NCLEX-RN

Category - Psychosocial

A mother tells the nurse that her 7-year-old daughter has been daydreaming in class, as the child’s school teacher reported. The child used to do well in class, but for the past few months, her grades significantly dropped. The nurse suspects that the child is possibly having which of the following health problems?
  1. The child may be developing a personality disorder.
  2. The child is possibly dyslexic.
  3. The child may have attention deficit hyperactivity disorder.
  4. The child is possibly having absence seizures.
Explanation
Answer: D - Absence seizures can be mistaken for daydreaming. Motor activity is not evident, but the child loses awareness. It is commonly seen in girls, with a peak onset between the ages of 6 and 7. The child should be referred to the physician for further evaluation.
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