During a well child exam, the parents of a 4-year-old child inform the nurse that they are thinking of buying a television for their child's bedroom, and ask for advice as to whether this is appropriate
Which is the best response from the nurse? 1. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children do, and physical inactivity in children has been linked to many chronic diseases, such as obesity and type 2 diabetes.".
2. "Research has shown that watching educational television shows improves a child's performance in school.".
3. "Don't buy a television for your child's room; he is much too young for that.".
4. "It is okay for your child to have a television in his room as long as you limit the amount of time he watches it to less than 2 hours per day.".
1
Rationale:
1. Young children need to be physically active at this age. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children do, and physical inactivity in children has been linked to many chronic diseases, such as obesity and type 2 diabetes" is the best response, because it gives the parents an evidence-based rationale for not placing a television in the child's room.
2. While there may be some truth in the comment "Research has shown that watching educational television shows improves a child's performance in school," this statement might encourage increased television watching by the child, and the child's developmental need for physical activity is greater than the benefit that he might obtain by watching educational programs.
3. "Don't buy a television for your child's room, he is much too young for that" does not give parents a rationale, and might seem opinionated to them.
4. "It is okay for your child to have a television in his room as long as you limit the amount of time he watches it to less than 2 hours per day" is correct in that limiting television viewing to less than 2 hours per day is appropriate, but the probability of this occurring with a television in the child's room is low, and the child most likely will be watching much more than 2 hours per day.
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