A group of children on one hospital unit are all suffering from separation anxiety. Which child is experiencing the "despair" stage of separation anxiety?
Does not cry if parents return and leave again
Lies quietly in bed
Screams and cries when parents leave
Appears to be happy and content with staff
The Correct Answer is B
Choice A reason: Not crying if parents return and leave again may indicate the child has moved past the initial protest stage but does not necessarily indicate despair.
Choice B reason: This is the correct choice. Lying quietly in bed can be a sign of the despair stage, where the child has given up hope of the parents' return and appears withdrawn.
Choice C reason: Screaming and crying when parents leave is characteristic of the protest stage, not the despair stage.
Choice D reason: Appearing happy and content with staff may indicate the child has reached the detachment stage, which follows despair and involves the child forming new attachments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Congestive heart failure can occur in chronic renal failure due to fluid overload and the inability of the kidneys to manage fluid balance.
Choice B reason: Metabolic alkalosis is not typically a major complication of chronic renal failure; metabolic acidosis is more common due to the accumulation of acids in the body.
Choice C reason: Excessive excretion of blood urea nitrogen is not a complication; rather, in renal failure, the kidneys cannot excrete urea nitrogen effectively.
Choice D reason: Hypokalemia (low potassium) can occur, but it is not as major a complication as congestive heart failure in the context of chronic renal failure.
Correct Answer is A
Explanation
Choice A reason: This response is the most appropriate as it correctly identifies Down syndrome as a genetic condition caused by an extra chromosome and acknowledges that the exact cause of the chromosomal abnormality is unknown.
Choice B reason: This choice is incorrect because Down syndrome is not carried on the X chromosome nor is it inherited from the mother alone.
Choice C reason: This statement is false; Down syndrome is not caused by birth trauma but is a genetic disorder.
Choice D reason: This choice is misleading; while genetics play a role in Down syndrome, it is not typically inherited from both parents in the way this choice suggests.
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