A nurse is collecting data about sleep patterns from the parent of a preschooler during a well-child visit. The parent states, "My child has nightmares three to four times each week. I hope they grow out of this soon." Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares?
The child can describe what they were frightened of.
The child usually goes back to sleep immediately.
The child becomes fully awake and is in a panic.
The child is easily comforted by the presence of the parent.
The Correct Answer is B
Rationale for A: If the child can describe what frightened them, this would be more consistent with nightmares. Nightmares often involve the ability to recall details of the bad dream, whereas sleep terrors are typically associated with no memory of the event.
Rationale for B: Children with sleep terrors generally do not fully awaken and can usually go back to sleep immediately. This is a key distinction between sleep terrors and nightmares, where the child remains distressed for some time and may be hesitant to fall back asleep.
Rationale for C: Becoming fully awake and in a panic is more characteristic of nightmares, where the child may wake up terrified and struggle to calm down, unlike sleep terrors where they do not fully awaken.
Rationale for D: A child with nightmares is often easily comforted by the presence of a parent. In contrast, children with sleep terrors are difficult to comfort because they are not fully awake and may not respond to soothing efforts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) Foods high in fiber are generally healthy and do not need to be avoided with lisinopril.
B) Lisinopril can increase potassium levels in the blood, so clients should avoid high- potassium foods to prevent hyperkalemia.
C) Foods high in vitamin K are typically associated with blood clotting and are not contraindicated with lisinopril.
D) Dairy products are not specifically contraindicated with lisinopril, although they should be consumed in moderation as part of a balanced diet.
Correct Answer is C
Explanation
Rationale:
A) Forcing the child to drink fluids when they have a fever is not recommended; instead, fluids should be offered frequently to prevent dehydration, but the child should not be forced to drink.
B) Using a dehumidifier in the child's room may help control humidity levels, but it is not specific to treating a bacterial upper respiratory infection.
C) Keeping the child's towels separate from those of the rest of the family helps prevent the spread of infection.
D) Ensuring the child eats three meals a day, even with reduced appetite, is important for maintaining adequate nutrition and energy levels during illness.
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