Extract:

A 4-year-old girl afraid of cats and dogs

Question 1 of 5

A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?

A. Acknowledge her fear and help her develop a strategy for dealing with it.B. It is best to avoid the playground until she outgrows the fear.C. She needs to face her fears head-on; take her to the park as much as possible.D. Try to minimize her fears and insist that she go to the park.

Correct Answer: A

Rationale: Acknowledging the fear and developing coping strategies supports the child's emotional growth, helping her manage anxiety without avoidance or force.

Extract:

Adolescents

Question 2 of 5

The school nurse knows that dating is a milestone for adolescents. Which statement accurately describes a trend in teen dating?

A. Teens that date frequently report slightly lower levels of self-esteem and decreased autonomy.B. Most late adolescents spend more time in activities with mixed-sex groups, such as dances and parties, than they do dating as a couple.C. Homosexual behavior as a teen usually indicates that the adolescent will maintain a homosexual orientation.D. Most teens have been involved in at least one romantic relationship by late adolescence.

Correct Answer: D

Rationale: Most teens experience at least one romantic relationship by late adolescence, a common developmental milestone, unlike the other trends described.

Extract:

Parents of adolescents

Question 3 of 5

The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which guidelines might the nurse recommend? Select all that apply.

A. Do not give praise unless the adolescent deserves it.B. Speak to your child as an authority figure, not an equal.C. Talk face to face and be aware of body language.D. Don't pretend you know all the answers.E. Ask questions to see why he or she feels that way.F. Don't admit that you make mistakes.

Correct Answer: C,D,E

Rationale: Face-to-face communication, admitting uncertainty, and asking about feelings foster open, honest dialogue, enhancing parent-teen relationships.

Extract:

A client whose grandmothers had complicated pregnancies

Question 4 of 5

A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.

A. We support those at risk of having a preterm births with the goal of delaying early births.B. We will work with you to identify prenatal risk factors early and take actions to reduce their impact.C. We allow families to grieve the loss of a newborn, should it occur.D. We work to ensure care for mothers and infants to reduce infant illnesses, disabilities, and death.E. We work to ensure that birth of high-risk infants happens in settings where we are able to care for them.

Correct Answer: A,B,D,E

Rationale: These principles focus on proactive care, risk reduction, and ensuring appropriate settings for high-risk births, directly addressing concerns about complicated pregnancies. Allowing families to grieve (
C) is important but less relevant to preventing complications.

Extract:

School children

Question 5 of 5

The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?

A. Children with health issues, such as, disabilities, obesity, and food allergies, are at a decreased risk of being bullied.B. Both boys and girls are bullied; boys usually bully boys and use force more often.C. Children who bully are those who report themselves as being lonely and having difficulty in forming friendships.D. In general, about 20% of all children attending school are frightened and afraid most of the day.

Correct Answer: B

Rationale: Boys often bully boys using physical force, while girls may use relational aggression, accurately describing gender differences in bullying behavior.

Nurselytic

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ATI Pediatric Exam Nursing 228 Questions

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