A 2-year-old child has been hospitalized for 4 days. The nurse notes the child is quiet and withdrawn. Which is the best explanation for this behavior?
a. The child is protesting because of separation from caregivers.
b. The child has adjusted to the hospitalization.
c. The child is experiencing the despair stage of separation.
d. The child has reached the stage of detach-ment.
C
In the despair stage of separation, the child exhibits signs of hopelessness and becomes quiet, withdrawn, and apathetic. The detachment stage occurs after prolonged separation. During this phase, the child becomes interested in the environment and begins to play. In the protest stage, the child would be agitated, crying, resistant to caregivers, and inconsolable. Toddlers do not readily "adjust" to hospitalization and separation from caregivers.
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