A 2 year old client, who has had multiple hospitalizations for treatment of a congenital disorder, is lying curled in bed holding a stuffed animal and will not interact with the parents. The nurse interprets this client's behavior as being caused by:
1. The parents may have been abusing this child.
2. The child is probably developmentally delayed secondary to multiple hospitalizations.
3. The child is reacting as a normal 2-year-old.
4. The child could be suffering from a clinical depression.
Correct Answer: 3
Rationale 1: There is no evidence of parental abuse.
Rationale 2: There is no evidence that the client is developmentally delayed.
Rationale 3: Toddlers and preschool children often react to anxiety by either withdrawing or acting out. This child is behaving in a normal manner.
Rationale 4: There is no evidence that the client is depressed.
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