A school-age child has begun to sleepwalk. What does the nurse ...

[darbym82]

A school-age child has begun to sleepwalk. What does the nurse advise the parents to perform?
 
  a. Wake the child and help determine what is wrong.
  b. Leave the child alone unless he or she is in danger of harming him- or herself or others.
  c. Arrange for psychologic evaluation to identify the cause of stress.
  d. Keep the child awake later in the evening to ensure sufficient tiredness for a full night of sleep.

Question 2

A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says she is completing her school work satisfactorily but lately has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this
 
  a. Signs of stress
  b. Developmental delay
  c. Lack of adjustment to school environment
  d. Physical problem that needs medical intervention

[nixon_s]

Answer to Question 1

ANS: B
Sleepwalking is usually self-limiting and requires no treatment. The child usually moves about restlessly and then returns to bed. Usually the actions are repetitive and clumsy. The child should not be awakened unless in danger. If there is a need to awaken the child, it should be done by calling the child's name to gradually bring to a state of alertness. Some children, who are usually well behaved and tend to repress feelings, may sleepwalk because of strong emotions. These children usually respond to relaxation techniques before bedtime. If a child is overly fatigued, sleepwalking can increase.

Answer to Question 2

ANS: A
Signs of stress include stomach pains or headache, sleep problems, bedwetting, changes in eating habits, aggressive or stubborn behavior, reluctance to participate, or regression to earlier behaviors. The child is completing school work satisfactorily; any developmental delay would have been diagnosed earlier. The teacher reports that this is a departure from the child's normal behavior. Adjustment issues would most likely be evident soon after a change. Medical intervention is not immediately required. Recognizing that this constellation of symptoms can indicate stress, the nurse should help the child identify sources of stress and how to use stress reduction techniques. The parents are involved in the evaluation process.

[darbym82]

Excellent

[debra928]

Gracias!