The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night.
Which of the following responses should the nurse make?
Allow your child an additional 30 minutes of play time before bed.
Let your child sleep in your bed with you.
Keep a night light on in your child's room.
Stay with your child until he is asleep if he begins to cry.
The Correct Answer is C
Choice A rationale
Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for
establishing healthy sleep patterns in children.
Choice B rationale
Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and
child's sleep in the long term.
Choice C rationale
Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.
Choice D rationale
Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased
dependency on the parent's presence to fall asleep.
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Correct Answer is B
Explanation
Choice A rationale
Headache could indicate various conditions but is not immediately life-threatening post-surgery. It may be due to medication or anesthesia but is not the priority.
Choice B rationale
Altered level of consciousness (LOC) is a critical finding. It may indicate complications such as hemorrhage, fat embolism, or hypoxia, which require urgent assessment and intervention.
Choice C rationale
Muscle spasms can be a common symptom post-surgery due to pain or positioning. While they need management, they do not take precedence over LOC changes.
Choice D rationale
An oral temperature of 37.7°C is slightly elevated but not alarming. It may be due to the body's normal inflammatory response post-surgery.
Correct Answer is D
Explanation
Choice A rationale
Autonomy vs. shame and doubt is the stage for toddlers, where children learn to assert their independence and autonomy. This stage doesn't apply to school-age children.
Choice B rationale
Identity vs. role confusion is the stage for adolescents, where they explore different roles and integrate them into their identity. This is beyond the scope of school-age children.
Choice C rationale
Initiative vs. guilt applies to preschool children, where they begin to assert power and control through directing play and other social interactions. School-age children have moved
past this stage.
Choice D rationale
Industry vs. inferiority is the stage for school-age children according to Erikson's theory. In this stage, children develop a sense of pride and competence in their skills and abilities
through school and social interactions.