Essentials Of Psychiatric Mental Health Nursing ,2nd Edition By Elizabeth M. Varcarolis Test Bank

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 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. DIF: Cognitive Level: Application REF: Pages: 28-30 TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance 2. A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given directions. Using Freud’s stages of psychosexual development, a nurse would assess the child’s behavior is based on which stage? a. Oral b. Anal c. Phallic d. Genital ANS: B In Freud’s stages of psychosexual development, the anal stage occurs from age 1 to 3 years and has, as its focus, toilet training and learning to delay immediate gratification. The oral stage occurs between birth and 1 year, the phallic stage occurs between 3 and 5 years, and the genital stage occurs between 13 and 20 years.