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 A
Explanation
Choice A rationale
Ensuring the client's weights are hanging freely from the bed is crucial in maintaining the proper amount of traction force. This prevents complications and ensures that the traction is effective in reducing the fracture and alleviating pain.
Choice B rationale
Checking the client's bony prominences every 12 hours is important for preventing pressure ulcers and skin breakdown. However, the timing might need to be more frequent depending on the client's overall health and risk factors.
Choice C rationale
Cleansing the client's pin sites with povidone-iodine is a common practice to prevent infection. However, current guidelines often recommend alternative cleaning solutions, such as chlorhexidine, due to better evidence of efficacy.
Choice D rationale
Loosening the knots on the ropes if the client is experiencing pain can compromise the effectiveness of the traction. Adjustments should be made by a healthcare professional to ensure the correct amount of force is applied without causing additional harm.
Correct Answer is A
Explanation
Choice A rationale
Peer pressure is a significant concern during adolescence as individuals seek acceptance and validation from their peers, often engaging in behaviors they might otherwise avoid.
Choice B rationale
Inclusivity refers to ensuring everyone is included and feels welcomed, but it's not a common concern that would make someone engage in risky behavior like vaping.
Choice C rationale
Cold stress is more related to the physical response to cold environments rather than social situations. Adolescents typically experience cold stress due to environmental conditions, not peer interactions.
Choice D rationale
Role confusion, according to Erikson's stages of development, involves uncertainty about one's role and identity, but it doesn't directly explain engaging in risky behaviors due to peer influence.
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