Author Question: The emergency department nurse notices that the mother of a young child is making a lot of phone ... (Read 92 times)

charchew · **on:** Jun 27, 2018

The emergency department nurse notices that the mother of a young child is making a lot of phone calls and getting advice from her friends about what she should do. This behavior is an indication of which of the following?

a. Stress
b. Healthy coping skills
c. Attention-getting behaviors
d. Low self-esteem

Question 2

Which of the following treatment guidelines would be contraindicated when counseling the family of an infant with fragile X syndrome? Select all that apply.

a. Advise genetic testing for family members.
b. Delay speech therapy until the child is 2 years of age.
c. Educate the family that their child will probably have normal intelligence.
d. Refer the family to an early intervention program.

cdmart10 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Hyperactive behavior such as making a lot of phone calls and enlisting everyone's opinions is a sign of stress. This is not a healthy coping skill and may be an attention-getting behavior or indicative of the mother having low self-esteem, but is more likely an indicator of stress.

Answer to Question 2

B, C
Speech therapy should be started in the first year of life and continued on an ongoing basis. Waiting until the child is 2 years old would not be appropriate. Children with fragile X syndrome have a high incidence of intellectual, language, and social dysfunctions. It is the most common inherited cause of mental retardation. Because fragile X syndrome is an X-linked recessive disorder, genetic testing is appropriate. Early intervention programs assess the child and develop a plan of intervention; this is appropriate.