A 4-year-old child cries and screams from the time the parents ...

[tuffie]

A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask,
 
  What should we do? What is the nurse's best recommendation?
 
  a. Send a picture of yourself to school to keep with the child.
  b. Arrange with the teacher to let the child call home at playtime.
  c. Talk with the school about withdrawing the child until maturity increases.
  d. Talk with your health care provider about a referral to a mental health clinic.

Question 2

Shortly after a 15-year-old's parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, All the other kids have families.
 
  If my parents loved me, then they would stay together. Which nursing intervention is most appropriate?
 
  a. Develop a plan for activities of daily living.
  b. Communicate disbelief relative to the adolescent's feelings.
  c. Assist the adolescent to differentiate reality from perceptions.
  d. Assess and document the adolescent's level of depression daily.

[k2629]

Answer to Question 1

ANS: D
Separation anxiety disorder becomes apparent when the child is separated from the attachment figure. Often, the first time separation occurs is when the child goes to kindergarten or nursery school. Separation anxiety may be based on the child's fear that something will happen to the attachment figure. The child needs professional help.

Answer to Question 2

ANS: C
The patient's perceptions that all the other kids are from two-parent households and that he or she is different are not based in reality. Assisting the patient to test the accuracy of the perceptions is helpful.

[tuffie]

Thank you

[k2629]

No problemo