A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?
"Award the child with a sticker when he sits on the potty chair."
"Play the child's favorite song while teaching him to use the potty chair."
"Teach multiple steps of the skill at the same time."
"Scold the child when he has a toileting accident."
The Correct Answer is A
A. Positive reinforcement, such as giving stickers for sitting on the potty, is an effective way to encourage toilet training in toddlers, especially those with cognitive impairments.
B. Playing a favorite song can help with the process but is not as effective as a structured reinforcement like rewarding the child for participating in the activity.
C. Teaching multiple steps at once can be overwhelming for a toddler with cognitive impairments. It is better to break the task into simple, manageable steps.
D. Scolding the child for accidents can cause shame and hinder progress. Positive reinforcement is more effective than punishment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Weak femoral pulses may be seen in other congenital heart defects but are not typically associated with VSD.
B. High blood pressure is not a typical finding in VSD, as the defect usually leads to increased blood flow to the lungs rather than systemic hypertension.
C. Dysrhythmias are not commonly associated with VSD unless there are other complicating factors.
D. A loud, harsh murmur is a classic finding in infants with a ventricular septal defect (VSD), due to the abnormal flow of blood through the hole in the septum.
Correct Answer is C
Explanation
A. Fear of bodily injury is a concern but may not be as prominent as separation anxiety, particularly in younger children.
B. Fear of pain is significant but often secondary to the anxiety of being separated from parents.
C. Separation anxiety is the most prominent stressor for toddlers and preschoolers, as they struggle with being away from their caregivers.
D. Loss of control can contribute to stress but is more relevant in older children who understand their environment more clearly.
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