A nurse is providing guidance to the parents of a toddler. The parents are concerned because the child refuses to use the toilet while toilet training. Which of the following responses from the nurse is appropriate?
"This can seem distressing to parents. However, it isn't concerning. They can't refuse the toilet forever."
"This may be a sign your child isn't ready. You should try to resume the training in a few months."
"Consistency is important during toilet training. You should continue until your child is fully toilet trained."
"This is your child's way of showing their independence. Wait until your child tells you when they are ready."
The Correct Answer is B
Rationale:
A. "This can seem distressing to parents. However, it isn't concerning. They can't refuse the toilet forever.": While this statement may be reassuring, it does not provide practical guidance on how to respond to a toddler’s readiness cues. Ignoring readiness signs can lead to frustration for both the child and the parents.
B. "This may be a sign your child isn't ready. You should try to resume the training in a few months.": Recognizing that toddlers may not be developmentally ready for toilet training is appropriate. Pausing and resuming training later respects the child’s developmental readiness and supports a positive learning experience, reducing stress for both child and parents.
C. "Consistency is important during toilet training. You should continue until your child is fully toilet trained.": Forcing continuous training when a toddler is not ready can create anxiety, resistance, and negative associations with toileting. Developmental readiness should guide timing rather than strict persistence.
D. "This is your child's way of showing their independence. Wait until your child tells you when they are ready.": While acknowledging independence is important, leaving the process entirely to the child without guidance may delay skill acquisition. Structured, developmentally appropriate encouragement is more effective than a passive approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Somatic problems including frequent stomachaches and headaches: While some children with ASD may have gastrointestinal complaints or somatic symptoms, these are not core manifestations of the disorder. These issues may be secondary to stress, anxiety, or sensory sensitivities rather than defining features.
B. Destructiveness such as intentionally breaking toys, furniture, etc.: Intentional destructiveness is not a typical behavior associated with ASD. Children with ASD may have difficulty with frustration or transitions, but deliberately breaking objects is more characteristic of behavioral disorders rather than autism.
C. Repetitive behavior such as counting, arranging toys in a line, or hand flapping: Repetitive and stereotyped behaviors are hallmark features of ASD. These actions reflect the child’s need for predictability, sensory stimulation, or self-regulation and are commonly observed during early childhood.
D. Impulsive behavior such as throwing toys or running into the street without looking: Impulsivity is not a core symptom of ASD. While children with autism may have challenges with safety awareness or executive functioning, this behavior is more typical of attention-deficit/hyperactivity disorder (ADHD) than ASD.
Correct Answer is D
Explanation
Rationale:
A. Keeping a toddler rear-facing as long as possible supports safer spinal alignment in crashes. Toddlers have proportionally larger heads and weaker cervical structures, so extended rear-facing reduces the risk of severe neck injury in sudden deceleration.
B. Ensuring old paint is sealed is essential because older homes may contain lead-based paint, which becomes hazardous when it chips or produces dust. Proper sealing significantly reduces the risk of lead exposure during renovations.
C. Combining active and quiet play supports motor development, emotional regulation, and emerging autonomy. Toddlers benefit from structured opportunities to expend energy and from quieter activities that encourage attention and cognitive skills. Providing both types of play aligns with developmental expectations for a 2-year-old.
D. Transferring strong chemicals to unmarked containers increases the risk of accidental ingestion because children may mistake plain containers for familiar food or drink items. Manufacturers’ original containers include child-resistant features and clear labels, so altering them removes important layers of safety.
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