A 2-year-old child often displays negative behaviors. The parent says, "My child refuses toilet training and shouts ‘No!' when given directions. What do you think is wrong?" Select the nurse's best reply
a. "The child needs firmer control. It is important to set limits now."
b. "This is normal for your child's age. The child is striving for independence."
c. "There may be developmental problems. Most children are toilet trained by age 2."
d. "Some undesirable attitudes are developing. A child psychologist can help you develop a plan."
B
This behavior is typical of a child around the age of 2 years whose developmental task is to develop autonomy. The distracters indicate the child's behavior is abnormal.
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The nurse is providing care to a client who is diagnosed with anorexia nervous. Which assessment findings indicate the client has met some the treatment goals related to the disease process?
Select all that apply. A) The client is observed wearing wrinkled clothes, listening to a portable music device, and staring out the window. B) The client states that her menstrual cycle is regular and she is learning to prepare meals. C) The client's vital signs are within normal limits. D) The client's current weight is 75% of normal after 2 years of treatment. E) The client is observed telling her mother that she will eat dinner if her mother buys her new jeans.
The nurse recognizes that which assessment finding in the client with alcoholism indicates a gastrointestinal complication?
1. Tarry, black stools 2. Loss of appetite 3. Nausea and vomiting 4. Dental caries
A nurse is caring for a Buddhist patient who has mentioned that his daily periods of meditation are very important to him. How should the nurse respond?
A. Get more information from him about what this means: When does he meditate and for how long, and does he need anything specific to facilitate his practice? B. Tell him you'll need to speak with the physician to see if the hospital would be able to accommodate his meditation time. C. Smile and tell him that's fine. D. Apologize that the medical staff needs to be able to have access to him at all times and that you couldn't guarantee private time to meditate.
A postpartum mother expresses concern about how her 4-year-old will react to the new baby. The nurse should tell the mother that:
a. Four-year-old children are very generous and will want to share with the baby. b. Jealousy and regression are common among young children when a new baby comes home. c. It would be a good idea to send the 4-year-old to stay with grandparents for a few weeks until the new baby is settled at home. d. She should immediately establish firm rules of behavior so the 4-year-old will not use attention-getting behaviors.