Author Question: A 26-month-old child displays negative behaviors. The parent says, My child refuses toilet training ... (Read 113 times)

Arii_bell · **on:** Jul 19, 2018

A 26-month-old child displays negative behaviors. The parent says, My child refuses toilet training and shouts, No' when given direction. What do you think is wrong? Select the nurse's best reply.

a. This is normal for your child's age. The child is striving for independence.
b. The child needs firmer control. Punish the child for disobedience and say, No.'
c. There may be developmental problems. Most children are toilet trained by age 2 years.
d. Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan.

Question 2

A patient in the emergency department reports, I hear voices saying someone is stalking me. They want to kill me because I found the cure for cancer. I will stab anyone that threatens me.

Which aspects of mental health have the greatest immediate concern to a nurse? Select all that apply.

a. Happiness
b. Appraisal of reality
c. Control over behavior
d. Effectiveness in work
e. Healthy self-concept

catron30 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
These negative behaviors are typical of a child around the age of 2 years whose developmental task is to develop autonomy. The remaining options indicate the child's behavior is abnormal.

Answer to Question 2

ANS: B, C, E
The aspects of mental health of greatest concern are the patient's appraisal of and control over behavior. The patient's appraisal of reality is inaccurate, and auditory hallucinations are evident, as well as delusions of persecution and grandeur. In addition, the patient's control over behavior is tenuous, as evidenced by the plan to stab anyone who seems threatening. A healthy self-concept is lacking. Data are not present to suggest that the other aspects of mental health (happiness and effectiveness in work) are of immediate concern.