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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Crushed ice is a cold and soothing option that can help reduce throat discomfort after tonsillectomy. It also provides hydration without irritation.
B. Orange juice is acidic and may cause discomfort or irritation to the surgical site. It is not recommended immediately after a tonsillectomy.
C. A vanilla milkshake may be too thick and could be irritating to the surgical site. Additionally, dairy products may increase mucus production.
D. Cranberry juice is acidic and may cause irritation to the surgical site. It is not the best choice for immediate postoperative hydration after tonsillectomy.
Correct Answer is B
Explanation
A. Squamous cell carcinoma is a type of cancer and typically presents as a persistent sore or ulcer, not as a white, milky plaque.
B. Candidiasis, also known as oral thrush, can occur in immunocompromised individuals, especially those on antibiotics, immunosuppressants, and corticosteroids. The white, milky plaque that does not come off with rubbing is characteristic of candidiasis.
C. Herpes simplex can cause painful oral lesions, but it usually presents as vesicles that rupture to form ulcers.
D. Dermatitis refers to inflammation of the skin and is not typically associated with white plaques in the mouth.
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