A nurse is reinforcing teaching with a group of caregivers about separation anxiety in the pediatric setting. Which of the following information should the nurse include?
Detachment is the stage exhibited only in the hospital.
Physical aggression such as kicking is an example of separation anxiety.
It results in prolonged issues of adaptability.
It is often observed in the school aged child.
The Correct Answer is B
A. Detachment is the stage exhibited only in the hospital: Detachment can occur in other settings beyond the hospital. It is the final stage of separation anxiety and may manifest as a child appearing uninterested in caregivers, a coping mechanism to deal with prolonged separation.
B. Physical aggression such as kicking is an example of separation anxiety: Physical aggression, such as kicking or hitting, is a common behavior during separation anxiety, especially in younger children who cannot verbalize their emotions effectively.
C. It results in prolonged issues of adaptability: While separation anxiety may temporarily affect adaptability, most children overcome it as they grow. It does not inherently result in prolonged issues unless associated with other psychological conditions.
D. It is often observed in the school-aged child: Separation anxiety is most commonly observed in infants and toddlers (6 months to 3 years). By school age, children have typically developed coping mechanisms, though they may experience situational anxiety.
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Correct Answer is B
Explanation
A. Hide the medication in apple slices: This is inappropriate as the child might distrust caregivers if they realize the medication was hidden.
B. Offer the child an ice pop prior to administering the medication: An ice pop numbs taste buds and can reduce the unpleasant taste of medication.
C. Tell the child the medicine tastes like candy: Providing false information undermines trust and is unethical.
D. Inform the child that if he does not take the medication he will need a shot: Threats increase anxiety and do not foster cooperation.
Correct Answer is A
Explanation
A. Move the child into a side-lying position: This is the priority action to maintain an open airway, promote drainage of vomit, and reduce the risk of aspiration.
B. Remove the child's eyeglasses: While helpful to prevent injury, it is not the priority action during an active seizure.
C. Time the seizure: Timing is important to assess the duration and severity of the seizure, but it does not address immediate safety concerns like aspiration.
D. Place a pillow under the child's head: While this may prevent head injury, repositioning to a side-lying position to prevent aspiration is more critical.