A nurse is providing teaching to the guardian of a toddler about discipline techniques. Which of the following statements by the guardian indicate an understanding of the teaching?
"I will remain with my child throughout each timeout session."
"My child is most likely to correct behaviors when they experience natural consequences."
"My child will learn rules when we offer rewards for positive behavior instead of verbal praise."
"I will be careful not to ignore it when my child misbehaves."
The Correct Answer is B
Rationale:
A. "I will remain with my child throughout each timeout session.": The purpose of a timeout is to remove the child from stimulation and provide an opportunity to calm down and reflect. Staying with the child during a timeout defeats this purpose, as it may reinforce attention-seeking behaviors instead of encouraging self-regulation.
B. "My child is most likely to correct behaviors when they experience natural consequences.": Allowing children to experience natural consequences helps them learn cause-and-effect relationships and develop responsibility for their actions.
C. "My child will learn rules when we offer rewards for positive behavior instead of verbal praise.": While tangible rewards can be helpful initially, consistent verbal praise is a more effective long-term strategy for reinforcing desired behaviors. It builds intrinsic motivation and encourages the child to repeat good behavior without expecting material rewards.
D. "I will be careful not to ignore it when my child misbehaves.": Ignoring minor attention-seeking behaviors can be an effective discipline strategy, as it prevents reinforcement through attention. Overreacting to small misbehaviors may inadvertently increase their frequency rather than reduce them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Decreased serum uric acid: In preeclampsia, serum uric acid levels are elevated, not decreased, due to reduced renal clearance and tissue ischemia. Increased uric acid is often one of the earliest laboratory indicators of preeclampsia.
B. Increased protein in urine: Proteinuria is a key diagnostic feature of preeclampsia resulting from glomerular endothelial damage that increases permeability to proteins. The presence of protein in the urine reflects kidney involvement and helps distinguish preeclampsia from gestational hypertension.
C. Increased platelet count: Preeclampsia is typically associated with thrombocytopenia (low platelet count) due to platelet aggregation and consumption within damaged blood vessels. An increased platelet count would not be expected in this condition.
D. Decreased BUN: In preeclampsia, renal perfusion is reduced, leading to elevated BUN and creatinine levels. A decrease in BUN would indicate improved kidney function, which is inconsistent with the pathophysiology of preeclampsia.
Correct Answer is D
Explanation
Rationale:
A. "The provider can give you a referral for your baby to see an infectious disease provider.": Referring to a specialist does not address the parents’ knowledge or concerns about immunizations. The priority is to engage in a discussion to understand their perspective.
B. "Your baby's immunizations should be up to date before they are able to travel with you by airplane.": Framing immunizations only around travel requirements may seem judgmental and does not address the broader health benefits of vaccination.
C. "You don't have to immunize your baby against diseases that are no longer common.": This statement is misleading because many vaccine-preventable diseases can reemerge if immunization rates drop. It could reinforce misconceptions rather than promoting safe health practices.
D. "Let's talk about what you already know about immunizing your baby.": Beginning with an open-ended, nonjudgmental discussion allows the nurse to assess the parents’ knowledge, beliefs, and concerns. This approach supports informed decision-making and provides an opportunity for accurate, tailored education about vaccines.
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