Answer to Question 1
ANS: A
Assessing a child's reaction to illness requires knowing the child's normal patterns of communication. Interactions are observed between parent and child. Variations occur across situations, so that the child under stress or in a different environment may process information at a lower level than he would under normal conditions. Because two children of the same chronological age may have quite different skills as information processors, the nurse needs to assess level of functioning. Some studies show school-age children are more satisfied if their health care provider is the same gender. A severe illness can cause a child to show behaviors that are reminiscent of an earlier stage of development. A certain amount of regression is normal.
Answer to Question 2
ANS: C
A severe illness can cause a child to show behaviors that are reminiscent of an earlier stage of development. A certain amount of regression is normal. Common behaviors include whining, demanding undue attention, withdrawal, or having toileting accidents. These behaviors might stem from the powerlessness the child feels in attempting to cope with an overwhelming, frightening environment. Reassuring the parents that this is a common response to the stress of illness can be helpful and is the best approach.
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