The nurse and the parents of a 3-year-old are discussing their child’s sleep habits. They share a concern over the child’s tendency to wake up several times during the night crying out loudly but not really being awake.
The nurse addresses the parents’ concern most therapeutically by responding:
1. “Have you ever tried reading a bedtime story before putting her to bed?”
2. “If she does that only a few times a week, I wouldn’t be too overly concerned.”
3. “Children her age often become poor sleepers. Have you discussed this with her pediatrician?”
4. “It is common for children to have trouble relaxing, and this behavior is the result. It’s usually temporary.”
ANSWER
ANS: 4
The preschooler usually has difficulty relaxing or quieting down after long, active days and has problems with bedtime fears, waking during the night, or nightmares. Partial wakening followed by normal return to sleep is frequent. In the waking period, the child exhibits brief crying, walk-ing around, unintelligible speech, sleepwalking, or bed-wetting. The other options either ask questions or provide possible tactics for preventing the problems.
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