NCLEX-PN

Category - Psychosocial Integrity

A 4-year-old boy is admitted to the emergency department following a fractured left arm and a head injury. The child is expected to stay in the hospital for a few days. Which of the following nursing actions is the most appropriate during the child’s hospital stay?
  1. Encourage the client’s mother to buy a new toy for the child
  2. Instruct the mother to leave her sweater when she leaves for work
  3. The nurse should give factual explanations of what will happen during a procedure
  4. Arrange a hospital tour with the child
Explanation
Answer: B - During the preschool stage, children have a fear of abandonment of separation and so the nurse should instruct the mother to leave the child a familiar object when leaving for work. The mother should bring the child’s favorite toy, as a new toy may mean nothing to the child and it does not promote security. Options C and D are appropriate for school-age children.
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