The nurse is working with the parents of a child who has precocious puberty and who has been socially isolating. Which of the following interventions would be most helpful to reduce this isolating behavior?
a. Explain to the child that he needs to interact with others and not isolate himself.
b. Set up a series of rewards and consequences for isolating from others.
c. Explore with caregivers how the child and significant people such as teachers approach the child and what expectations are placed on the child.
d. Prepare a calendar of prescheduled public outings, and take the child on these outings.
C
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A Incorrect. Explaining to the child that he needs to interact with others and not isolate himself would be the least helpful intervention.
B Incorrect. Setting up a series of rewards and consequences for isolating from others would not be the most helpful intervention.
C Correct. Expectations of caregivers and others (teachers) are often based on the physical appearance of the child. A child who has precocious puberty will appear more mature than their age, and can generate inappropriate expectations that can increase the social isolation of the child.
D Incorrect. Preparing a calendar of prescheduled public outings, and taking the child on these outings would not be the most helpful intervention.
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The significant contributions of nurses as promoted by the TriCouncil did not include which of the folloinwg?
A. Nurses as resource people B. Nurses as health-care coordinators C. Nurses as expert practitioners D. Nurses as physician extenders
The nurse is instructing a 13 year old and her mother on alternative therapies for cold sores. The alternative therapies consist of:
1. Warm compresses to the lips. 2. Mouthwash with 1 teaspoon of sodium bicarbonate in slightly warm water. 3. Using lip gloss to create a barrier so that the drainage decreases. 4. None of the above is an alternative therapy for cold sores.
Which of the following ethnic groups is considered to be the least sociocentric?
A) Asian B) European American C) Hispanic D) African
The nurse finds it necessary to monitor the progress of a task delegated to a UAP. What intervention is appropriate in this situation?
1. Tell the UAP, "I am not certain you can do this task." 2. Intervene only if it becomes absolutely necessary. 3. Plan to choose a more senior UAP for the task next time. 4. Plan to delegate only to those who are well experienced with the task next time.