A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?
“This is a normal, expected reaction for a child of this age.”
“This is a response to an overstimulating environment.”
“This is a common reaction to an overexposure to caregivers.”
“This is a typical reaction for a child who is sick.”
The Correct Answer is A
A. Separation anxiety is a normal developmental milestone that typically peaks around 8 months of age. It is a sign of healthy attachment and is expected during this stage of infancy.
B. While overstimulation can cause distress in some children, the scenario presented is more indicative of separation anxiety.
C. Overexposure to caregivers is not a recognized cause of the described behavior. Instead, it is a manifestation of the child's attachment to the primary caregiver.
D. The behavior described is more consistent with separation anxiety than illness. Illness-related distress would likely involve other signs and symptoms.
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Related Questions
Correct Answer is D
Explanation
A. Discouraging visits from friends may contribute to social isolation, which can negatively
impact the child's psychosocial well-being. Encouraging social interactions, when appropriate, is generally beneficial.
B. While play therapy may be useful in certain situations, it may not be the primary focus for a 10-year-old child. Encouraging age-appropriate activities and interactions, including school work, is important.
C. Varying the child's schedule each day might introduce unnecessary stress and disrupt the sense of routine and stability, which is essential for psychosocial well-being.
D. Encouraging the client to complete school work is aligned with Erikson's psychosocial stage of industry vs. inferiority. This stage emphasizes the importance of developing competence and skills, including academic achievements, during the school-age years. Supporting the child's educational needs is crucial for positive psychosocial development.
Correct Answer is A
Explanation
A. Obtaining a detailed history is an appropriate first step in assessing the nature of the bruises. This can help determine if the bruises are due to accidental injuries or if there are concerns for possible abuse.
B. Separating the child from the parents without further assessment may not be justified and could create unnecessary distress for the child and family.
C. Involving a psychiatrist without a clear understanding of the situation may not be the most immediate and necessary action.
D. Reporting suspected abuse to the authorities is a crucial step if abuse is suspected, but obtaining a detailed history is important to gather information for a comprehensive assessment.
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