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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Switching formula is not the first intervention, as projectile vomiting in an infant can indicate a more serious condition such as pyloric stenosis, which requires medical evaluation.
B. Oral rehydration solution may be needed if the infant is dehydrated, but the cause of vomiting must be assessed first.
C. While burping can reduce gas and discomfort, it is unlikely to resolve projectile vomiting, which may be due to a more serious underlying condition.
D. Bringing the baby to the clinic is the most appropriate action, as projectile vomiting can be a sign of pyloric stenosis or another serious condition that requires prompt medical attention.
Correct Answer is B
Explanation
A. Deep, rapid respirations, known as Kussmaul respirations, are typically associated with hyperglycemia and ketoacidosis, not hypoglycemia.
B. Tachycardia is a common symptom of hypoglycemia, as the body releases adrenaline in response to low blood glucose levels, leading to an increased heart rate.
C. Polyuria is associated with hyperglycemia, not hypoglycemia.
D. Dry, flushed skin is typically a sign of dehydration or hyperglycemia, not hypoglycemia.
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