A 5-year-old girl tells everyone she meets about the recent death of her family's dog. Then she says, "One day, I am going to die, and so will you." Which of the following statements is correct?
The child is too young to be concerned with death; she should be evaluated by a psychiatric expert
This child should not be discussing personal issues without the consent of her parents; the family should be referred to therapy
Her behavior is normal and requires no intervention
Her behavior requires examination; she is obsessed with death because she talks about it with everyone she meets
The Correct Answer is C
Choice A reason: While young children’s understanding of death evolves, curiosity and verbalization about death is a normal developmental stage around age 5. Immediate psychiatric evaluation is not indicated unless accompanied by distress, dysfunction, or unusual behaviors.
Choice B reason: Discussing personal feelings in children is a healthy way to process grief. Intervening solely because a child talks about death is unnecessary if she is otherwise functioning normally.
Choice C reason: Normal developmental understanding of death includes curiosity and sometimes existential statements. The child’s expression reflects natural processing of loss and awareness of mortality, requiring observation rather than intervention.
Choice D reason: The child does not display obsessive preoccupation or functional impairment. Normal grief and cognitive development explain the behavior without pathologizing it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Williams syndrome is associated with distinctive facial features, cardiovascular anomalies, and strong verbal abilities, not consistent with the long face and large ears described.
Choice B reason: Rett syndrome primarily affects females and includes regression of motor and communication skills, making it unlikely in this male patient.
Choice C reason: Fragile X syndrome is characterized by intellectual disability, long face, large ears, joint hyperextensibility, and sometimes short stature, aligning with the patient’s presentation.
Choice D reason: Turner syndrome affects females, involves short stature and certain facial features, but would not account for male presentation.
Correct Answer is C
Explanation
Choice A reason: HPV vaccination is recommended for girls and women, but the optimal age for routine vaccination is 11-12 years, not the entire 9-26 age range.
Choice B reason: Similarly, vaccination is recommended for boys and men, with routine administration starting at 11-12 years.
Choice C reason: Routine HPV vaccination is recommended for both girls and boys at ages 11-12 to maximize immune response before potential exposure to HPV, making this the correct age group.
Choice D reason: The vaccine can be given up to age 26, but the recommendation is specifically for children ages 11-12 for routine immunization.
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