A group of children on one hospital unit are all suffering from separation anxiety. Which child is experiencing the "despair" stage of separation anxiety?
Does not cry if parents return and leave again
Lies quietly in bed
Screams and cries when parents leave
Appears to be happy and content with staff
The Correct Answer is B
Choice A reason: Not crying if parents return and leave again may indicate the child has moved past the initial protest stage but does not necessarily indicate despair.
Choice B reason: This is the correct choice. Lying quietly in bed can be a sign of the despair stage, where the child has given up hope of the parents' return and appears withdrawn.
Choice C reason: Screaming and crying when parents leave is characteristic of the protest stage, not the despair stage.
Choice D reason: Appearing happy and content with staff may indicate the child has reached the detachment stage, which follows despair and involves the child forming new attachments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.
Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.
Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.
Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.
Correct Answer is C
Explanation
Choice A reason: Placing the infant flat and prone is not the first priority in the care of an infant with gastroschisis.
Choice B reason: While providing warmth and promoting bonding are important, they are not the immediate priority upon admission for an infant with gastroschisis.
Choice C reason: This is the correct choice. The exposed abdominal organs in gastroschisis must be protected immediately to prevent heat and fluid loss and to reduce the risk of infection.
Choice D reason: Breastfeeding is important for bonding and nutrition but is not the first intervention for an infant with gastroschisis.
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