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 15 minutes when they misbehave.”

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

“I make use of time-out after gang 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.”: This statement indicates a clear understanding of time-out as a form of discipline. Time-out is typically implemented for a short duration, often recommended to be around one minute per year of the child's age (e.g., 3 minutes for a 3-year-old). Placing the child in time-out for 15 minutes aligns with this understanding.

B. "I send my child to their room for the time-out period.": Sending a child to their room as a time-out may not be as effective, as the child may have access to toys, books, or other distractions in their room. Time-out is more effective when the child is placed in a designated, neutral area with minimal stimulation.

C. “I make use of time-out after giving three warnings.": While giving warnings before implementing time-out can be part of a structured discipline approach, the number of warnings may vary depending on the situation and the child's behavior. There is no universally recommended number of warnings before using time-out.

D. “I use a kitchen timer to mark the end of the time-out period.”: Using a kitchen timer to mark the end of the time-out period is a practical strategy that helps ensure consistency and fairness in the duration of time-out. It indicates an understanding of the need to adhere to a specific time frame for time-out.Using a timer helps ensure that the time-out duration is consistent and allows the child to know when the consequence ends.

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Correct Answer is B

Explanation

A. A client who has borderline personality disorder and exhibits splitting behaviors

While splitting behaviors can be concerning and may require intervention, they do not typically pose an immediate threat to the client's safety or well-being compared to other urgent issues such as hallucinations or medication side effects.

B. A client who has schizophrenia and reports command hallucinations

Command hallucinations can be dangerous as they may prompt the client to engage in harmful behaviors or actions directed by the hallucinations. Therefore, this client should be assessed first to ensure their safety and intervene if necessary.

C. A client who recently started taking lithium and has a fine hand tremor

A fine hand tremor is a common side effect of lithium therapy and typically does not require immediate attention unless it becomes severe or interferes significantly with the client's functioning. Therefore, this client's assessment can be prioritized lower than the client experiencing command hallucinations.

D. A client who takes nicotine and states they have a dry mouth

While a dry mouth can be uncomfortable, it is not typically a critical issue requiring immediate assessment compared to the safety concerns associated with command hallucinations in a client with schizophrenia.

A. Use detailed explanations when providing education to the client B. Maintain a stimulating environment for the client C. Provide the cant with a structured schedule of daily activities D. Limit time for rituals to 20 min each day

Correct Answer is C

Explanation

A. Use detailed explanations when providing education to the client: Providing detailed explanations can help the client better understand their condition and treatment, which is essential for managing obsessive-compulsive disorder (OCD). This intervention promotes client education and empowerment, enabling them to participate more effectively in their care and treatment.

B. Maintain a stimulating environment for the client: Individuals with OCD often benefit from a calm and organized environment rather than a stimulating one. A stimulating environment might exacerbate anxiety and OCD symptoms. Therefore, maintaining a calm and structured environment is typically more beneficial for clients with OCD.

C. Provide the client with a structured schedule of daily activities: Providing a structured schedule of daily activities can help regulate the client's routine and provide a sense of predictability, which can be comforting for individuals with OCD. A structured schedule can also help minimize the impact of OCD symptoms on daily functioning by providing a framework for completing tasks and managing time effectively.

D. Limit time for rituals to 20 minutes each day: Limiting time for rituals to a specific duration each day may not be appropriate or effective for all clients with OCD. While gradual exposure and response prevention (ERP) therapy may involve gradually reducing the time spent on rituals, setting a specific time limit may not address the underlying causes of OCD and could potentially increase anxiety and distress for the client.

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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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