A boy age 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice
What is the most appropriate intervention?
a. Refer the child for a professional psychosocial assessment.
b. Explain that this is normal in preschoolers, especially boys.
c. Encourage the parent to try more consistent and firm discipline.
d. Talk to the preschool teacher to obtain validation for behavior parent reports.
ANS: A
The preschool years are a time when children learn socially acceptable behavior. The difference between normal and problematic behavior is not the behavior but the severity, frequency, and duration. This child's behavior meets the definition requiring professional evaluation. Some aggressive behavior is within normal limits, but at 8 to 10 weeks, this behavior has persisted too long. There is no indication that the parent is using inconsistent discipline. A part of the evaluation is to obtain validation for behavior parent reports.
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