A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will use reasoning to explain to my child why their behavior was wrong."
"I will ignore my child's temper tantrums if we are in a public place."
"I will place my child in time-out after giving one warning."
"I will remind my child of past misbehavior to reinforce the rules."
The Correct Answer is A
A. "I will use reasoning to explain to my child why their behavior was wrong." Effective discipline for toddlers involves positive reinforcement, setting clear expectations, and age-appropriate explanations for why certain behaviors are not acceptable.
B. Ignoring temper tantrums in public places: Ignoring all tantrums can confuse the child and may not address the underlying issue.
C. Placing in time-out after one warning: Time-outs can be effective, but consistency is important. One warning might not be enough for a young child to understand.
D. Reminding of past misbehavior: Toddlers have short attention spans. Focusing on the present situation and teaching the desired behavior is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide for periods of rest. Correct. Children with heart failure have reduced exercise tolerance and fatigue easily. Regular periods of rest help prevent overexertion and cardiac strain.
B. Increase the child's oxygen flow rate until the child no longer has cyanosis. This can be dangerous. Oxygen therapy should be used as prescribed by a healthcare provider, as excessive oxygen can lead to oxygen toxicity or other complications, especially in children with heart conditions.
C. Withhold digoxin if the child's pulse is greater than 100/min. Digoxin is typically withheld if the heart rate is too low (bradycardia), not high. The nurse should follow specific parameters set by the healthcare provider, but a pulse greater than 100/min is not a standard reason to withhold digoxin.
D. Weigh the child once each month. In children with heart failure, daily weights are important to monitor fluid status and detect worsening heart failure. Monthly weighing is not frequent enough.
Correct Answer is C
Explanation
A. Auscultate the abdomen for at least 1 min if bowel sounds are absent. This is an appropriate action. Absence of bowel sounds can indicate a serious condition, so the nurse should auscultate for at least 1 minute to confirm their absence. However, it is generally recommended to listen for up to 5 minutes before concluding that bowel sounds are absent.
B. Use the bell stethoscope to auscultate breath sounds. The diaphragm of the stethoscope, not the bell, is typically used to auscultate breath sounds because it is better at picking up higher-pitched sounds like those of the lungs.
C. Check visual acuity by using the tumbling E eyechart. The tumbling E chart is appropriate for pre-schoolers who may not know the alphabet. This chart helps assess visual acuity in young children by having them identify the direction of the E's legs.
D. Place hand on the pre-schooler’s abdomen to determine respiratory rate. Placing a hand on the abdomen can help in counting the respiratory rate in infants and very young children who are diaphragmatic breathers, but for pre-schoolers, it is typically easier and more accurate to count respirations by observing the chest rise.
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