During a routine well-child visit, a nurse is reinforcing teaching with the parents of a preschool-age child whom they have difficulty getting to sleep.
Which of the following statements by the parents indicates an understanding of the teaching?
"I will let my child fall asleep with me and then move him to his own bed.”.
"I will make sure the room is dark when placing my child in bed.”.
"I will encourage my child to fall asleep with his favorite toy.”.
"I will allow my child to watch TV to help him go to sleep.”. .
The Correct Answer is C
Choice A rationale
Allowing a child to fall asleep with a parent can create dependence and difficulties with independent sleep. It's better to establish a routine that encourages self-soothing.
Choice B rationale
A dark room can actually make some children more anxious. A nightlight can provide comfort without disrupting sleep.
Choice C rationale
Encouraging a child to sleep with a favorite toy can provide comfort and a sense of security, facilitating a smoother transition to sleep.
Choice D rationale
Allowing TV before bed can overstimulate the child and interfere with sleep patterns. It’s better to establish a calming bedtime routine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A brightly-colored mobile is suitable for infants who are visually stimulated by motion and color but not appropriate for a 4-year-old.
Choice B rationale
A checkerboard and checkers are more suitable for older children or adolescents who have developed advanced cognitive and strategic thinking skills.
Choice C rationale
A 100-piece jigsaw puzzle is also more appropriate for older children or adolescents with well-developed problem-solving and fine motor skills.
Choice D rationale
Hand puppets are suitable for a 4-year-old as they encourage imaginative play, storytelling, and fine motor skill development.
Correct Answer is D
Explanation
Choice A rationale
Autonomy vs. shame and doubt is the stage for toddlers, where children learn to assert their independence and autonomy. This stage doesn't apply to school-age children.
Choice B rationale
Identity vs. role confusion is the stage for adolescents, where they explore different roles and integrate them into their identity. This is beyond the scope of school-age children.
Choice C rationale
Initiative vs. guilt applies to preschool children, where they begin to assert power and control through directing play and other social interactions. School-age children have moved past this stage.
Choice D rationale
Industry vs. inferiority is the stage for school-age children according to Erikson's theory. In this stage, children develop a sense of pride and competence in their skills and abilities through school and social interactions.
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