A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

"I place my child in time-out for ten minutes when they misbehave."

"I send my child to their room for the time-out period."

"I make use of time-out."

"I use a kitchen timer to mark the end of the time-out period."

Answer and Explanation

The Correct Answer is D

A reason: "I place my child in time-out for ten minutes when they misbehave." While using time-out as a discipline technique is correct, the duration of ten minutes might be too long for a preschooler. A general guideline is one minute of time-out per year of age, so a more age-appropriate duration would be necessary.

B reason: "I send my child to their room for the time-out period." Sending a child to their room can create negative associations with the space meant for rest and play. A designated time-out spot that is neutral and free from distractions is more effective.

C reason: "I make use of time-out." This statement is too vague and does not specify how the time-out is implemented or understood. The parent needs to demonstrate a clear understanding of the correct time-out procedure.

D reason: "I use a kitchen timer to mark the end of the time-out period." Using a kitchen timer is an effective method to ensure the time-out period is consistent and predictable for the child. It helps the child understand the duration of the time-out and reinforces the discipline technique.

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Correct Answer is C

Explanation

A reason: Encourage the client to attend group therapy sessions. While group therapy can be beneficial for some clients, it may not be the best initial approach for those with panic disorder. Group settings can sometimes increase anxiety and trigger panic attacks.

B reason: Allow the client to choose scheduled daily activities. While allowing clients some control over their daily activities can be empowering, it does not directly address the symptoms of panic disorder. Structured interventions and therapeutic techniques are more effective.

C reason: Use simple words to describe procedures to the client. Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. This approach is particularly effective for clients with panic disorder, who may become easily overwhelmed.

D reason: Avoid discussing topics that can trigger a panic attack. While it is important to be mindful of topics that may cause distress, complete avoidance can prevent clients from learning to manage their triggers. Therapeutic approaches often involve gradual exposure to triggers in a controlled and supportive environment.

A. Midazolam. B. Fluoxetine. C. Cyclobenzaprine. D. Valproic acid.

Correct Answer is B

Explanation

A reason: Midazolam. Midazolam is a benzodiazepine used for sedation, anxiety relief, and seizure management. It is not typically used as a first-line treatment for major depressive disorder.

B reason: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed as a first-line treatment for major depressive disorder. It helps increase serotonin levels in the brain, which can improve mood and alleviate depressive symptoms.

C reason: Cyclobenzaprine. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms. It is not indicated for the treatment of major depressive disorder.

D reason: Valproic acid. Valproic acid is a mood stabilizer primarily used to treat bipolar disorder and seizure disorders. It is not typically used as a first-line treatment for major depressive disorder.

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A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

Nursing Test Bank

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