Recently, 5-year-old Jack's father was injured in a motorcycle accident. The father is healthy and back at work. Jack's father confides to the school nurse that he is concerned about Jack.
When questioned further, he tells the nurse that Jack is not acting like he was before the accident. He says he keeps telling Jack he is a good boy; indeed Jack is not testing or challenging his boundaries like he was before the accident. Which of the following best describes the reason for the behavior Jack's father is seeing?
A) The thought of losing his father was scary and Jack is trying to show his father how much he loves him.
B) Jack is afraid of being hurt himself and thinks being especially good will protect him from accidents.
C) Jack wanted to go with his father on the motorcycle ride. When he was told he couldn't go he told his father he hoped he would crash, so Jack believes he caused the accident.
D) Everyone in Jack's family is being nicer to each other, and as most preschoolers will, Jack is imitating the grown up behavior.
Question 2
During an office visit for a sports injury, 16-year-old Derek's caregivers tell the nurse they are worried about changes in Derek's behavior. He has always been industrious in his schoolwork and very focused on sports.
Now he has a girlfriend and seems to spend almost all of his time with her or on the phone with her and little or no time on his schoolwork. What information might the nurse offer these caregivers about Derek's behavior?
A) Derek is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so it would be helpful if they would make a schedule for him that includes about a half hour per day to talk with his girlfriend.
B) Derek has developed his own identity by now and being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with or talk to his girlfriend as long as he has completed his schoolwork for the day.
C) Derek is not developmentally mature enough to have an intimate relationship with one girl. They should encourage him to spend time with groups of friends rather than time alone with his girlfriend.
D) Derek has chosen a girl who is overly dependent on him. They should talk to him about making sure he meets his own needs, including doing the schoolwork he enjoys, in any relationship.
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Guidelines for Field Triage of Injured Patients, Centers for Disease Control, 2011