Editing Pediatric Nursing – LPN Practice Questions (section)

==Question 7==
The LPN is caring for a hospitalized 2-year-old who screams and clings to the parent at bedtime and refuses to let staff approach. Which nursing action is '''most''' appropriate?
# Explain to the parent that visiting is disruptive and should be limited.
# Encourage the parent to leave quickly without saying goodbye to avoid upsetting the child.
# Support the parent in staying with the child and allow the child's comfort object and home bedtime routine.
# Tell the child that big kids do not cry when their parents leave.

'''Answer:''' 3. Support the parent in staying with the child and allow the child's comfort object and home bedtime routine.

''Rationale:'' Protest behavior is a normal response to separation in a toddler. Family-centered care keeps the caregiver present, and familiar rituals and transitional objects reduce distress. Option 1 contradicts family-centered care. Option 2 undermines trust and worsens anxiety. Option 4 shames the child for a developmentally normal response.