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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Obtain a 12-lead ECG for the client: An ECG is important to assess for myocardial ischemia or infarction, but it should be done after immediate measures are taken to reduce myocardial oxygen demand.
B. Administer sublingual nitroglycerin to the client: Nitroglycerin helps relieve chest pain by dilating coronary arteries, but it should be given only after the client is safely seated or resting to prevent hypotension or injury.
C. Measure the client's vital signs: Vital signs provide valuable baseline data, but addressing the client’s immediate safety and reducing cardiac workload takes priority.
D. Have the client stop walking and sit down: Stopping activity decreases oxygen demand on the heart and prevents worsening ischemia or collapse, making it the first and most critical action.
Correct Answer is A
Explanation
Rationale:
A. "You can obtain a personal response system that will be activated if you fall.": A personal emergency response system allows the client to summon help immediately after a fall, promoting independence and safety for individuals living alone.
B. "You should contact a family member once a week to keep in touch.": Weekly contact provides emotional support but does not ensure timely assistance in the event of a fall. Regular communication is helpful, yet it does not directly reduce fall risk or guarantee safety if an emergency occurs.
C. "You can have an unlicensed assistive personnel (UAP) come to your house daily to stay with you.": Having a UAP visit daily may not be realistic or necessary, especially for independent seniors. This does not provide continuous supervision or an immediate response in case of a fall occurring outside scheduled visits.
D. "You need to move to a skilled nursing facility where they can prevent falls.": Suggesting relocation is premature and disregards the client’s desire for independence. Fall prevention strategies and assistive technology should be explored before recommending institutional care.
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