The mother of your 2 year patient complains that her son does not play well with other kids. An appropriate response to this statement would be:
Have him play with older children so they can teach him."
"Ability to play cooperatively begins to emerge at 3-5 years of age."
Give him a time out if he plays poorly"
"You need to model this behavior for your child to understand."
The Correct Answer is B
Toddlers (1–3 years) are in the autonomy vs shame and doubt stage, characterized by parallel play rather than cooperative interaction. Developmental social play evolves gradually from solitary to parallel play in toddlers before true cooperative play emerges in the preschool period.
Rationale:
A. Older children can model behavior, but toddlers primarily engage in parallel play, not interactive learning through peers. Introducing older children does not address the developmental limitation in cooperative play skills at this age.
B. Cooperative play typically emerges between 3–5 years, during the preschool stage. A 2-year-old is expected to engage in parallel play rather than sharing goals or structured interaction, making this response developmentally accurate.
C. Time-out is a behavioral management strategy, not an explanation for developmental social limitations. A 2-year-old’s limited peer interaction reflects normal development, not misbehavior requiring punishment.
D. Parental modeling is important for general behavior development, but it does not directly explain the absence of cooperative peer play. Toddlers learn mainly through imitation and parallel activity, not structured social modeling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Preschool children (3–6 years) are in the initiative vs guilt stage and are highly active, curious, and impulsive, with limited hazard perception. Their developmental profile places them at increased risk for accidental injury due to poor judgment, exploratory behavior, and inadequate threat recognition.
Rationale:
A. Overeating is not a primary developmental concern for preschool health teaching. While nutrition is important, this age group is more at risk for accidental injury than chronic dietary excess. Appetite regulation is usually stable unless influenced by external factors.
B. Aspiration risk is more prominent in infants and toddlers due to immature swallowing coordination. Preschool children generally have improved oropharyngeal control, making aspiration a less significant health teaching priority compared to injury prevention.
C. Prevention of injury is the most critical health teaching focus because preschoolers exhibit curiosity, impulsivity, and limited danger awareness. They are at high risk for burns, poisoning, falls, and road injuries, making safety education essential for this age group.
D. Sex education is not a primary focus at this developmental stage beyond basic body safety concepts. Preschool teaching emphasizes simple safety rules rather than structured sexual education, which becomes more relevant in later developmental stages.
Correct Answer is D
Explanation
Safe pediatric examination techniques require behavioral control, parental involvement, and head stabilization to prevent sudden movement during otoscopic assessment. Young children have limited impulse control, requiring secure positioning to reduce risk of canal injury and ensure accurate visualization of the tympanic membrane.
Rationale:
A. Having a parent lie across the child may provide physical restraint but is not a controlled or recommended technique. It can increase psychological distress and does not ensure precise head immobilization, raising risk of injury during otoscopic insertion.
B. Using play therapy distraction such as pretending to look for Mickey Mouse may reduce anxiety but does not provide physical stabilization. Without proper immobilization, sudden movement can still occur during ear examination, risking trauma to the external auditory canal.
C. Lying down while holding a parent’s hand offers emotional comfort but insufficient head control. The child’s head can still move unpredictably during the procedure, making otoscopic examination unsafe and potentially inaccurate due to lack of immobilization.
D. Holding the child against the parent’s chest with one hand immobilizing the head provides optimal stabilization. This position ensures both emotional reassurance and effective physical restraint, minimizing sudden movement and allowing safe visualization of the ear canal and tympanic membrane.
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