The nurse and a young mother are discussing ways to best prepare ...

[CBme]

The nurse and a young mother are discussing ways to best prepare children for starting school. What would be the best suggestion for the nurse to make?
 
  1. Teach the child the alphabet and how to count.
  2. Encourage the mother to tell the child how much she will miss the child while the child is at school.
  3. Help the child relate to other adults and separate from the mother by planning play dates and short stays with sitters.
  4. Plan for an older child to accompany the child and introduce the child to the teacher on the first day of school.

Question 2

During shift report, the night nurse reports that the child who is terminally ill has developed tolerance to the morphine that the child has been receiving. The oncoming nurse realizes that the child:
 
  1. Is physically dependent on morphine.
  2. Is addicted to morphine.
  3. Is showing physical signs of withdrawal.
  4. Will need more medication to achieve the same effect.

[softEldritch]

Answer to Question 1

3
Rationale 1: These are skills the child will learn in school. The nurse is more concerned about psychological preparation for starting school.
Rationale 2: By telling the child how lonely she will be while the child is at school, the mother will make the child feel guilty about abandoning her.
Rationale 3: The ability to separate from the mother is key to an easy transition to school.
Rationale 4: An older child is not the person to accompany the child. It is appropriate to visit the classroom and meet the teacher prior to the first day of school.
Global Rationale:

Answer to Question 2

4
Rationale 1: While the child may be physically dependent, this is not the meaning of tolerance.
Rationale 2: Addiction refers to a compulsive use of a substance despite harm. This is not the definition of tolerance.
Rationale 3: Withdrawal occurs when the opioid is stopped suddenly. This is not the meaning of tolerance.
Rationale 4: Tolerance occurs when the body has become accustomed to the presence of the drug in the system. When this happens, the child will need more of a drug or a stronger drug to get the same effect.
Global Rationale: