The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?

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Question 1 of 5

The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?

Correct Answer: A

Rationale: Holding and cuddling frequently should be included for an 18-month-old. Per Erikson, trust and security are key; physical comfort reduces stress. Finger feeding is developmental, walking risks falls, games suit older kids. A meets emotional needs, making it essential.

Question 2 of 5

After working with a client, an unlicensed assistive personnel (UAP) tells the nurse, 'I have had it with that demanding client. I just can't do anything that pleases him. I'm not going in there again.' The nurse should respond by saying

Correct Answer: C

Rationale: He may be scared and taking it out on you. Let's talk' is best. It reframes behavior, offers support, and plans action, per teamwork. Patience , RN-only talk , or ignoring dismiss UAP needs. C fosters collaboration.

Question 3 of 5

During the initial home visit, a nurse is discussing the care of a client newly diagnosed with Alzheimer's disease with family members. Which of these interventions would be most helpful at this time?

Correct Answer: D

Rationale: Suggesting communication strategies is most helpful early in Alzheimer's. It aids family coping with cognitive decline, per disease stage. Relaxation , exercise , and nutrition are secondary. D supports interaction, making it key.

Question 4 of 5

The nurse is caring for a newborn with tracheoesophageal fistula. Which nursing diagnosis is a priority?

Correct Answer: B

Rationale: Ineffective airway clearance is priority in tracheoesophageal fistula. Aspiration risk from esophageal defect demands airway management, per ABCs. Dehydration , nutrition , and injury follow. B ensures breathing, making it key.

Question 5 of 5

A client experienced the loss of a spouse 12 months ago. Today the client reveals feelings of anger and hopelessness to the nurse. Which initial response by the nurse would be most appropriate?

Correct Answer: B

Rationale: Tell me more about how you are feeling now' is the most appropriate initial response. It invites the client to elaborate, facilitating therapeutic communication and assessing grief progression, per nursing principles. Condemning anger dismisses emotions, predicting resolution offers false reassurance, and redirecting to family avoids engagement. After 12 months, anger and hopelessness may indicate complicated grief, needing exploration. B builds trust, encourages expression, and informs care, making it the best choice.

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