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 Such interpretations are based on outdated psychoanalytic theories and are not considered valid explanations for this behavior.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 A
Explanation
Choice A rationale:
Young children often understand that other people die, but do not equate it with themselves. As discussed in the previous response, young children often have a limited understanding of death, and they may not immediately relate it to themselves. This understanding should guide the nurse's response when addressing a parent's concerns about their children's reactions to the death of their grandmother. By recognizing that children may not fully grasp the concept of their own mortality, the nurse can provide age-appropriate explanations, comfort, and support, helping the children navigate their emotions during this difficult time.
Choice B rationale:
Children can understand the concept of a higher being much like adults can. Similar to the previous question, while children may have some understanding of spirituality and a higher being, their understanding tends to be simpler and less abstract than that of adults. However, the primary focus in this situation should be on the children's understanding of death and its implications for their lives.
Choice C rationale:
The children's response will depend entirely on whether they have been acquainted with death before this. As previously explained, the response of children to the death of a loved one is influenced by various factors, not solely by their prior acquaintance with death. Each child's emotional response is unique, and the nurse should approach them individually, considering their specific experiences and needs.
Choice D rationale:
Children are unlikely to notice their grandmother's absence if no one reminds them. This choice is not an appropriate understanding to guide the nurse's response, as children are likely to notice the absence of a loved one, even if no one reminds them. The nurse's role is to provide support, comfort, and guidance during this challenging time, not to assume that children won't notice the change in their lives.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
Using a tray attachment on a high chair as a restraint is not a recommended fall precaution for infants. Restraining an infant in this manner can be dangerous and may lead to injuries. Infants should be securely strapped into their high chair but not confined using tray attachments.
Choice B rationale:
Keeping crib rails up and in a locked position is essential for infant fall precautions. This prevents the infant from climbing or falling out of the crib, reducing the risk of injury. It's a crucial safety measure.
Choice C rationale:
Removing all unsteady furniture is an important fall precaution. Unsteady furniture can easily tip over if an infant tries to pull themselves up or grasp onto it. This can result in injuries, making it necessary to secure or remove such furniture.
Choice D rationale:
Stabilizing the infant with a hand when on a changing table is a necessary fall precaution. Infants can be quite wiggly, and having a hand on them helps prevent them from rolling off the changing table, which can lead to serious injuries.
Choice E rationale:
Keeping the infant seat on the floor while indoors is another important fall precaution. Placing the infant seat on an elevated surface can lead to falls, so it should always be kept on the floor to ensure the baby's safety.
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