The nurse working on a pediatric unit is speaking to a child who is terminally ill. The child is describing her illness in terms of mutilation to her body. The nurse understands this to be the development age group of:
1. Infants.
2. Preschoolers.
3. School-age children.
4. Adolescents.
2
Rationale:
1. Infants and toddlers are not actually aware of death, but they are aware of and react to changes in normal routines and the behavior of parents.
2. Preschool-age children can see their bodies deteriorate and feel the effects of medications used during disease progression and treatment.
3. School-age children have subtle fears about body integrity and anxieties about the seriousness of their illness.
4. Adolescents have a mature understanding of death, but the normal developmental milestones of adolescence add to their problems in facing a terminal illness.
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