During a well-child exam, the parents of a preschool-age 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 response by the nurse is the most appropriate?
1. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children, 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 children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day."
Correct Answer: 1
Rationale: 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, 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. "Don't buy a television for your child's room; he is much too young for that" does not give parents a rationale and may seem opinionated to them. 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 may encourage increased television watching by the child, and the child's developmental need for physical activity is greater than the benefit that he may obtain by watching educational programs. "It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day" is correct in that limiting television viewing to less than two hours per day is appropriate, but the probability of this occurring with a television in the child's room is low, and the child will most likely be watching much more than two hours per day.
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