Peds Exam 1 NCLEX questions and answers
(grade A+)
To establish a good interview relationship with an adolescent, which strategy is most
appropriate?
- Asking personal questions unrelated to the situation
- Writing down everything the teen says
- Asking open-ended questions
- Discussing the nurse’s own thoughts and feelings about the situation – 3. Asking openended questions
RATIONALE: Open-ended questions allow the adolescent to share information and feelings.
Asking personal questions not related to the situation jeopardizes the trust that must be
established because the adolescent may feel as though he’s being interrogated with
unnecessary questions. Writing everything down during the interview can be a distraction and
doesn’t allow the nurse to observe how the adolescent behaves. Discussing the nurse’s
thoughts and feelings may bias the assessment and is inappropriate when interviewing any
client
A chronically ill school-age child is most vulnerable to which stressor? - Mutilation anxiety
- Anticipatory grief
- Anxiety over school absences
- Fear of hospital procedures – 3. Anxiety over school absences
RATIONALE: The school-age child is becoming industrious and attempts to master schoolrelated activities. Therefore, school absences are likely to cause extreme anxiety for a schoolage child who’s chronically ill. Mutilation anxiety is more common in adolescents. Anticipatory
grief is rare in a school-age child. Fear of hospital procedures is most pronounced in preschoolage children.
When developing a care plan for an adolescent, the nurse considers the child’s psychosocial
needs. During adolescence, psychosocial development focuses on: - becoming industrious.
- establishing an identity