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 Such interpretations are based on outdated psychoanalytic theories and are not considered valid explanations for this behavior.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 D
Explanation
Choice A rationale:
Fussy behavior in a 1-year-old infant can be a normal response to discomfort, hunger, or unfamiliar surroundings. It is not typically an immediate concern and does not warrant reporting to the physician immediately.
Choice B rationale:
Minimal verbalization is also common in a 1-year-old infant as they are still in the early stages of language development. It is not typically a finding that requires immediate reporting to the physician.
Choice C rationale:
A pulse rate of 100 beats/minute in a 1-year-old infant can be within the normal range. The normal pulse rate for infants can vary, but it generally falls between 100-160 beats/minute. While it may warrant further observation, it is not an immediate concern that requires reporting to the physician.
Choice D rationale:
A respiratory rate of 60 breaths/minute in a 1-year-old infant is significantly lower than the normal range. The normal respiratory rate for infants is typically between 20-40 breaths per minute. A respiratory rate of 60 may indicate respiratory distress or other underlying issues, which should be reported to the physician immediately for further evaluation and intervention.
Correct Answer is D
Explanation
Choice A rationale:
The statement, "There are locks on all of the cabinets in the house," indicates a safe behavior. Locking cabinets helps prevent access to potentially harmful substances, reducing the risk of accidents for the child.
Choice B rationale:
The statement, "I have a gate at the top and bottom of the stairs," also indicates a safe behavior. Gates are important safety measures to prevent falls down the stairs, which can be dangerous for infants and young children.
Choice C rationale:
The statement, "I put covers on all of the electrical outlets," is another indicator of a safe behavior. Covering electrical outlets is essential to prevent children from inserting objects into them, reducing the risk of electrical accidents.
Choice D rationale:
The statement, "In the car, she rides in a front-facing car seat," indicates an unsafe behavior. For a 9-month-old infant, it is recommended to use a rear-facing car seat as they provide better support for the child's head, neck, and spine in the event of sudden stops or crashes. Front-facing car seats are typically suitable for older children. Therefore, this choice represents an unsafe practice that should be corrected.
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