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    ATI NS113 Paediatrics Proctored Exam

    A 4-year-old is hospitalized and withdrawn.What activity should the nurse encourage?

    Explanation & Rationale

    Choice A rationaleFor a withdrawn 4-year-old, activities that allow for self-expression and communication are beneficial. Coloring provides a non-verbal outlet for emotions, and talking about feelings, facilitated by the nurse, can help the child process their experience and reduce feelings of isolation.Choice B rationalePracticing reading skills is developmentally appropriate for some 4-year-olds but may not be engaging or therapeutic for a child who is currently withdrawn and emotionally distressed due to hospitalization. The focus should be on emotional expression rather than academic tasks.Choice C rationaleWatching cartoons alone can increase feelings of isolation and does not encourage interaction or emotional expression, which are crucial for a withdrawn child in a hospital setting.Choice D rationaleWhile rest is important, frequent napping can further isolate the child and may not address the underlying emotional needs contributing to their withdrawal. Encouraging active engagement and interaction is more therapeutic.

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