A nurse is discussing discipline techniques with the parent of a preschooler. 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 ten minutes when they misbehave."

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

"I make use of time-out."

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

Answer and Explanation

The Correct Answer is D

A reason: "I place my child in time-out for ten minutes when they misbehave." While using time-out as a discipline technique is correct, the duration of ten minutes might be too long for a preschooler. A general guideline is one minute of time-out per year of age, so a more age-appropriate duration would be necessary.

B reason: "I send my child to their room for the time-out period." Sending a child to their room can create negative associations with the space meant for rest and play. A designated time-out spot that is neutral and free from distractions is more effective.

C reason: "I make use of time-out." This statement is too vague and does not specify how the time-out is implemented or understood. The parent needs to demonstrate a clear understanding of the correct time-out procedure.

D reason: "I use a kitchen timer to mark the end of the time-out period." Using a kitchen timer is an effective method to ensure the time-out period is consistent and predictable for the child. It helps the child understand the duration of the time-out and reinforces the discipline technique.

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Correct Answer is D

Explanation

A reason: Refer the client to a support group for survivors of suicide. While referring the client to a support group is important for long-term support, it is not the immediate priority in this acute moment of grief.

B reason: Offer to contact the client's family or support system. Offering to contact family or support systems is supportive but not the first priority. The nurse should first assess the client's immediate emotional and cognitive state.

C reason: Inform the client that feelings of guilt are often felt by survivors of suicide. Providing information about common feelings of guilt can be helpful, but the nurse should first understand the client's current state and their specific needs.

D reason: Determine the client's understanding of the suicide events. The first priority is to assess the client's understanding and emotional response to the news. This helps the nurse provide appropriate support and address any immediate misconceptions or distress.

A. Dissociation. B. Rationalization. C. Undoing. D. Reaction formation.

Correct Answer is A

Explanation

A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.

B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.

C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.

D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?

Correct Answer is D

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Correct Answer is A

Explanation

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