Caregivers share with the nurse a concern that their 34-month-old ...

[APUS57]

Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand which of the following ideas?
 
  a. Manipulation of the genitalia and masturbation are a natural, private behavior of toddlerhood.
  b. Masturbation needs to be stopped before the child enters public or private school.
  c. Their child may be overly interested in sex, and this may be a sign of sexual abuse.
  d. Other caregivers will not let their children play with a child who masturbates.

Question 2

The nurse is working with the caregivers of a 32-month-old child. They are very concerned that their child and one of the child's playmates were discovered undressed.
 
  On questioning the children, it was clear that these children had been comparing and inspecting their bodies. The nurse would advise the caregivers that because of their child's stage of development and age, their best response would be: a. timely and logical consequences for unacceptable behavior
  b. punishment severe enough to prevent recurrence of behavior
  c. constant one-on-one supervision during all waking hours
  d. matter-of-fact manner by caregivers in responding

[Kaytorgator]

Answer to Question 1

A

Feedback
A Correct: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that manipulation of the genitalia and masturbation are a natural, private behavior of toddlerhood.
B Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that masturbation does not need to be stopped before the child enters school. However, the nurse needs to emphasize that masturbation should be private behavior. Children who openly masturbate are inviting a reaction such as discipline. They may be overwhelmed by their sexual feelings and are asking others to help them channel these feelings into more constructive outlets.
C Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that masturbation is a normal part of sexual development. However, if the child engages in activities that mimic adult sexual behavior, an evaluation for sexual abuse should be obtained.
D Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. Teaching the caregivers that other caregivers will not let their children play with a child who masturbates would not be a helpful item to teach.

Answer to Question 2

D

Feedback
A Incorrect: The nurse would advise the caregivers that because of their child's stage of development and age, their best response would not be timely and logical consequences for unacceptable behavior.
B Incorrect: The nurse would advise the caregivers that because of their child's stage of development and age, their best response would not be punishment severe enough to prevent recurrence of behavior.
C Incorrect: The nurse would advise the caregivers that because of their child's stage of development and age, their best response would not be constant one-on-one supervision during all waking hours.
D Correct: The nurse would advise the caregivers that because of their child's stage of development and age, their best response would be matter-of-fact manner by caregivers in responding.