A nurse is discussing discipline techniques with the parent of a pre-schooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

“I place my child in time-out for 15 minutes when they misbehave”

"I send my child to their room for the time out period."

"I make use of time-out after giving three warnings"

"I use a kitchen timer to mark the end of the time-out period."

Answer and Explanation

The Correct Answer is D

A. "I place my child in time-out for 15 minutes when they misbehave." The recommended guideline for time-out duration is one minute per year of age (e.g., a 4-year-old should have a 4-minute time-out). A 15-minute time-out is too long for a pre-schooler and may lose its effectiveness.
B. "I send my child to their room for the time-out period." Time-out should occur in a designated, neutral, distraction-free space rather than a child’s bedroom, which may contain toys and other activities that reduce its effectiveness. The goal is to provide a brief period of separation to allow the child to regain control.
C. "I make use of time-out after giving three warnings." While consistency in discipline is important, too many warnings can reduce the effectiveness of time-out. Immediate and clear consequences help the child associate their behavior with the discipline.
D. "I use a kitchen timer to mark the end of the time-out period." Using a timer helps the child understand the structured nature of time-out and prevents the parent from extending or shortening it based on emotion. A visual or auditory cue from a timer also reinforces consistency in discipline.

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Correct Answer is B

Explanation

A. Reach to Recovery. This program is designed for individuals recovering from breast cancer, not for those dealing with substance use disorders. It provides education and support for people adjusting to life after a breast cancer diagnosis.
B. A 12-step program. Alcoholics Anonymous (AA) and other 12-step programs offer structured peer support and recovery strategies for individuals struggling with alcohol dependence. These programs focus on abstinence, accountability, and personal growth, making them a key resource for clients recovering from alcohol withdrawal.
C. Al-Anon. Al-Anon is a support group for family members and loved ones of individuals with alcohol use disorder. While beneficial for relatives, it is not the appropriate resource for the client who is recovering from alcohol withdrawal.
D. Light therapy. Light therapy is used to treat seasonal affective disorder (SAD) and other mood disorders, not alcohol dependence. It has no direct role in the treatment of substance use disorders.

A. "ECT is contraindicated in clients who have psychotic symptoms." B. "ECT is delivered through electrodes attached to the head." C. "ECT cannot be administered to clients who have suicidal ideation D. "ECT is conducted under regional anesthesia.

Correct Answer is B

Explanation

A. "ECT is contraindicated in clients who have psychotic symptoms." ECT is actually an effective treatment for severe depression with psychotic features, as well as treatment-resistant schizophrenia. It is not contraindicated in these cases; rather, it is often recommended when medications are ineffective.
B. "ECT is delivered through electrodes attached to the head." During ECT, electrical stimulation is applied via electrodes placed on the scalp to induce a controlled seizure. This process alters brain chemistry and can rapidly improve severe depressive symptoms, making this statement accurate.
C. "ECT cannot be administered to clients who have suicidal ideation." ECT is commonly used in individuals with severe suicidal ideation, particularly when rapid symptom relief is needed. It can be life-saving in cases of severe, treatment-resistant depression, making this statement incorrect.
D. "ECT is conducted under regional anesthesia." ECT is performed under general anesthesia, not regional anesthesia. The client receives short-acting anesthesia along with a muscle relaxant to prevent injury during the induced seizure.

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A nurse is discussing discipline techniques with the parent of a pre-schooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

Nursing Test Bank

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