The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.
What knowledge would act as the basis for the nurse's response?
It is usually a result of discomfort from a penile rash or irritation.
Masturbation suggests the boy has an excessive fear of castration.
This behavior indicates a normal curiosity about sexuality.
The behavior is abnormal, and the child should be referred for counseling.
The Correct Answer is C
Choice A rationale:
It is essential to understand that children exploring their bodies, including touching their genitalia, is often a normal part of their development. However, suggesting that it is due to discomfort from a penile rash or irritation (Choice A) may pathologize typical behavior and cause unnecessary concern. It's important for healthcare providers and parents to differentiate between normal curiosity and potential signs of discomfort or distress.
Choice B rationale:
Masturbation in young children is not a sign of an excessive fear of castration (Choice B). Such interpretations are based on outdated psychoanalytic theories and are not considered valid explanations for this behavior. It's crucial to avoid making unwarranted psychological assumptions about children's actions.
Choice C rationale:
Choice C is the correct answer because, in most cases, frequent genital touching in young children is a manifestation of normal curiosity about their bodies and sexuality. It is an opportunity for parents and caregivers to educate children about privacy, appropriate behavior, and boundaries in a developmentally appropriate manner. This response reflects a current and evidence-based understanding of child development.
Choice D rationale:
Labeling this behavior as abnormal and suggesting the child should be referred for counseling (Choice D) is not appropriate unless there are specific signs of distress, compulsivity, or other concerning factors. Jumping to counseling without a valid reason can create unnecessary anxiety for the child and parents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hot dog sections are not considered an appropriate snack for a 2-year-old child. Hot dogs pose a choking hazard due to their size and texture, especially for young children. Therefore, this choice is not suitable for a snack.
Choice B rationale:
Applesauce is a suitable snack for a 2-year-old child. It is easy to digest and typically well-received by children. Applesauce is soft and can be a source of vitamins and nutrients. However, it's important to ensure that the applesauce is age-appropriate and free of added sugars or preservatives.
Choice C rationale:
Grapes are not recommended as a snack for 2-year-old children because they pose a choking hazard. Grapes are small and round, making them a potential risk for choking, especially if not cut into smaller, manageable pieces.
Choice D rationale:
Popcorn is not a suitable snack for a 2-year-old child. Popcorn kernels can also pose a choking hazard, as young children may not have the molars necessary to chew them properly. Additionally, popcorn can be hard and may irritate the child's digestive system. Therefore, it's best to avoid popcorn as a snack for toddlers.
Correct Answer is A
Explanation
Choice A rationale:
Push-pull toys are the most appropriate toy choice for a 3-year-old because they encourage physical activity and help with the development of gross motor skills. These toys are easy for young children to handle and provide an opportunity for them to explore their environment actively.
Choice B rationale:
A large construction set may have small parts that can be a choking hazard for a 3-year-old. Safety is a paramount concern when selecting toys for young children, so this choice is not the most appropriate.
Choice C rationale:
A small pet, such as a goldfish, is not a suitable toy for a 3-year-old. Pets require care and responsibility, and introducing a pet should be a well-considered decision made by the family, not a toy choice.
Choice D rationale:
A board game is usually too complex for a 3-year-old. Board games involve rules, taking turns, and fine motor skills that may not be well-developed in children of this age. It is not the most appropriate choice for a 3-year-old. .
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