A nurse is providing teaching to the guardians of a toddler about discipline techniques. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will set a timer for 10 minutes for each timeout session."
"My child will learn rules through physical punishment."
"I will remind my child of their misbehavior to reinforce discipline."
"A timeout session should begin once my child is quiet.”
The Correct Answer is D
Rationale:
A. "I will set a timer for 10 minutes for each timeout session.": Timeout duration should be age-appropriate, generally one minute per year of the child's age. A 10-minute timeout for a toddler would be too long and ineffective for promoting behavioral correction.
B. "My child will learn rules through physical punishment.": Physical punishment is not recommended for children as it may lead to increased aggression, fear, and long-term emotional harm. Positive discipline strategies like timeouts and redirection are more appropriate.
C. "I will remind my child of their misbehavior to reinforce discipline.": Repeated reminders can reinforce negative behavior by drawing excessive attention to it. Discipline should focus on clear, consistent consequences rather than prolonged discussion of misbehavior.
D. "A timeout session should begin once my child is quiet.": Timeout should start after the child calms down to encourage self-regulation. Starting it during a tantrum may reinforce the behavior, while waiting promotes emotional control and helps the child learn to calm themselves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Bradycardia: Ectopic pregnancy is more likely to cause tachycardia due to internal bleeding and hypovolemia from tubal rupture. Bradycardia is not a typical finding and would suggest a different or more advanced issue.
B. Hypertension: Hypotension, not hypertension, may occur in cases of significant bleeding from a ruptured ectopic pregnancy. Elevated blood pressure is not a hallmark sign of this condition.
C. Hydramnios: Hydramnios refers to excessive amniotic fluid and is associated with fetal anomalies or maternal diabetes. It is unrelated to ectopic pregnancy, where implantation occurs outside the uterine cavity.
D. Abdominal pain: Sharp or stabbing abdominal or pelvic pain is a classic symptom of ectopic pregnancy. It may be accompanied by vaginal bleeding and referred shoulder pain if internal bleeding irritates the diaphragm.
Correct Answer is C
Explanation
Rationale:
A. Temperature 36.8° C (98° F): This temperature is within the normal range and does not suggest a current or impending infection. It indicates stable thermoregulation in the postoperative period.
B. White blood cell count 8,000/mm³ (5,000 to 10,000/mm³): This WBC count falls within the normal reference range and does not reflect infection or inflammation. No abnormal immune response is indicated by this result.
C. Body mass index of 32: A BMI over 30 is classified as obesity, which increases the risk of poor wound healing and surgical site infections. Excess adipose tissue can impair circulation, oxygenation, and immune response at the wound site.
D. Blood glucose 90 mg/dL (74 to 106 mg/dL): This is a normal fasting glucose level and does not contribute to infection risk. Well-controlled glucose levels are favorable for wound healing and immune function.
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