Which of the following is a common symptom of a seizure?
Uncontrollable shaking of the body
Difficulty breathing and shortness of breath
Dizziness and lightheadedness
Rapid heart rate and chest pain
The Correct Answer is A
A. Uncontrollable shaking of the body: This is a hallmark sign of generalized tonic-clonic seizures, characterized by jerking movements of the body.
B. Difficulty breathing and shortness of breath: Respiratory difficulties are not primary symptoms of seizures but may occur in severe cases.
C. Dizziness and lightheadedness: These symptoms are more indicative of conditions like vertigo or syncope, not seizures.
D. Rapid heart rate and chest pain: These are more characteristic of cardiac issues than seizures.
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Correct Answer is B
Explanation
A. Describing manifestations of the illness: Preschoolers lack the cognitive ability to describe symptoms in detail.
B. Relating fears to magical thinking: Magical thinking is characteristic of preschoolers, and they may associate illness with punishment or fantastical causes.
C. Awareness of body function: This is more typical of school-age children, not preschoolers.
D. Understanding cause of illness: Preschoolers do not have the cognitive development to understand illness causation fully.
Correct Answer is D
Explanation
A. "I promise I won't tell anyone about this.": This is inappropriate as nurses are mandated reporters and must inform authorities when abuse is suspected.
B. "Let's discuss what you have told me with your family members.": Involving the alleged abuser(s) directly can put the child at greater risk and is inappropriate.
C. "Your family is bad for doing this to you.": Judging or labeling the family is unprofessional and could make the child feel conflicted or guilty.
D. "It is not your fault that this happened.": This response reassures the child, alleviating feelings of guilt and fostering trust, while remaining supportive and professional.