What is the best response to a father who tells the nurse that his son "daydreams" at home and his teacher has observed this behavior at school?
a. "Your son must have an active imagination."
b. "Can you tell me exactly how many times this occurs in one day?"
c. "Tell me about your son's activity when you notice the daydreams."
d. "He is probably overtired and needs more rest."
C
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A This response does not address the child's symptoms or the father's concern.
B This behavior is consistent with absence seizures, which can occur one after the
other several times a day. Determining an exact number of absence seizures is
not as useful as learning about behavior before the seizure that might have
precipitated seizure activity.
C The daydream episodes are suggestive of absence seizures, and data about
activity associated with the daydreams should be obtained.
D This response ignores both the child's symptoms and the father's concern about
the daydreaming behavior.
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