The mother of a 7-year-old child is concerned that the child "touches and plays" with the genitals despite being punished for doing so. Which response should the nurse make to the mother? (SELECT ALL THAT APPLY)

"How often do you punish him by giving him a time-out or by using physical discipline?"

"Physical punishment is not the best way to modify a child's behavior."

"It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body."

"Constantly touching the genitals indicates a urinary tract infection in a toddler."

"Give him a little time, and he'll grow out of it. He's just too young to understand right now."

Answer and Explanation

Correct Answer : B,C,E

A. "How often do you punish him by giving him a time-out or by using physical discipline?": This response focuses on the mother's disciplinary methods rather than addressing the child's behavior directly. It may come across as judgmental or critical of the mother's parenting approach and does not provide helpful guidance or support.

B. "Physical punishment is not the best way to modify a child's behavior.": This response is appropriate because it addresses the mother's concern about punishment for the child's behavior. It educates the mother about the ineffectiveness and potential harm of physical punishment in modifying behavior. Instead, positive reinforcement, redirection, and open communication are recommended strategies for guiding children's behavior.

C. "It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body.": This response normalizes the child's behavior of touching and playing with his genitals as part of natural childhood development. It reassures the mother that such behavior is common and not necessarily indicative of abnormality or misconduct. Education about normal childhood sexual development can alleviate parental concerns and promote understanding and acceptance.

D. "Constantly touching the genitals indicates a urinary tract infection in a toddler.": This response is incorrect and may unnecessarily alarm the mother. While frequent touching of the genitals could indicate discomfort or irritation associated with a urinary tract infection in a toddler, it is not the case for a 7-year-old child. Additionally, it is essential to avoid making medical diagnoses without proper assessment by a healthcare professional.

E. "Give him a little time, and he'll grow out of it. He's just too young to understand right now." This response acknowledges the child's developmental stage and suggests that the behavior is likely temporary and will naturally resolve as the child matures. It reassures the mother that the behavior is typical for a child of this age and may not require immediate intervention.

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Correct Answer is C

Explanation

A. Cultural assessment: A cultural assessment involves gathering information about the client's cultural background, beliefs, practices, and preferences to provide culturally sensitive care. While the decision to donate organs may be influenced by cultural factors, assisting the client with alternatives, examining pros and cons, and eliciting feelings about the decision are not specifically related to conducting a cultural assessment.

B. Selecting treatment: Assisting the client with selecting treatment involves discussing various treatment options and helping the client make informed decisions about their healthcare. While organ donation may be considered a treatment option in some contexts, the scenario described focuses more on helping the client clarify their values and make a decision about organ donation rather than selecting treatment for a specific health condition.

C. Values clarification: This is the correct option. Values clarification involves helping individuals explore and understand their personal values, beliefs, and preferences to make decisions that align with their values. In this scenario, the nurse is assisting the client with exploring the decision to donate organs by facilitating a process of examining alternatives, considering the pros and cons, and eliciting the client's feelings about organ donation. This approach helps the client clarify their values related to organ donation and make an informed decision based on their personal beliefs and preferences.

D. Defining religious beliefs: While religious beliefs may influence an individual's decision about organ donation, the nurse's role in this scenario is broader and focuses on helping the client clarify their values and make a decision about organ donation based on their personal beliefs and preferences. The nurse may address religious beliefs as part of the values clarification process but is primarily assisting the client in exploring their overall values and feelings about organ donation.

A. battery B. injury C. failure to follow the standard of care D. slander

Correct Answer is C

Explanation

In this scenario, the lack of documentation regarding the explanation of the benefits and risks of the procedure in the client's medical record could be interpreted as a failure to follow the standard of care. Option C is the most appropriate choice for the grounds on which the family might sue:

C. Failure to follow the standard of care:

Healthcare providers are expected to adhere to a standard of care, which includes adequately informing patients or their legal guardians about the benefits, risks, and alternatives of medical procedures. Failure to document informed consent discussions and obtain signed consent forms may be considered a breach of the standard of care. Without proper documentation, it becomes challenging to prove that the healthcare providers fulfilled their duty to obtain informed consent and adequately inform the patient or legal guardian about the procedure's risks and benefits. The absence of documentation may suggest negligence or a lack of thoroughness in the healthcare provider's practice, which could serve as grounds for a lawsuit.

A. Battery:

Battery refers to the intentional and unauthorized touching of another person, which includes performing a medical procedure without obtaining informed consent. While the lack of documentation may suggest a failure to obtain proper consent, it does not necessarily imply intentional wrongdoing or a deliberate act of touching without consent (battery).

B. Injury:

While the client may have experienced an injury if complications arose from the procedure, the focus of the scenario is on the absence of documentation regarding informed consent rather than the occurrence of an injury itself. The grounds for a lawsuit are related to the failure to follow the standard of care in obtaining informed consent rather than the presence of an injury.

D. Slander:

Slander involves making false and damaging statements about someone that harm their reputation. The lack of documentation regarding informed consent does not relate to slander, as it does not involve making false statements but rather the failure to document discussions and obtain consent properly.

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The mother of a 7-year-old child is concerned that the child "touches and plays" with the genitals despite being punished for doing so. Which response should the nurse make to the mother? (SELECT ALL THAT APPLY)

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Naxlex Comprehensive Predictor Exams

The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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