A nurse is assisting with a parenting class and is approached by a parent of a 2-year-old toddler who asks what to do when the toddler throws a tantrum. Which of the following instructions should the nurse give?

Calmly tell the child to stop.

Distract the child by buying a toy.

Appear to ignore them.

Place the child in time-out for 3 min.

Answer and Explanation

The Correct Answer is C

A. Calmly tell the child to stop:

While remaining calm is important, simply telling the child to stop might not be effective during a tantrum. Toddlers experiencing a meltdown might not respond immediately to verbal commands.

B. Distract the child by buying a toy:

Using material objects to distract a child during a tantrum might reinforce the behavior by rewarding it with something desired. It's also not always feasible to buy a toy instantly.

C. Appear to ignore them:

This strategy might involve not engaging directly with the tantrum, which could sometimes help to de-escalate the situation. However, it's crucial to ensure the child is in a safe environment and to offer support if necessary.

D. Place the child in time-out for 3 min:

Time-out can be a useful method for calming down a child. However, its effectiveness depends on the child's age, temperament, and the consistency of applying this method. Time-out might not be suitable for all children, especially for a 2-year-old who might not fully understand the concept.

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Correct Answer is D

Explanation

A. Dark red, macular lesions, and very pruritic:

Varicella lesions are typically pink or red and start as macules (flat, red spots) that develop into papules (raised bumps) and then vesicles (fluid-filled blisters). Dark red macular lesions are not commonly associated with varicella.

B. Various stages of lesions present at the same time, appear in successive crops, and very pruritic:

The presence of various stages of lesions (papules, vesicles, crusts) simultaneously, occurring in successive crops, and being intensely itchy are typical features of varicella.

C. Yellowish, scaly patches present on the scalp:

Yellowish, scaly patches on the scalp are not typical of varicella. This description is more indicative of conditions like seborrheic dermatitis rather than the rash associated with chickenpox.

D. A pink maculopapular rash starts at the hairline and spreads down the body.

Varicella rash usually begins as pink or red spots that develop into small, itchy, fluid-filled blisters (vesicles). These vesicles can then progress to form crusts and scabs. The rash often starts on the face, scalp, or trunk and then spreads to other parts of the body, gradually covering the entire body.

A. The deciduous teeth falling out B. The beginning of puberty C. The child becoming self-supported D. The fine motor skills fully developed

Correct Answer is B

Explanation

A. The deciduous teeth falling out:

The falling out of deciduous (baby) teeth is a natural part of early childhood development and is not specifically indicative of adolescence. The loss of deciduous teeth usually occurs before the age of 12.

B. The beginning of puberty:

Puberty is the period of physical and sexual development that marks the transition from childhood to adolescence. It involves the development of secondary sexual characteristics, such as breast development in girls and facial hair growth in boys, along with other physical changes.

C. The child becoming self-supported:

Becoming self-supported is a broad concept that can occur at various stages of development and is not a specific marker of the beginning of adolescence. Adolescents may gain increasing independence, but this is a gradual process.

D. The fine motor skills fully developed:

Fine motor skills typically develop during early childhood, and the full development of these skills is not a specific marker for the beginning of adolescence. Fine motor skills involve the coordination of small muscle movements and are important for tasks like writing and drawing.

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A nurse is assisting with a parenting class and is approached by a parent of a 2-year-old toddler who asks what to do when the toddler throws a tantrum. Which of the following instructions should the nurse give?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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