A nurse is speaking to the parent of a 22-month-old child who states the child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly, then later wants to be held. How should the nurse best interpret this toddler's behavior?
This is normal behavior for a two-year-old child.
The toddler isn't effectively coping with the stress.
This behavior suggests the need for further assessment.
The toddler's need for affection isn't being met.
The Correct Answer is A
A. It is normal for toddlers to exhibit defiance, say "no" often, and become upset when scolded as part of the development of autonomy and independence. Seeking comfort afterward is also typical.
B. While the toddler may be struggling with emotional regulation, this behavior is typical and does not necessarily indicate ineffective coping.
C. There is no indication that further assessment is necessary unless other concerns arise. This behavior is normal for the developmental stage.
D. The toddler's behavior is not necessarily due to unmet affection; it is more likely part of the developmental process.
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Related Questions
Correct Answer is D
Explanation
A. While written communication may be helpful for some children, it is not the primary recommendation for those with hearing loss. Other methods, such as sign language, are more effective for communication.
B. Avoiding social interaction is not recommended. Social interaction is important for the child's development and emotional well-being, and it should be encouraged.
C. While avoiding contact with sick individuals is generally good advice to prevent infections, it does not directly address communication strategies for children with hearing loss.
D. Interacting using American Sign Language is highly beneficial for children with hearing loss. It provides an effective method for communication, especially when auditory devices like hearing aids or cochlear implants are not sufficient on their own. This choice fosters inclusion and supports language development.
Correct Answer is A
Explanation
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
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