The nurse is talking with a mother who is concerned that a school-age child is experiencing stress and has been biting the fingernails since beginning the first grade. What should the nurse advise the mother to do about this problem?
A) Encourage the child to drink more milk for stronger nails.
B) Allow the child to choose a reward for not biting the nails.
C) Distract the child by teaching a new skill such as whistling.
D) Allow some time every day for the child to talk about new experiences.
D
Feedback:
Many first-graders are capable of mature action at school but appear less mature when they return home. They may bite their fingernails. Scolding, nagging, threatening, or punishing does not stop nail biting and may make the problem worse. This behavior will stop when the underlying stress is discovered and alleviated. The mother should be encouraged to spend some time with a child after school or in the evening so the child continues to feel secured in the family and does not feel pushed out by being sent to school. Drinking milk will not help alleviate the child's stress. Using rewards or teaching new skills will not relieve the child's stress.
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