A parent asks the nurse about how to respond to negativism in toddlers. The most appropriate recommendation is to:
a. Punish the child.
b. Provide more attention.
c. Ask child not always to say "no."
d. Reduce the opportunities for a "no" answer.
ANS: D
The nurse should suggest to the parent that questions should be phrased with realistic choices rather than "yes" or "no" answers. This provides a sense of control for the toddler and reduces the opportunity for negativism. Negativism is not an indication of stubbornness or insolence and should not be punished. The negativism is not a function of attention; the child is testing limits to gain an understanding of the world. The toddler is too young to be asked to not always say "no."
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