A nurse is assessing a 2-year-old child at a well-child visit.
The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

“Discipline is an important aspect of parenting. How do you discipline the child when they act out?”

“Some children have more difficult personalities. There are great parenting books that can help you.”.

“Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage.”.

“Diets can play a part in behavioral concerns. What does your child typically eat during the day?”

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale

While discipline is an important aspect of parenting, the nurse’s response should focus on normalizing the child’s behavior and providing reassurance to the parent. Discussing discipline methods may not address the parent’s immediate concern about temper tantrums.

Choice B rationale

Suggesting that some children have more difficult personalities and recommending parenting books may not provide the immediate reassurance and understanding the parent needs. It is important to normalize the child’s behavior and explain that temper tantrums are a normal part of development.

Choice C rationale

Toddlers are beginning to develop a sense of autonomy and independence, which can lead to temper tantrums as they assert their desires and preferences. Explaining that temper tantrums are normal during this stage of development helps reassure the parent and provides a better understanding of their child’s behavior.

Choice D rationale

While diet can play a role in behavior, the nurse’s response should focus on normalizing the child’s behavior and providing reassurance. Discussing diet may not address the parent’s immediate concern about temper tantrums and difficult behaviors.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale

Referring the child to social work for early intervention is important, but it is not the immediate priority. The nurse should first discuss the assessment findings with the primary care provider to confirm the diagnosis and plan the next steps.

Choice B rationale

Educating the parents on the developmental delays their child is diagnosed with is essential, but it should come after a confirmed diagnosis and a comprehensive plan is in place. The primary care provider should be involved in this process.

Choice C rationale

Providing the parents with pamphlets for support groups is supportive but not the immediate priority. The nurse should first ensure that the primary care provider is aware of the assessment findings to confirm the diagnosis and plan appropriate interventions.

Choice D rationale

Discussing the assessment findings with the primary care provider is the priority action. This ensures that the child receives a thorough evaluation and appropriate interventions are planned based on a confirmed diagnosis.

A. The toddler cannot stand upright without support. B. The toddler cannot build a tower of six to seven cubes. C. The toddler cannot jump with both feet. D. The toddler cannot turn a doorknob.

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

The inability to stand upright without support at 15 months is a developmental delay that should be reported to the provider. By this age, most toddlers can stand and walk independently. Delays in motor skills can indicate underlying neurological or musculoskeletal issues.

Choice B rationale

Building a tower of six to seven cubes is a skill typically developed by 24 months. At 15 months, a toddler may only be able to stack two to three cubes.

Choice C rationale

Jumping with both feet is a skill that develops around 24 to 36 months. It is not expected for a 15-month-old toddler to be able to jump with both feet.

Choice D rationale

Turning a doorknob is a fine motor skill that develops around 24 to 36 months. It is not expected for a 15-month-old toddler to have this skill.

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A nurse is assessing a 2-year-old child at a well-child visit.The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

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Correct Answer is A

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A nurse is assessing a 2-year-old child at a well-child visit.
The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?