KWB (1)

a b i rb . c o m / t e s t Risk factors for lack of social and emotional readiness f o r s c h o o l include insecure attachment in the early years, maternal depression, biological parentsal substance abuse, andlow socioeconomic status. Format: Multiple Choice Client Needs: Psychosocial Integrity Cognitive Level: Apply Integrated Process: Communication and Documentatio a n birb Page and Header: 990, Fears 24. A NR is caring for a 4-year-old girl. The mother s a a b y ir b s . c o t m h / a t e t s t the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the NR tell the mother? A) ―It is best to avoid the playground until she outgrows the fear.‖ B) ― She needs to face her fears head-on; take h e a r b i r t b o .c o t m h / e te s p t ark as much as possible.‖ C) ―Acknowledge her fear and help her develop a strategy for dealing with it.‖ D) ―Try to minimize her fears and insist that she go to the park.‖ Ans: C Feedback: Preschoolers have vivid imaginations and experience a variety of fears. It is best to acknowledge the fear, rather than minimize it, and th en a c b o i r b l . l c a o b m o / t e r s a t te with the child on strategies for dealing with the fear. Avoiding the playground will not address the child‘s fears. Forcing the child to face her fear without enlisting her input to help deal with the fear does not teach. It is also important for the mother to find out if an incident involving cats and dogs occurred without her knowledge. Format: Multiple Choice Client Needs: Safe, Effective Care Environment: Safety and Infection Control Cognitive Level: Knowledge Integrated Process: Teaching/Learning Page and Header: 996, Safety in the Car Page 17

abirb.com/test 25. The NR is providing teaching about car safety to the biological parentss of a 5-year-old girl who weighs 45 lb. What should the NR instruct the biological parentss to do? A) ― Place her in a booster seat with lap and shou l a d b i e r b r .c o b m e / t l e t s s t in the front seat. ‖ B) ―Place her in the back seat with the lap and shoulder belts in place.‖ C) ―Place her in a forward-facing car seat with a harness and top tether.‖ D) ―Place her in a booster seat with lap and shoulder belts in the back seat.‖ Ans: D Feedback: A child who weighs between 40 and 80 lb should ride in a booster seat that utilizes both the lap and shoulder belts in the back seat. When a a b i r c b h . c o i l m d / t e i s s t large enough to sit up straight with the knees bent at the front edge of the seat, then he or she may sit directly on the seat of the car with lap/shoulder belt securely and appropriately attached. The back seat of the car is the safest place for a child to ride. A forward-facing car seat with harness and top tether is for a preschooler who weighs less than 40 lb. Format: Multiple Choice Client Needs: Psychosocial Integrity Cognitive Level: Apply Integrated Process: Nursing Process Page and Header: 985, Moral and Spiritual Development 26. The NR is caring for a premature baby in the NI CU . a b T i r b h . c e o m m / t e o s t t her reports that the infant‘s normally happy and outgoing 5-year-old sister is acting sad and withdrawn. The NR understands that due to her developmental stage, the girl is at risk of what happening? A) Viewing her baby sister‘s illness as her fault B) Harming the baby C) Experiencing clinical depression D) Creating an imaginary friend to cope with the situation Ans: A Feedback: Page 18