A parent says, "My 2-year-old child refuses toilet training and shouts „No!‟ when given directions. What do you think is wrong?" Select the nurse's best reply.

Questions 20

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Question 1 of 5

A parent says, "My 2-year-old child refuses toilet training and shouts „No!‟ when given directions. What do you think is wrong?" Select the nurse's best reply.

Correct Answer: B

Rationale: The correct answer is B: "This is normal for your child's age. The child is striving for independence." Rationale: 1. At age 2, children often assert their independence by resisting authority, which includes refusing toilet training and saying "No." 2. This behavior is typical for toddlers and part of their normal developmental stage. 3. Pressuring the child or imposing firmer control may lead to power struggles and negative outcomes. 4. Recognizing and understanding the child's need for autonomy is crucial in responding effectively to their behavior. Other choices are incorrect: A: "Your child needs firmer control. It is important to set limits now." - This approach may lead to power struggles and may not address the underlying developmental stage the child is going through. C: "There may be developmental problems. Most children are toilet trained by age 2." - Making assumptions about developmental problems based on a single behavior is premature and may cause unnecessary concern for the parent. D: "Some undesirable

Question 2 of 5

Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, "The nurse manager had a headache the day I was interviewe" Which defense mechanism is evident?

Correct Answer: C

Rationale: The correct answer is C: Projection. This defense mechanism involves attributing one's own unacceptable feelings or traits to others. In this scenario, the nurse is projecting her disappointment onto the nurse manager by suggesting that the manager's headache influenced the decision. This allows the nurse to avoid taking responsibility for not getting the promotion. A: Introjection involves internalizing external beliefs or values, which is not evident in this scenario. B: Conversion involves converting psychological distress into physical symptoms, which is not relevant to the situation. D: Splitting involves viewing people as all good or all bad, which is not demonstrated in this case.

Question 3 of 5

After teaching a group of students about mental health and mental illness, the instructor determines that the teaching was successful when the group identifies which of the following as reflecting mental disorders?

Correct Answer: C

Rationale: The correct answer is C because an alteration in mood or thinking is a key characteristic of mental disorders. This indicates a disruption in normal cognitive or emotional processes, which is a defining feature of mental illnesses. Choices A, B, and D are incorrect because they do not specifically address the core symptoms of mental disorders. Capacity to interact with others (A) and ability to deal with stress (B) are important aspects of mental health but do not necessarily indicate the presence of a mental disorder. Lack of impaired functioning (D) does not capture the complexity of mental disorders, as individuals can still experience mental health issues even if they are able to function in certain areas of their life.

Question 4 of 5

When engaged in a nontherapeutic relationship, which of the following would the nurse identify as occurring first?

Correct Answer: A

Rationale: The correct answer is A because in a nontherapeutic relationship, the first step would be the nurse failing to recognize the patient as a person with a need. This sets the foundation for the relationship to be unhelpful and potentially harmful. B, C, and D are incorrect as they are consequences or outcomes of a nontherapeutic relationship, not the initial cause. The nurse-patient relationship starts with the nurse acknowledging the patient's needs to establish trust and promote therapeutic communication.

Question 5 of 5

While leading a small group, the nurse sets up the ground rules at the beginning of the group's first meeting. One of the rules established is that the group will always start at the specified time rather than waiting to start until after everyone has arrived. This rule reflects which of the following?

Correct Answer: A

Rationale: The correct answer is A: Group norms. Setting up the rule that the group will always start at the specified time establishes an expected behavior within the group, known as a group norm. This norm guides the group's interactions and helps create a structured and efficient environment. Group cohesion (B) refers to the bond among group members, which is not directly related to the specified starting time. Group think (C) is a phenomenon where group members prioritize harmony and conformity over critical thinking, which is not reflected in the rule mentioned. Group process (D) is a broader term that encompasses all aspects of how a group functions, including communication and decision-making, but it does not specifically address the established starting time norm.

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