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.
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.
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