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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Breastfeeding or formula feeding should be continued until 12 months, as breast milk or formula provides the necessary nutrients.
B. Whole milk should not be introduced at 10 months.
C. Whole milk should not be introduced until after the first year of life (12 months), as it lacks the appropriate balance of nutrients for infants and may cause digestive issues or iron deficiency before then.
D. 8 months is too early for whole milk; breast milk or formula is still the best option until 12 months.
Correct Answer is C
Explanation
A. Lack of eye contact can indicate a developmental concern, but it is not specific to hearing impairment.
B. Lack of gesturing by 15 months could be concerning, but it is more related to social development than to hearing.
C. By 7 months, infants should begin babbling. The absence of babbling at this age is a red flag for potential hearing issues.
D. The absence of the Moro reflex is expected after the first few months of life, so it is not a sign of hearing impairment.
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