A nurse is caring for an 8-month-old child who starts to cry when his parents leave.
The nurse should make which of the following statements to the parents?
"You should expect your child to be upset when you leave.”.
"Your child needs to rest.”.
"Your child is responding to an overstimulating environment.”.
"I will notify the provider of his behavior.”.
The Correct Answer is A
Choice A rationale
It's normal for an 8-month-old child to exhibit separation anxiety when their parents leave. This stage of development typically begins around 6 to 8 months of age and can peak around 14 to 18 months. It is a sign that the child has developed a strong attachment to their parents and understands the concept of object permanence—that objects and people continue to exist even when they are not visible.
Choice B rationale
While rest is important for an infant, this statement does not address the underlying issue of separation anxiety. It implies that the child's crying is due to fatigue, which can be misleading to the parents.
Choice C rationale
An overstimulating environment can cause distress in infants, but in this case, the crying is more directly related to separation anxiety. It's essential to differentiate between the two causes so that parents can respond appropriately.
Choice D rationale
Notifying a provider is unnecessary for typical separation anxiety. This response could unnecessarily alarm the parents and does not educate them on the normalcy of this developmental phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for establishing healthy sleep patterns in children.
Choice B rationale
Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and child's sleep in the long term.
Choice C rationale
Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.
Choice D rationale
Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased dependency on the parent's presence to fall asleep.
Correct Answer is A
Explanation
Choice A rationale
It's normal for an 8-month-old child to exhibit separation anxiety when their parents leave. This stage of development typically begins around 6 to 8 months of age and can peak around 14 to 18 months. It is a sign that the child has developed a strong attachment to their parents and understands the concept of object permanence—that objects and people continue to exist even when they are not visible.
Choice B rationale
While rest is important for an infant, this statement does not address the underlying issue of separation anxiety. It implies that the child's crying is due to fatigue, which can be misleading to the parents.
Choice C rationale
An overstimulating environment can cause distress in infants, but in this case, the crying is more directly related to separation anxiety. It's essential to differentiate between the two causes so that parents can respond appropriately.
Choice D rationale
Notifying a provider is unnecessary for typical separation anxiety. This response could unnecessarily alarm the parents and does not educate them on the normalcy of this developmental phase.
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