A 26-month-old child displays many negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No, no, no!' when given directions. What do you think is wrong?" Select the registered nurse's best reply:
Select one:
The child needs more control. You have been weak."
Some undesirable attitudes are developing at this time. A child psychologist can help you develop a remedial plan.
This is normal for your child's age. The child is striving for independence."
"There may be developmental problems. Most children are toilet trained by age 2 years and a half.
The Correct Answer is C
The child is striving for independence.” The behaviors described by the parent are typical for a child who is 26 months old. At this age, children are beginning to develop a sense of autonomy and independence, and they may resist direction and assert their own will. Toilet training can also be a challenging process for both children and parents, and it is not uncommon for children to resist or refuse toilet training at first.
Option a. “The child needs more control. You have been weak” is not a helpful response because it places blame on the parent and does not provide any useful information or guidance.
Option b. “Some undesirable attitudes are developing currently. A child psychologist can help you develop a remedial plan” may be an appropriate response if the child’s behaviors were significantly outside the norm for their age or if they were causing significant distress or disruption. However, based on the information provided by the parent, this does not appear to be the case.
Option d. “There may be developmental problems. Most children are toilet trained by age 2 years and a half” is not a helpful response because it may cause unnecessary worry or concern for the parent. While many children are toilet trained by age 2 and a half, there is a wide range of normal variation in when children achieve this milestone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
If the nurse has concerns about the prescribed dose of an antianxiety medication being higher than the usual adult dose, they should hold the medication and consult with the health care provider before administering it. This will allow the health care provider to review the prescription and make any necessary adjustments to ensure the safety and well-being of the patient.
Correct Answer is A
Explanation
Passive-aggressive behavior is characterized by indirect resistance to the demands of others and an avoidance of direct confrontation. In this case, the worker is demonstrating passive-aggressive behavior by initially agreeing to the project but then making excuses and not completing it.
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