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 C

Explanation

A reason: The child has a history of jaw fractures. While a history of fractures may indicate physical abuse, it is not specifically indicative of neglect. Child neglect often involves failure to provide necessary care, not necessarily causing physical injury.

B reason: The child seems frightened of their parent. Fear of a parent can be a sign of abuse or neglect, but it alone is not a definitive indicator of neglect. It requires further investigation to determine the cause of the child's fear.

C reason: The child has had no immunizations since birth. Failure to provide necessary medical care, such as immunizations, is a clear indicator of neglect. It shows a lack of attention to the child's health and well-being.

D reason: The child rocks back and forth continually. Repetitive behaviors like rocking can be a sign of psychological distress or developmental issues but are not specific indicators of neglect. They require further evaluation to understand the underlying cause.

A. Flight of ideas. B. Word salad. C. Neologisms. D. Clang associations.

Correct Answer is B

Explanation

A reason: Flight of ideas. Flight of ideas is characterized by rapid shifts from one topic to another, often with a logical connection between the topics. The client's statement does not exhibit this pattern and is more disorganized.

B reason: Word salad. Word salad refers to a jumble of words and phrases that are incoherent and lack meaningful connections. The client's statement, "Walk tall broom short dog bell," fits this description, as it is a nonsensical combination of words.

C reason: Neologisms. Neologisms are newly created words that have meaning only to the person who uses them. The client's statement does not include any new or invented words, making this choice inappropriate.

D reason: Clang associations. Clang associations involve the use of words based on their sound rather than their meaning, often rhyming or having a similar beginning sound. The client's statement does not exhibit this pattern.

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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

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Correct Answer is B

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