When determining the stages of separation anxiety, the nurse recognizes that the child in the despair phase is the child who:
1. Plays with toys when his parents are not around.
2. Screams and cries when his parents leave.
3. Appears to be happy and content with staff.
4. Lies quietly in bed.
4
Rationale:
1. The child who plays with toys when his parents are not around is in the stage of denial.
2. Screaming and crying are components of the stage of protest.
3. The young child who appears to be happy and content with everyone is in the stage of denial.
4. Children in the stage of despair appear sad, depressed, or withdrawn. A child who is lying in bed might be exhibiting any of these.
You might also like to view...
A patient is scheduled for a cardiac catheterization this afternoon
The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure. Which teaching strategy is most appropriate for this situation? a. Discussion b. Demonstration and practice c. Audiovisual media d. Written
The nurse is reviewing the information about the herpes zoster vaccine (Zostavax) before administering the dose. Which statements about the vaccine are true?
(Select all that apply.) a. It is a one-time vaccine. b. The vaccine is recommended for patients 50 years of age and older. c. The vaccine is given to children to prevent chickenpox. d. It is used to prevent postherpetic neuralgia. e. It is contraindicated in patients who have already had shingles. f. The vaccine is used to prevent reactivation of the zoster virus that causes shingles.
Which precaution is most important to teach a patient who is prescribed any type of eye drug administered as eye drops?
a. Apply only the number of drops prescribed. b. Stop the drug immediately if eye redness occurs. c. Wear dark glasses for 1 hour after placing the eye drops. d. Apply pressure to the corner of the eye after the drug has been placed.
During administration of eye drops, the nurse should teach the client to prevent systemic absorption of the drug by performing which action?
a. Use the ointment form of the drug. b. Apply the drug directly on the cornea. c. Have the client look straight ahead. d. Gently press on the lacrimal duct.