What behavior seen in children should be addressed by the nurse who is providing care to a child with a chronic illness?
a. An infant who is uncooperative
b. A toddler who expresses loneliness
c. A preschooler who refuses to participate in self-care
d. An adolescent who is showing independence
ANS: C
Preschoolers thrive on being independent and are in the phase of gaining autonomy, so they want to perform as many self-care tasks as possible. If a preschooler is refusing to participate in self-care activities, then the home health nurse should address this. Infants are uncooperative by nature, and toddlers do not understand the concept of loneliness, so these are not observations that would need to be addressed. Adolescents are always striving for independence, so this is a normal observation; if the adolescent were becoming more dependent on family, it might require intervention.
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