A nurse is caring for an 11-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Developing autonomy
Regression
Resentment toward the mother
An anxiety reaction
The Correct Answer is B
Incorrect:
A. Developing autonomy:
Rationale: Developing autonomy typically involves a toddler's exploration of their environment and assertion of independence. While seeking comfort in familiar behaviors like thumb-sucking can be a part of autonomy development, the behavior described in the scenario is more indicative of regression, which involves returning to earlier, more infantile behaviors rather than progressing towards independence.
B. Regression:
Rationale: Regression refers to reverting to behaviors characteristic of an earlier stage of development. In this scenario, the toddler's behavior of sitting quietly in the corner of the crib and sucking her thumb, as well as turning away from the nurse, suggests a regression to earlier comforting behaviors that are typical of younger infants. This regression may be a response to the stress and anxiety of being hospitalized and separated from the mother, seeking comfort in familiar behaviors.
C. Resentment toward the mother:
Rationale: There is no evidence in the scenario to suggest resentment toward the mother. The toddler's behavior of seeking comfort in thumb-sucking and turning away from the nurse is more indicative of distress or regression in response to the hospitalization and separation from the mother rather than directed resentment toward her.
D. An anxiety reaction:
Rationale: The toddler's behavior of sitting quietly in the corner of the crib, sucking her thumb, and turning away from the nurse suggests a response to stress or anxiety rather than an anxiety reaction per se. While anxiety may be a component of the toddler's emotional state, the behavior aligns more closely with regression as a coping mechanism in response to the stressors of hospitalization and separation from the mother.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I want to learn how to empty my child's urinary catheter bag."
This statement indicates a misunderstanding of the child's condition. Hirschsprung disease affects the large intestine and does not typically require a urinary catheter. Therefore, this statement does not demonstrate an understanding of the teaching.
B. "I'm glad that my child's ostomy is only temporary."
This statement indicates an understanding of the teaching. Hirschsprung disease can sometimes require the creation of a temporary ostomy as part of the surgical treatment. Recognizing that the ostomy is temporary reflects comprehension of the planned treatment.
C. "I’m glad my child will have normal bowel movements now."
This statement reflects a misunderstanding of the surgical treatment for Hirschsprung disease. While surgery can improve bowel function, it may not result in completely normal bowel movements. Therefore, this statement does not demonstrate an accurate understanding of the teaching.
D. "I want to learn how to use my child's feeding tube as soon as possible."
Hirschsprung disease and its surgical treatment typically do not involve the use of a feeding tube. Therefore, this statement indicates a misunderstanding of the child's condition and the planned treatment.
Correct Answer is C
Explanation
A. Limit the amount of time available to interact with others. This statement does not align with the typical behavior of individuals with obsessive-compulsive disorder (OCD). While the client's behavior of constantly picking up after others may indirectly limit interaction time, the primary motivation behind this behavior is more likely related to managing anxiety rather than intentionally limiting social interaction.
B. Manipulate and control others' behaviors. While individuals with OCD may engage in behaviors that affect others, such as seeking reassurance or involving others in their rituals, the behavior described in the scenario does not appear to be aimed at manipulating or controlling others. Instead, it seems driven by the client's internal need to alleviate anxiety through compulsive actions.
C. Decrease anxiety to a tolerable level. This is the correct choice. People with OCD often engage in compulsive behaviors as a way to reduce distressing feelings of anxiety or discomfort. By picking up after others compulsively, the client may experience temporary relief from obsessive thoughts and the associated anxiety. However, the relief is typically short-lived and can lead to a cycle of compulsive behaviors.
D. Focus attention on meaningless tasks. While the behavior of constantly picking up after others may seem repetitive or meaningless to an observer, individuals with OCD typically attribute great significance to their compulsive actions. These behaviors are driven by the need to reduce anxiety or prevent perceived harm rather than a deliberate focus on meaningless tasks.
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