A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?

"I should use role-playing to enhance new behavioral skills."

"I should move closer to my child when they are agitated."

"I should ignore attention-seeking behaviors."

"I should re-engage my child in an appropriate activity."

Answer and Explanation

The Correct Answer is D

A.   Role-playing is a useful technique to teach and reinforce new behaviors by allowing the child to practice appropriate responses in simulated situations. While role-playing can be beneficial, it is not specifically related to redirection technique. Redirection involves diverting a child's attention or behavior away from inappropriate or disruptive actions towards more acceptable behaviors.
B.   Moving closer to a child who is agitated can be a strategy to provide physical proximity and support, especially to prevent escalation of behavior or to intervene if necessary. However, it is not directly related to redirection technique.
C.   Ignoring attention-seeking behaviors is a common behavior management strategy aimed at reducing reinforcement of undesirable behaviors. While ignoring can be effective in some situations, it is not specifically redirection technique.
D.   This statement correctly reflects the redirection technique. Redirection involves redirecting the child's focus or behavior from negative or inappropriate actions towards positive and appropriate activities or tasks. By re-engaging the child in an appropriate activity, the parent can effectively redirect their attention and energy, potentially preventing or diffusing disruptive behaviors.

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Correct Answer is A

Explanation

A. Diarrhea is a common symptom of opioid withdrawal. Opioids slow down gastrointestinal motility, so when their use is discontinued, it can lead to increased peristalsis and diarrhea. This occurs due to the rebound effect of the gastrointestinal tract.
B. Opioids typically cause pupil constriction (pinpoint pupils) when they are active in the body. During withdrawal, the opposite occurs, and pupils dilate (mydriasis). However, the question asks about withdrawal symptoms, not effects of opioid use, so this would not be expected in opioid withdrawal.
C. Bradycardia, or a slow heart rate, is not typically associated with opioid withdrawal. Instead, opioid withdrawal can cause tachycardia (rapid heart rate) due to the sympathetic nervous system activation that occurs during withdrawal.
D. Hypokinesis refers to decreased movement or activity, which is not a typical symptom of opioid withdrawal. Instead, opioid withdrawal often presents with symptoms such as restlessness, agitation, and muscle aches, which are indicative of hyperactivity rather than hypokinesis.

A. "You should have asked for help." B. "Let's talk about how you were feeling." C. "I think you are experiencing guilt." D. "Everyone gets discouraged sometimes."

Correct Answer is B

Explanation

A. This response could come across as blaming or judgmental. It implies that the client made a mistake by not seeking help, which can exacerbate feelings of guilt or shame. It does not promote an open dialogue or supportive environment.
B. This response demonstrates empathy and a willingness to understand the client's emotional state leading up to the suicide attempt. It encourages open communication about the client's feelings and experiences, which is crucial for assessment and intervention planning.
C. This response suggests that the nurse is making assumptions about the client's emotions without allowing the client to express themselves fully. While guilt may be a common emotion after a suicide attempt, it's important for the nurse to first listen to the client's own description of their feelings.
D. This response minimizes the seriousness of the client's experience and emotions. It may invalidate the client's feelings of distress or despair that led to the suicide attempt. Such a response does not acknowledge the gravity of the situation or provide the necessary support.

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A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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