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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Scoliosis is a lateral curvature of the spine. It is commonly assessed during routine physical examinations, especially in adolescents.
B. Lordosis refers to an exaggerated inward curvature of the spine, typically in the lumbar region.
C. Torticollis is a condition characterized by a tilt of the head to one side due to the shortening of muscles on one side of the neck.
D. Kyphosis is an exaggerated outward curvature of the thoracic spine, leading to a rounded upper back.
Correct Answer is B
Explanation
A. A toy hammer and pounding board may not be appropriate in a hospital setting and might not effectively address the child's emotional distress.
B. A stuffed animal can provide comfort and a sense of security for a young child experiencing separation anxiety. It serves as a transitional object, helping the child cope with the absence of the parent.
C. A picture book about hospitals may be informative, but it might not provide the immediate comfort and distraction needed during the tantrum.
D. A set of building blocks may be more suitable for creative play but may not offer the same level of emotional comfort as a stuffed animal in the given situation.
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