Health Promotion and Maintenance
15. The parents of a 2-year-old child ask a nurse how to best assist the child to accomplish developmental tasks at this age. What is the best response by the nurse?
. "Make sure that the child's siblings insist that the child share toys at playtime."
. "Since the child understands the word 'no,' use this word frequently to establish house rules."
. "Ask grandparents and other child care providers to follow your home schedule as much as possible."
. "Attend to the child quickly during temper tantrums by hugging and offering reassurance."
Test-Taking Tip
Toddlers are in the stage of autonomy and have a need to control their environment; therefore, choose the option that assists in this goal.
Content Area: Child Health, Growth and Development; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Developmental Stages and Transitions
Health Promotion and Maintenance
.
Answer 1 is incorrect because toddlers have not mastered the concept of sharing, so insisting that the child share toys will likely result in frustration. Answer 2 is incorrect because children at this age are increasingly negative. Their negativity is reinforced when parents use the word "no" frequently; avoidance of the word is suggested whenever possible Answer 3 is correct because toddlers prefer predictable schedules and routines. The child will feel more comfortable if the home schedule is implemented when away from the parents. Answer 4 is incorrect because temper tantrums will extinguish more rapidly if the child is ignored rather than given positive reinforcement.