Page 591 - Saunders Comprehensive Review For NCLEX-RN

5. The child has a disorder that caused a severely deficient
immune system.
6. The mother reports that the child has recently been exposed

to an infectious disease.

Answers

157. Answer: 1

Rationale: Although the preschooler already may be spending some time away
from parents at a day care center or preschool, illness adds a stressor that makes
separation more difficult. The child may ask repeatedly when parents will be coming
for a visit or may constantly want to call the parents. Options 3 and 4 increase stress
related to separation anxiety. Option 2 is unrelated to the subject of the question and,
in addition, may not be appropriate for a child who may be immunocompromised
and at risk for infection.
Test-Taking Strategy: Note that the subject relates to the child’s fear. Options 3
and 4 will increase anxiety and fear further and should be eliminated. Bearing the
subject of the question in mind and considering the child’s diagnosis will assist you
in eliminating option 2.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Content Area: Developmental Stages: Preschool and School Age
Health Problem: Pediatric-Specific: Cancers
Priority Concepts: Anxiety; Development
Reference: McKinney et al. (2018), pp. 787-788.

158. Answer: 4

Rationale: Adolescents often are not sure whether they want their parents with
them when they are hospitalized. Because of the importance of their peer group,
separation from friends is a source of anxiety. Ideally, the members of the peer group
will support their ill friend. Options 1, 2, and 3 isolate the client from the peer group.
Test-Taking Strategy: Note the strategic words, most appropriate. Consider the
psychosocial needs of the adolescent and remember that the peer group is very
important. Options 1, 2, and 3 are comparable or alike in that they isolate the client
from his or her own peer group.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Content Area: Developmental Stages: Adolescent
Health Problem: Pediatric-Specific: Appendicitis
Priority Concepts: Development; Health Promotion
Reference: McKinney et al. (2018), p. 791.

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