively.