HESI Registered Nurse EXIT Practice Exam

While caring for a preschool-aged child, which behavior would concern the nurse the most?

1. Playing imaginatively

2. Expressing shame

3. Identifying with family

4. Exploring the playroom

The correct answer is: Expressing shame

Expressing shame in a preschool-aged child is a behavior that warrants concern for several reasons. At this developmental stage, children should be developing a sense of self-esteem and confidence. An excessive display of shame may indicate underlying issues such as anxiety, low self-worth, or negative self-perception, which can stem from various factors, including family dynamics, peer interactions, or even responses to previous experiences. Playing imaginatively, identifying with family, and exploring the playroom are all typical and healthy behaviors for a preschool child. Imaginative play is crucial at this age as it fosters creativity, problem-solving, and social skills. Identifying with family helps in the development of the child's sense of belonging and understanding of familial roles. Exploring the playroom encourages curiosity and promotes learning through play, which is a vital component of early childhood development. In contrast, when a child expresses shame, it may signal difficulties in emotional regulation or social interactions that need to be addressed to ensure healthy psychological and emotional development.