During a well-child visit, a frustrated mother complains that her 2-year-old's only response anymore is "no," and asks for help. The most appropriate advice for the nurse to give this mother would be to:
1. Set firm limits and be consistent.
2. Offer the toddler choices.
3. Ignore when the child says "no" and then ask again in five minutes.
4. Tell the child what to do, because she is too young to make decisions and it will only frustrate her.
2
Rationale:
1. Setting firm limits and being consistent challenge the toddler's autonomy and lead to further conflict.
2. The toddler is developing a sense of self, and wants to assert her independence. Giving her choices allows her to experience a sense of autonomy while negating the need for the word "no."
3. It is inappropriate to ignore inappropriate behavior, and the mother should not begin allowing the child to ignore the mother.
4. Telling the child what to do is not working in the current situation. This advice is essentially telling the mother to do "nothing."
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