The nurse is teaching parents of a toddler how to handle temper ...

[segrsyd]

The nurse is teaching parents of a toddler how to handle temper tantrums. What should the nurse include in the teaching? (Select all that apply.)
 
  a. Provide realistic expectations.
  b. Avoid using rewards for good behavior.
  c. Ensure consistency among all caregivers in expectations.
  d. During tantrums, ignore the behavior and continue to be present.
  e. Use time-outs for managing temper tantrums, starting at 12 months.

Question 2

A parent asks the nurse, When will I know my child is ready for toilet training? The nurse should include what in the response? (Select all that apply.)
 
  a. The child should be able to stay dry for 1 hour.
  b. The child should be able to sit, walk, and squat.
  c. The child should have regular bowel movements.
  d. The child should express a willingness to please.

[beccamahon]

Answer to Question 1

ANS: A, C, D
The best approach toward tapering temper tantrums requires consistency and developmentally appropriate expectations and rewards. Ensuring consistency among all caregivers in expectations, prioritizing what rules are important, and developing consequences that are reasonable for the child's level of development help manage the behavior. During tantrums, ignore the behavior, provided the behavior is not injurious to the child, such as violently banging the head on the floor. Continue to be present to provide a feeling of control and security to the child after the tantrum has subsided. Starting at 18 months, time-outs work well for managing temper tantrums, but not at 12 months.

Answer to Question 2

ANS: B, C, D
Signs of toilet training readiness include physical and psychological readiness. The ability to sit, walk, and squat and having regular bowel movements are physical readiness signs. Expressing a willingness to please is a sign of psychological readiness. The child should be able to stay dry for 2 hours, not 1.