A nurse is working with a 9-year-old girl who has been diagnosed with leukemia. Using Piaget's cognitive theory of development, what are some specific ways in which the nurse should interact with the child? Select all that apply
1. Give clear information regarding treatment.
2. Recognize and respect her need for increased privacy.
3. Show the child items or equipment that will be used in treatment.
4. Assess for and encourage the child to participate in favorite activities.
5. Provide opportunity to touch or play with medical equipment prior to assessments and procedures.
Answer: 1, 3, 4
Explanation: The child is at the concrete operational stage when reasoning begins; she should be able to understand when clear information is presented and concrete items are used in explanations. Encouraging participation in favorite activities supports normal developmental processes. The need for privacy is usually typical of adolescence. Touching and playing with equipment is advised at an earlier developmental stage.
You might also like to view...
An older patient has been treated for three incidents of respiratory infection within 6 months. The patient complains of shortness of breath when walking outside in the cold weather. What should the nurse recommend to this patient?
A) Drink plenty of water B) Avoid going outdoors C) Call the physician for antibiotics D) Increase the use of bronchial medications
A nurse asks a patient to repeat the instructions to evaluate her knowledge about safe sex practices. Which statement indicates an understanding?
a. "Body massage would be considered safe." b. "Mutual open-mouth kissing is safe." c. "Vaginal intercourse with a properly used condom is safe." d. "Anal sex with a condom made of latex is a safe sex practice."
A child, age 4 years, tells the nurse that she "needs a Band-Aid" where she had an injection. What nursing action should the nurse implement?
a. Apply a Band-Aid. b. Ask her why she wants a Band-Aid. c. Explain why a Band-Aid is not needed. d. Show her that the bleeding has already stopped.
A patient is being immunosuppressed on azathioprine. Which laboratory test requires periodic monitoring?
1. Bilirubin 2. Blood urea nitrogen 3. Serum azathioprine levels 4. Complete blood count