A 4-year-old child is hospitalized with a serious bacterial infection. The child tells the nurse that he is sick because he was "bad." Which is the nurse's best interpretation of this comment?
a. Sign of stress
b. Common at this age
c. Suggestive of maladaptation
d. Suggestive of excessive discipline at home
ANS: B
Preschoolers cannot understand the cause and effect of illness. Their egocentrism makes them think they are directly responsible for events, making them feel guilty for things outside their control. Children of this age show stress by regressing developmentally or acting out. Maladaptation is unlikely. Telling the nurse that he is sick because he was "bad" does not imply excessive discipline at home.
You might also like to view...
A patient is prescribed ranolazine (Ranexa) to treat chronic angina. Which of the following electrocardiogram changes will contraindicate the use of ranolazine?
A) Normal ST segment B) Inverted P wave C) Shortened QRS D) QT prolongation
The Internet offers a number of unique ways to market the organization. What are some of the ways companies use the Internet to create interest in their unique goods or services? Standard Text: Select all that apply
1. Securing domain names for a business 2. Arranging for e-mail addresses 3. Hosting one or more websites 4. Designing a company website. 5. Creating application for smart phones
Which of the following supports the development of an EHR by classifying and categorizing nursing data?
1. North American Nursing Diagnosis Association (NANDA) 2. HL7 3. Service oriented architecture (SOA) 4. SNOMED
Which technique would be most effective for helping a group of pregnant women make a decision about whether to breastfeed or formula feed?
A) Stress that newborns often show definite opinions about a feeding method. B) Stress that both parents should feel comfortable with the feeding method. C) Teach that breastfeeding is best for the first year. D) Caution couples that some babies are allergic to formula.