A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Instruct the parents to allow the nurse to do everything for the child to aid in attachment.

Tell the child what is expected of him to help with compliance.

Follow the child’s home routines as much as possible while in the hospital.

Allow the child to dictate when and what they want to do and adhere to their requests.

Answer and Explanation

The Correct Answer is C

Choice A reason: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.

Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.

Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.

Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.

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Correct Answer is D

Explanation

Choice A reason: Playing together without organization is associative play, more typical of preschoolers, not toddlers, who engage in parallel play. Side-by-side independent play is toddler-specific, making this incorrect, as it misidentifies the developmental play stage of toddlers in the in-service training session.

Choice B reason: Organized group play is cooperative play, seen in older children, not toddlers, who lack the social skills for it. Parallel play side by side is typical, making this incorrect, as it does not reflect the independent nature of toddler play in the nurses’ training.

Choice C reason: Playing apart without group involvement is solitary play, less common in social settings for toddlers, who prefer parallel play. Side-by-side play is more characteristic, making this incorrect compared to the typical toddler behavior of independent play in proximity during the session.

Choice D reason: Toddlers engage in parallel play, playing independently side by side without interaction, a hallmark of their developmental stage. Nurses choosing this example show understanding, aligning with pediatric play theories, making it the correct choice for a successful in-service training on toddler play.

A. Consistency in the rules is important so the child understands what is expected. B. If a child hits or bites another child, the parents should scold them, saying such things as “You are very naughty for biting Rachel.” C. Toddlers cannot learn self-control until at least 3 to 4 years of age. D. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. E. Even at this young age, children need boundaries.

Correct Answer is A

Explanation

Choice A reason: Consistent rules help toddlers understand expectations, fostering predictable behavior and security. This aligns with pediatric developmental discipline strategies, making it a correct point to teach parents, as it supports effective toddler behavior management and reduces confusion during disciplinary interactions.

Choice B reason: Scolding with labels like “naughty” shames toddlers, hindering self-esteem and learning. Consistency and boundaries teach effectively without negativity, making this incorrect, as it promotes ineffective discipline that may emotionally harm toddlers rather than guide their behavior constructively in the class.

Choice C reason: Toddlers begin learning self-control around 2, not 3-4 years, through guidance and boundaries. Consistency supports this, making this incorrect, as it underestimates toddlers’ capacity for early self-regulation when provided with appropriate disciplinary structures in a parenting education setting.

Choice D reason: Immediate addressing of behavior is ideal but not always necessary; delayed correction can still teach toddlers. Consistency and boundaries are more foundational, making this partially correct but incorrect for prioritization compared to the broader principles of discipline taught in the class.

Choice E reason: Boundaries provide toddlers with structure, promoting safety and behavioral learning even at a young age. This aligns with pediatric discipline principles, making it a correct point to emphasize, as it helps parents establish a framework for effective toddler behavior management in daily interactions.

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A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Correct Answer is D

Explanation

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

Correct Answer is A

Explanation

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