A nurse is providing teaching to the guardian of a toddler about discipline techniques. Which of the following statements by the guardian indicate an understanding of the teaching?

"I will remain with my child throughout each timeout session."

"My child is most likely to correct behaviors when they experience natural consequences."

"My child will learn rules when we offer rewards for positive behavior instead of verbal praise."

"I will be careful not to ignore it when my child misbehaves."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "I will remain with my child throughout each timeout session.": The purpose of a timeout is to remove the child from stimulation and provide an opportunity to calm down and reflect. Staying with the child during a timeout defeats this purpose, as it may reinforce attention-seeking behaviors instead of encouraging self-regulation.

B. "My child is most likely to correct behaviors when they experience natural consequences.": Allowing children to experience natural consequences helps them learn cause-and-effect relationships and develop responsibility for their actions.

C. "My child will learn rules when we offer rewards for positive behavior instead of verbal praise.": While tangible rewards can be helpful initially, consistent verbal praise is a more effective long-term strategy for reinforcing desired behaviors. It builds intrinsic motivation and encourages the child to repeat good behavior without expecting material rewards.

D. "I will be careful not to ignore it when my child misbehaves.": Ignoring minor attention-seeking behaviors can be an effective discipline strategy, as it prevents reinforcement through attention. Overreacting to small misbehaviors may inadvertently increase their frequency rather than reduce them.

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Correct Answer is D

Explanation

Rationale:
A. "You are feeling anxious now; why don't you give it some time before making a final decision?": This response minimizes the client’s feelings and delays addressing their emotional distress and right to autonomy. It fails to provide immediate therapeutic support.

B. "You should talk with your family members before making this decision.": While family involvement can be supportive, the client has the right to make autonomous decisions regarding treatment. Directing them to family first disregards the nurse’s role in providing professional support and resources.

C. "I will discuss this with your primary health care provider, and we can discuss this more tomorrow.": Although involving the provider is appropriate, postponing the discussion may neglect the client’s current emotional and psychological needs for immediate counseling and clarification.

D. "Let me refer you to talk to someone regarding your treatment options.": This response acknowledges the client’s concerns and facilitates support through referral to counseling, palliative care, or an ethics consult. This ensures the client’s emotional, psychological, and autonomy needs are appropriately addressed.

A. "I will plan to continue taking this medication for at least 5 years." B. "My provider wants me to take this medication for 2 weeks before I try to quit drinking." C. "I should avoid over-the-counter medications that contain alcohol." D. "I will need to get a monthly injection of this medication."

Correct Answer is C

Explanation

Rationale:
A. "I will plan to continue taking this medication for at least 5 years.": Disulfiram therapy is not prescribed for a fixed duration such as 5 years. The length of treatment depends on the client’s motivation and response, typically continuing until long-term abstinence is maintained.

B. "My provider wants me to take this medication for 2 weeks before I try to quit drinking.": Disulfiram must be started only after the client has abstained from alcohol for at least 12 hours, not before quitting. Taking it while alcohol is still in the system can trigger severe reactions such as flushing, nausea, vomiting, and hypotension.

C. "I should avoid over-the-counter medications that contain alcohol.": Even small amounts of alcohol—such as in cough syrups, mouthwash, or sauces—can cause a dangerous disulfiram-alcohol reaction. Clients must avoid all alcohol-containing products.

D. "I will need to get a monthly injection of this medication.": Disulfiram is taken orally, usually once daily, and does not come in injectable form. The injectable medication used for alcohol dependence is naltrexone (Vivitrol).

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A nurse is providing teaching to the guardian of a toddler about discipline techniques. Which of the following statements by the guardian indicate an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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