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 D
Explanation
A. Preschool children experience fear related to the disease process. While preschool children may fear pain or separation, this statement does not directly address their perception of death.
B. Preschool children understand death completely. Preschool children do not fully understand the permanence of death; this comprehension develops later.
C. Preschool children have no concept of death. Preschoolers have some concept of death but often see it as temporary or reversible.
D. Preschool children perceive death as temporary. Preschool-aged children often view death as temporary, like sleeping, due to their limited understanding of its finality.
Correct Answer is D
Explanation
A. "I cannot wash my child's hair prior to the procedure.": Hair should be clean and free of oils or products to ensure proper electrode placement and signal conduction.
B. "This procedure will be painful for my child.": An EEG is a non-invasive and painless test.
C. "I should not give my child anything to eat prior to the procedure.": Eating is usually permitted before an EEG unless sedation is planned.
D. "My child should remain quiet and still during this procedure.": Movement can interfere with the test's accuracy, so the child needs to stay calm and still during the procedure.