The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue?
Before answering questions, find out what the child thinks about the subject.
Expand upon the topic when answering questions to prevent further confusion.
Provide a less than honest response to shelter the child from knowledge that is too advanced.
Be prepared to thoroughly cover a topic before the child asks about it.
The Correct Answer is A
A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.
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Correct Answer is D
Explanation
A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.
Correct Answer is D
Explanation
A. Teens who date frequently may experience fluctuations in self-esteem and autonomy, but it is not a universal trend and depends on various factors.
B. While mixed-sex group activities are common, many late adolescents do engage in dating relationships as couples.
C. Homosexual behavior during adolescence does not necessarily predict sexual orientation in adulthood, as sexual orientation can evolve over time.
D. Research indicates that by late adolescence, most teens have experienced at least one romantic relationship, whether short-term or long-term, reflecting a common developmental milestone.
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