A mother is concerned because her 10-month-old infant is lethargic.
What is the best action the nurse can advise this mother to implement?

Choice A rationale:

Young children often understand that other people die, but do not equate it with themselves. As discussed in the previous response, young children often have a limited understanding of death, and they may not immediately relate it to themselves. This understanding should guide the nurse's response when addressing a parent's concerns about their children's reactions to the death of their grandmother. By recognizing that children may not fully grasp the concept of their own mortality, the nurse can provide age-appropriate explanations, comfort, and support, helping the children navigate their emotions during this difficult time.

Choice B rationale:

Children can understand the concept of a higher being much like adults can. Similar to the previous question, while children may have some understanding of spirituality and a higher being, their understanding tends to be simpler and less abstract than that of adults. However, the primary focus in this situation should be on the children's understanding of death and its implications for their lives.

Choice C rationale:

The children's response will depend entirely on whether they have been acquainted with death before this. As previously explained, the response of children to the death of a loved one is influenced by various factors, not solely by their prior acquaintance with death. Each child's emotional response is unique, and the nurse should approach them individually, considering their specific experiences and needs.

Choice D rationale:

Children are unlikely to notice their grandmother's absence if no one reminds them. This choice is not an appropriate understanding to guide the nurse's response, as children are likely to notice the absence of a loved one, even if no one reminds them. The nurse's role is to provide support, comfort, and guidance during this challenging time, not to assume that children won't notice the change in their lives.

Choice A rationale:

Allowing the child to read in his room until he falls asleep may not be the most appropriate choice in this situation. While reading can be a calming bedtime activity, it might not address the underlying issue of establishing a consistent bedtime routine. Additionally, letting a child read until they fall asleep could lead to irregular sleep patterns.

Choice B rationale:

Tiring out the child with physical activity before bedtime might seem like a good idea to promote sleep, but it's not always effective for all children. Physical activity close to bedtime may have the opposite effect, making the child more alert and active. It's essential to focus on a combination of calming activities and a consistent bedtime routine.

Choice D rationale:

Allowing the child to put himself to bed when he is tired can lead to inconsistent sleep patterns and may not be suitable for a young child. Children thrive on routine and structure, and it's important to establish a bedtime routine that provides a sense of security and predictability. Allowing a child to decide when to go to bed can disrupt this routine.