A spinal tap must be done on a 9-year-old boy. While he is ...

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A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room, the nurse observes that he seems composed. When the nurse asks him if he wants his mother to stay with him, he says, I am fine.
 
  How should the nurse interpret this situation?
  a. This child is unusually brave.
  b. He has learned that support does not help.
  c. Nine-year-old boys do not usually want a parent present during the procedure.
  d. Children in this age group often do not request support even though they need and want it.

Question 2

The psychosexual conflicts of preschool children make them extremely vulnerable to which threat?
 
  a. Loss of control
  b. Loss of identity
  c. Separation anxiety
  d. Bodily injury and pain

[Bigfoot1984]

Answer to Question 1

ANS: D
The school-age child's visible composure, calmness, and acceptance often mask an inner longing for support. Children of this age have a more passive approach to pain and an indirect request for support. It is especially important to be aware of nonverbal cues such as facial expression, silence, and lack of activity. Usually when someone identifies the unspoken messages, the child will readily accept support.

Answer to Question 2

ANS: D
The psychosexual conflicts of children in this age group make them vulnerable to threats of bodily injury. Intrusive procedures, whether painful or painless, are threatening to preschoolers, whose concept of body integrity is still poorly developed. Loss of control, loss of identity, and separation anxiety are not related to psychosexual conflicts.

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TYSM

[Alyson.hiatt@yahoo.com]

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