A parent is frustrated that her toddler wants to do everything on ...

[chads108]

A parent is frustrated that her toddler wants to do everything on his own and in my way. The parent wants to know the appropriate way to discipline the child for not obeying and allowing the parent to dress him quickly in the morning.
 
  Which response by the nurse is most appropriate?
  A.
  At this stage in life, discipline is not very effective and will frustrate you both more.
  B.
  I know it's frustrating, but being independent is a very important job at this age.
  C.
  Put him in a time-out, and because he is 2 years old, have him in time-out for 2 minutes.
  D.
  You really need to allow your child to be independent as much as possible.

Question 2

A parent is frustrated that her toddler cannot button a shirt on his own. Which teaching point is most appropriate for the nurse to provide to this parent?
 
  A.
  A toddler is incapable of buttoning his own shirt, and the parent should stop pushing.
  B.
  Developing large muscle groups has to occur before developing small muscle groups.
  C.
  The parent should select toys and games that will help the child develop and master this skill.
  D.
  The child has not met a major milestone and needs a developmental consultation.

[Joy Chen]

Answer to Question 1

ANS: B
According to Erikson's theory, between 1 and 3 years of age, children are in the stage of autonomy versus shame and doubt. It is the time for the child to establish willpower, determination, and a can-do attitude about self. Discipline can be effective at this age. The parent should not be instructed to put the child in time-out for developmentally appropriate behavior. Simply telling the parent she should let the child be independent does nothing to reduce frustration, as the parent does not know the rationale behind it.

Answer to Question 2

ANS: B
A concept in development is that gross motor skills must be developed first and used as the foundation for fine motor skills. The larger muscle groups develop first. Buttoning a shirt requires fine motor skills that this child has not yet mastered. It is too early to expect this activity from the child. Telling the parent to stop pushing the child is disrespectful and does not teach the parent information related to growth and development. Appropriate games and toys can help children with growth and development, but this child is too young to master the skill. The child does not need a developmental consultation.

[chads108]

TYSM

[chjcharjto14]

Excellent