Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?

Correct Answer: A

Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.

Correct Answer: C

Rationale: These symptoms indicate phlebitis, inflammation of the vein.

Correct Answer: B

Rationale: Marie Jahoda, a 20th-century psychologist, defined a profession as an organized group applying specialized knowledge for the broader community's benefit, not just a specific subset. She emphasized altruism (serving others selflessly) and prioritizing work quality over rewards, traits nursing exemplifies through education and care standards. The idea that a profession serves only a specific group's interests contradicts her view professions like nursing aim for universal welfare, such as public health initiatives. This distinction often appears in licensure exams, highlighting nursing's societal role over narrow advocacy, aligning with its ethical and professional identity.

Correct Answer: C

Rationale: Sigmund Freud's psychoanalytic theory, from the early 1900s, posits children adopt parental standards via identification e.g., mimicking a father's demeanor. Imitation (copying), introjection (internalizing), and regression (reverting) differ. This process shapes superego development, influencing behaviors like empathy in nursing, where early role models affect caregiving styles.

Correct Answer: A

Rationale: Maslow's self-actualized individual (1940s) decides independently e.g., rejecting popular trends for personal ethics. They predict events (insightful), aren't self-centered (altruistic), and minimize conflict through clarity. Nurses encourage this autonomy e.g., supporting a patient's unconventional treatment choice enhancing self-directed health decisions.