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: Administer a sedative medication. While administering a sedative may be necessary to calm the client, it is not the first step. The nurse should initially attempt to de-escalate the situation using non-pharmacological interventions.

B reason: Perform a debriefing with the staff. Debriefing with the staff is important after the situation is under control, but it is not the immediate priority. The focus should first be on addressing the client's behavior and emotions.

C reason: Acknowledge the client's emotions. Acknowledge the client's emotions to de-escalate the situation and help the client feel heard and understood. This can reduce the immediate risk of violence or self-harm.

D reason: Place the client in restraints. Restraints should be used as a last resort when other interventions have failed and there is an immediate risk of harm. The nurse should first try to calm the client through verbal and emotional support.

A. This medication will help control my child's aggressive behavior. B. This medication can cause my child to have low blood sugar. C. This medication won't require my child to have routine lab tests. D. This medication might need to be increased if my child has muscle spasms.

Correct Answer is A

Explanation

A reason: This medication will help control my child's aggressive behavior. Risperidone is often prescribed to manage irritability and aggressive behaviors in children with autism spectrum disorder. This statement accurately reflects one of the medication's intended effects.

B reason: This medication can cause my child to have low blood sugar. Risperidone is not known to cause low blood sugar. It can, however, cause other metabolic side effects like weight gain and increased cholesterol levels.

C reason: This medication won't require my child to have routine lab tests. Routine lab tests are often necessary when taking risperidone to monitor for potential side effects, such as metabolic changes and blood glucose levels.

D reason: This medication might need to be increased if my child has muscle spasms. Muscle spasms or extrapyramidal symptoms may occur with risperidone, but they typically require management with adjunct medications rather than increasing the dosage.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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