Which statement about truancy is NOT true?

Correct Answer: A

Rationale: In this question, the correct answer is A) It is normal behavior in young children. Truancy is defined as the act of staying away from school without permission. In young children, truancy is not considered normal behavior as they are typically under the supervision of parents or caregivers who ensure they attend school regularly. Option B) It represents disorganization within the home is incorrect because truancy is more about the child's behavior rather than the organization within the home. Option C) It may reflect underlying child abuse is incorrect because while truancy can sometimes be a sign of other issues, such as abuse, it is not always the case. Option D) Adolescents may be at risk of substance abuse is incorrect because while truancy can be a risk factor for substance abuse, it is not the only factor. In an educational context, understanding the reasons behind truancy is important for pediatric nurses as they work with children and families. Recognizing the signs of truancy and its potential underlying causes can help nurses intervene early and provide appropriate support and resources to families in need. By understanding that truancy is not normal behavior in young children, nurses can better advocate for the well-being of their pediatric patients.

Correct Answer: D

Rationale: In pediatric nursing, understanding stereotypic movements is crucial for assessing a child's development and behavior. In this question, the correct answer is D) head banging. Head banging is not a recognized stereotypic movement in children and may indicate other underlying issues such as pain, discomfort, or frustration. A) Hand shaking, B) eye blinking, and C) body rocking are all examples of recognized stereotypic movements in children. Hand shaking and eye blinking are common self-soothing behaviors, while body rocking is often seen in children with developmental disorders such as autism. Educationally, knowing the difference between stereotypic movements helps nurses differentiate normal behaviors from potential concerns. By recognizing these behaviors, nurses can provide appropriate interventions and support for children and their families. It is essential for pediatric nurses to have a comprehensive understanding of child development and behavior to deliver high-quality care.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) it indicates a potential for future lying behavior. This is incorrect because frequent lying behavior in a 3-year-old child is developmentally normal and not necessarily an indicator of future lying tendencies. Children at this age are often exploring their imagination, testing boundaries, and learning about cause and effect. Lying at this stage is more about experimentation and not fully understanding the concept of lying as deceit. Option A) it is a method of playing with language is correct because young children often engage in imaginative play and storytelling, which can involve exaggerations or fabrications that are not meant to deceive. Option B) it is a part of their magical thinking is also correct as young children may blend reality with fantasy and have difficulty distinguishing between the two. This can lead to exaggerated stories or statements that are not intended to deceive but rather reflect their vivid imagination. Option D) it is an approach to avoid unwanted confrontation with adults is correct as well because young children may lie to avoid punishment or conflict, not necessarily with the intention of deceiving but more as a way to navigate challenging situations. Educationally, it is crucial for parents and caregivers to understand the developmental stages of children and how they explore communication and problem-solving strategies. By recognizing that lying in young children is often a normal part of cognitive and social development, adults can respond with patience, guidance, and appropriate discipline techniques that focus on teaching honesty and integrity over punitive measures. This understanding can help foster a trusting relationship between adults and children, promoting healthy development and ethical behavior in the long term.

Correct Answer: C

Rationale: Routine screening for autistic spectrum disorders in children is crucial for early identification and intervention. The correct answer is C) 18 and 24 months. The American Academy of Pediatrics recommends autism-specific screening at 18 and 24 months as part of routine well-child visits. Option A) 06 and 12 months is too early for reliable autism screening as symptoms may not be fully manifest. Option B) 12 and 18 months is closer but still misses the recommended screening window. Option D) 24 and 30 months delays screening, potentially missing early signs and delaying intervention. Educationally, understanding the recommended screening timeline for autism in children is vital for healthcare providers working in pediatric settings. Early identification allows for timely intervention, leading to improved outcomes for children with autism. Regular screening practices help ensure no child falls through the cracks, promoting early access to appropriate services and support.

Correct Answer: C

Rationale: Leukokoria in a newborn infant is a serious finding that can indicate various eye disorders. In this case, the correct answer is C) congenital glaucoma. Congenital glaucoma typically presents with symptoms such as photophobia, tearing, and enlargement of the cornea, rather than leukokoria. It is important to recognize that congenital glaucoma can lead to irreversible vision loss if not promptly treated. The other options are incorrect because they are all conditions that can present with leukokoria in a newborn infant. A) Cataracts, B) tumor, and D) retinopathy of prematurity can all manifest as abnormal white pupillary reflexes. Cataracts involve opacity of the lens, tumors can cause structural changes in the eye leading to leukokoria, and retinopathy of prematurity can result in abnormal blood vessel growth in the retina. Educationally, understanding the differential diagnosis of leukokoria in newborns is crucial for pediatric nurses. Early recognition and timely intervention are essential in preventing vision impairment or blindness in infants. Nurses play a vital role in advocating for proper eye screenings and referrals to ophthalmologists for further evaluation and management. Strengthening knowledge in this area can help improve outcomes for infants with eye disorders.