For which child's behavior should the nurse identify as having characteristics of separation anxiety disorder?
A) An 8-month-old who cries when left with strangers
B) A 7-year-old who withdraws from contact with all strangers
C) An 8-year-old who will not stay overnight at a friend's house
D) A 10-year-old who complains of headaches if he has a test in school
C
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Separation anxiety is considered a disorder when an older child shows excessive anxiety about separation or the possibility of separation from parents. They experience acute distress and perhaps frequent nightmares about separation and, when separated, show symptoms of nausea or vomiting or crying to such a degree it prevents them from visiting at friends' houses. For an 8-month-old, crying when being left with strangers is a normal behavior. A 7-year-old who withdraws from contact with strangers might have been instructed to do this as a form of safety or might be shy. A 10-year-old who complains of headaches when a test is scheduled for school is demonstrating some other type of behavior. Separation anxiety would not occur just when a test is scheduled in school.
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