Q:

Parents of a 4-year-old boy complaining that he is refusing to go to bed, he remains active and playing

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Parents of a 4-year-old boy complaining that he is refusing to go to bed, he remains active and playing. Of the following, the MOST likely cause of this child problem is 


  1. thyrotoxicosis
  2. ADHD
  3. primary sleep disorder
  4. limit setting; behavioral insomnia of childhood
  5. behavioral insomnia of childhood, sleep-onset association

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(D). Is often the result of parental difficulties in setting limits and managing behaviour in general, and the inability or unwillingness to set consistent bedtime rules and enforce a regular bedtime in particular

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