During a well-child visit, a frustrated mother complains that her ...

[lak]

During a well-child visit, a frustrated mother complains that her 2-year-old's only response anymore is no, and asks for help. The most appropriate advice for the nurse to give this mother would be to:
 
  1. Set firm limits and be consistent.
 
  2. Offer the toddler choices.
 
  3. Ignore when the child says no and then ask again in five minutes.
 
  4. Tell the child what to do, because she is too young to make decisions and it will only frustrate her.

Question 2

An adolescent has systemic lupus erythematosus (SLE). Which action by the teen indicates acceptance of the body changes that occur because of SLE?
 
  1. Attends school but doesn't stay for after-school activities
  2. Discusses the body changes with health care personnel only
  3. Discusses the body changes with her best friend
  4. Only attends small parties at friends' homes

[tofugiraffe]

Answer to Question 1

2

Rationale:

1. Setting firm limits and being consistent challenge the toddler's autonomy and lead to further conflict.
2. The toddler is developing a sense of self, and wants to assert her independence. Giving her choices allows her to experience a sense of autonomy while negating the need for the word no.
3. It is inappropriate to ignore inappropriate behavior, and the mother should not begin allowing the child to ignore the mother.
4. Telling the child what to do is not working in the current situation. This advice is essentially telling the mother to do nothing.

Answer to Question 2

3
Rationale 1: Avoiding social activities does not show acceptance of body changes.
Rationale 2: Discussing changes only with health care personnel does not indicate the teen has adjusted to the body image changes.
Rationale 3: Peer interaction is important to the teen. Being able to discuss the changes to her body with a peer indicates acceptance of the change in body image.
Rationale 4: Avoiding social activities other than those involving immediate friends indicates the teen is still concerned with body image.
Global

[lak]

Excellent

[mcarey591]

TYSM