The mother of a 7-year-old girl tells the school nurse that her child is deathly afraid of going to school. What would be the best intervention the nurse could suggest in this situation?
Return the child to school and investigate the cause of the fear.
Tell the child that privileges will be taken away if she does not return to school.
Have the child stay home from school until any issues causing this fear are resolved.
Investigate a new school for the child to attend that the child will not be afraid of.
The Correct Answer is A
A. Investigating the cause of the fear while the child is still attending school helps address the issue promptly while not interrupting the child's routine and social engagement.
B. Threatening to take away privileges might increase the child's anxiety and not address the underlying cause of the fear.
C. Allowing the child to stay home until issues are resolved might exacerbate the fear and create a pattern of avoidance.
D. Moving the child to a new school without addressing the cause of the fear might not resolve the underlying issue and could potentially create new anxieties.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Turning off the room light might aid sleep, but providing specific bedtime rituals is more effective in establishing a sleep routine and signaling to the toddler that it's time to rest.
B. While addressing fears is important, it might not immediately resolve the toddler's difficulty sleeping; establishing bedtime rituals helps create a calming environment.
C. Evening play exercises might energize the toddler rather than promoting sleep, so they might not be conducive to improving sleep during hospitalization.
D. Bedtime rituals, like a soothing bath, reading a book, or soft music, can create a predictable routine that signals to the toddler it's time to wind down and sleep.
Correct Answer is B
Explanation
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
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