The nurse is teaching a parenting class. One of the topics is ...

[ETearle]

The nurse is teaching a parenting class. One of the topics is development. Which statement from a parent indicates more teaching is needed?
 
  a. The toddler may use parallel play.
  b. The preschooler has the ability to play in small groups.
  c. The school-aged child still needs total assistance in all safety activities.
  d. The toddler may have temper tantrums from parent's acting on safety rules.

Question 2

A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take?
 
  a. Avoid questioning the patient about cigarette use when the nurse observes a cigarette lighter lying on the bedside table.
  b. Complete the admission database as quickly as possible by asking yes and no questions.
  c. Look for meaning behind the patient's words and actions.
  d. Ignore the patient's withdrawn behavior.

[AaaA]

Answer to Question 1

ANS: C
At this age (school-age), encourage children to take responsibility for their own safety.
The toddler continues to engage in solitary play but also begins to participate in parallel play, which is playing beside rather than with another child. The play of preschool children becomes more social after the third birthday as it shifts from parallel to associative play with others in small groups. The toddler's strong will is frequently exhibited in negative behavior when caregivers attempt to direct actions. Temper tantrums result when parental restrictions frustrate toddlers.

Answer to Question 2

ANS: C
Good communication skills are critical for adolescents. Look for meaning behind the adolescent's words and actions. Following are some hints for communicating with adolescents: Do not avoid discussing sensitive issues. Asking questions about sex, drugs, and school opens the channels for further discussion. Ask open-ended questions. (Yes and no questions are closed-ended questions.) The nurse should inquire about a patient's withdrawn behavior to seek out the meaning of such behaviors. Be alert to clues about adolescents' emotional states.

[ETearle]

Excellent

[bdobbins]

TYSM