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    Pediatric nursing proctored exam - Nightingale college

    A couple who is going through a divorce asks the nurse how to disclose this news to their 4-year-old child. Which would be the nurse's best response?

    Explanation & Rationale

    A. "You should take your child to see a psychiatrist to break the news.": Divorce disclosure does not require a mental health professional unless the child demonstrates significant emotional or behavioral distress. Involving a psychiatrist may increase fear or confusion for a preschool-aged child. Parents are the primary source of emotional security at this developmental stage. B. "You should not discuss it with the child until after the divorce is final.": Delaying disclosure can increase anxiety as children often sense changes in family dynamics. Preschool children benefit from timely, simple explanations that match their developmental level. Waiting may lead to misconceptions or feelings of insecurity. C. "You should ask the grandparents or another relative to break the news.": Having someone other than the parents disclose the divorce can undermine trust and attachment. Children need reassurance directly from their parents that they are loved and will be cared for. Parents are best positioned to provide consistent emotional support. D. "You should sit down and calmly explain the situation to your child.": Preschool-aged children need clear, honest, and simple explanations delivered in a calm manner. Direct communication helps reduce fear, supports emotional security, and allows the child to ask questions. This approach aligns with developmentally appropriate, family-centered care.

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