An 11-year-old child in middle school is currently experiencing sleep-related fatigue during classes. Which of the following responses by the school nurse is the most appropriate one when counselling the child's parents regarding this assessment?
a. "What are the child's usual sleep patterns?"
b. "Establish bedtimes for the child, and withhold his allowance whenever he does not adhere to those bedtimes."
c. "We need to explore other health-related problems, as sleep problems are probably not the cause of the child's fatigue."
d. "The bulbar synchronizing region of the child's central nervous system (CNS) is causing these insomniac problems."
A
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A A school-age child will be tired the following day if allowed to stay up later than usual. The nurse should first ask a question to assess the child's usual sleep patterns.
B The response, "Establish bedtimes for the child, and withhold his allowance whenever he does not adhere to those bedtimes," is not appropriate because the nurse is assuming that the boy is not adhering to a bedtime.
C A sleep problem is often the cause of fatigue.
D This response is incorrect because the nurse is assuming the child is experiencing insomnia.
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