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On the third day of a 2-year-old child's hospitalization, the nurse notes that the child, who had been screaming and crying inconsolably, has begun to regress and now is lying quietly in the crib with a blanket. Which stage of separation anxiety has developed? A. Despair B. Denial C. Mistrust D. Rejection

A

Which educational method is being used by the nurse practitioner if the discussion is focused on how to best prevent the child from being involved in accidents? A. Anticipatory Guidance B. Clinical Reasoning C. The Nursing Process D. Evidence-based Practice

A

Which guideline would the nurse follow when preparing a toddler for a procedure? Select all that apply. A. Keeping frightening objects out of view B. Encouraging the child to verbalize ideas or feelings C. Asking the child for thoughts about why a procedure is performed D. Telling the child that it is okay to cry, yell, or use other means to express discomfort E. Explaining the procedure in relation to what the child will see, hear, taste, smell, and feel

A, B, D, E

Which nursing action would help reduce the infant's pain during a heel stick for a complete blood count ordered for a premature infant? A. Elevating the foot for 5 minutes B. Applying cool, moist compresses C. Applying eutectic mixture of local anesthetics (EMLA) 5 minutes before the procedure D. Encouraging skin-to-skin contact with the mother before and during the procedure

C

The nurse is assessing pain in a 7 year old child with cognitive impairement and severe communication difficulties. Which pain scale should the nurse use? A. Numeric B. Wong Baker Faces C. FLACC D. Visual Analog Scale (VAS) E. NCCPC-R

E


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