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    Health and wellness (Pediatrics III) Examplify MCPHS college proctored exam

    Which strategy would the nurse use to manage negative behavior of a toddler?

    Explanation & Rationale

    Choice A rationale Offering a toddler choices is an effective strategy for managing negative behavior because it respects their developmental need for autonomy and control, which is a major psychosocial task for this age group (autonomy vs. shame and doubt). By providing two acceptable options, the nurse or parent redirects the child's energy and gives them a sense of power, thereby minimizing temper tantrums and power struggles effectively. Choice B rationale Toddlers thrive on structure and predictability; therefore, using a consistent routine is crucial for managing behavior and fostering a sense of security, not a flexible one. A flexible routine can cause confusion and anxiety for a toddler, leading to increased frustration and negative behaviors as they struggle to anticipate what will happen next, undermining behavior management. Choice C rationale While using non-invasive methods is important for care, it is too broad and does not specify a concrete behavior management technique. Strategies like time-outs, offering choices, and distraction are specific non-invasive techniques. This choice does not offer a specific, actionable strategy for managing negative behavior in the unique developmental context of a toddler. Choice D rationale While increasing independence is a developmental goal for toddlers, giving too much independence or allowing it without necessary boundaries can quickly lead to safety issues and negative behavior as the child is not developmentally capable of making all decisions. The key is to provide structured independence, such as choices within limits, rather than simply allowing more independence overall.

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