A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

“This is a normal, expected reaction for a child of this age.”

“This is a response to an overstimulating environment.”

“This is a common reaction to an overexposure to caregivers.”

“This is a typical reaction for a child who is sick.”

Answer and Explanation

The Correct Answer is A

A. Separation anxiety is a normal developmental milestone that typically peaks around 8 months of age. It is a sign of healthy attachment and is expected during this stage of infancy.

B. While overstimulation can cause distress in some children, the scenario presented is more indicative of separation anxiety.

C. Overexposure to caregivers is not a recognized cause of the described behavior. Instead, it is a manifestation of the child's attachment to the primary caregiver.

D. The behavior described is more consistent with separation anxiety than illness. Illness-related distress would likely involve other signs and symptoms.

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Correct Answer is C

Explanation

A. Gastritis is not an infectious condition and is unlikely to be the source of the child's rheumatic fever.

B. Chickenpox is caused by a different pathogen (varicella-zoster virus) and is not associated with the development of rheumatic fever.

C. Rheumatic fever often follows untreated or inadequately treated streptococcal infections, particularly streptococcal pharyngitis (sore throat). A sibling with a recent sore throat is a significant piece of information.

D. Fifth disease is caused by parvovirus B19 and is not known to be a precursor to rheumatic fever.

A. "Why does it bother you that your child has wet the bed?" B. "Your child did not seem upset, so I wouldn't worry about it if I were you." C. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." D. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Correct Answer is C

Explanation

A. This response may come across as confrontational and may not address the parent's concerns effectively.

B. Dismissing the parent's worry may not be helpful in addressing their concerns and emotions.

C. Hospitalization can be a stressful experience for children, and regression in toileting skills is a common response. Providing reassurance that this is expected can help alleviate the parent's
embarrassment and anxiety.

D. Expressing understanding and empathy is good, but it does not provide information about the expected regression in toileting skills during hospitalization.

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A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, “I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

Correct Answer is C

Explanation

A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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