A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?
"Diets can play a part in behavioral concerns. What does your child typically eat during the day?"
"Discipline is an important aspect of parenting. How do you discipline the child when they act out?"
"Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage."
"Some children have more difficult personalities. There are great parenting books that can help you."
The Correct Answer is C
A. While diet can influence behavior, the concern here is the child’s developmental stage, making this response less relevant.
B. Discussing discipline is important, but understanding normal developmental behaviors is more appropriate in this context.
C. Explaining that temper tantrums are normal for toddlers, who are starting to develop a sense of autonomy, helps reassure the parent that this behavior is typical and part of the child's development.
D. Suggesting parenting books might be helpful, but it does not directly address the parent's immediate concern about the behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While heart failure can occur in many congenital heart defects, it is not the most specific condition commonly associated with tetralogy of Fallot.
B. Asthma is not typically associated with tetralogy of Fallot. It is a respiratory condition that does not have a direct link to congenital heart defects.
C. Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.
D. While pulmonary hypertension can occur in congenital heart defects, tetralogy of Fallot is more directly associated with polycythemia as a result of the decreased blood flow to the lungs.
Correct Answer is B
Explanation
A. Maintaining a saline-lock is important but not the highest priority in this context.
B. Checking the child's daily weight is a priority to monitor for fluid retention and changes in fluid status, which are critical in managing acute glomerulonephritis.
C. Educating parents is important but comes after ensuring the child's immediate physical needs are addressed.
D. While a no-salt-added diet may be recommended, monitoring fluid status and weight is more urgent for assessing and managing the condition.
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