A nurse is teaching the parents of a toddler about strategies to manage temper tantrums. Which of the following instructions should the nurse include in the teaching?
"Honor the child's request if she holds her breath."
"Establish a structured daily routine for the child."
"Place the child in her room alone until the temper tantrum ends."
"Comfort the child during the temper tantrum."
The Correct Answer is B
A. "Honor the child's request if she holds her breath.": This instruction is incorrect and potentially dangerous. Giving in to the child's demands when they hold their breath during a temper tantrum can reinforce the behavior and may lead to more frequent and intense tantrums. It's important for parents to remain calm and not give in to unreasonable demands during tantrums.
B. "Establish a structured daily routine for the child.": This instruction is appropriate. A structured daily routine can help toddlers feel secure and provide predictability, which may reduce the likelihood of tantrums. Consistency in meal times, naptimes, and activities can help toddlers know what to expect and feel more in control of their environment.
C. "Place the child in her room alone until the temper tantrum ends.": While it may be necessary to remove a toddler from a potentially dangerous situation during a tantrum, isolating them in their room alone is not recommended. It's important for parents to stay nearby to ensure the child's safety and to provide comfort and support as needed.
D. "Comfort the child during the temper tantrum.": Providing comfort and reassurance to a child during a temper tantrum can be helpful, as long as it's done in a calm and supportive manner. Reassuring words and gentle touch can help the child feel secure and may help to de-escalate the tantrum more quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "What are your reasons for making this decision today?"
This response demonstrates active listening and allows the parent to express their reasons for wanting to discontinue treatment. It opens up a dialogue between the nurse and the parent, which is important for understanding their perspective.
B. "You should discuss your concerns with your child's provider."
While it's important for the parent to communicate with the child's healthcare provider, this response may come across as dismissive of the parent's concerns and decision-making process.
C. "You should give the treatment a chance to work before giving up."
This response may seem judgmental and dismissive of the parent's feelings and autonomy. It does not address the parent's concerns and may further strain the nurse-parent relationship.
D. "Do you need assistance gathering your child's belongings to return home?"
This response is practical but does not address the underlying reasons for the parent's desire to discontinue treatment. It's important for the nurse to engage in therapeutic communication and explore the parent's concerns further.
Correct Answer is C
Explanation
A. "Gently put the tubes back into the child's ears": This is not the correct response. Tympanoplasty tubes are not meant to be reinserted if they fall out. Attempting to reinsert them without proper medical training could cause injury or damage to the child's ears. Therefore, this response should be avoided.
B. "Bring the child to the emergency department immediately": While it's important for the parent to seek medical attention if the tubes fall out, it may not always necessitate a visit to the emergency department, especially if the child is not experiencing any other symptoms. This response might cause unnecessary panic for the parent and may not be the most appropriate course of action.
C. "Notify the provider that the tubes have fallen out": This is the correct response. If the tympanoplasty tubes fall out, the parent should notify the healthcare provider who performed the procedure. The provider can then assess the situation and determine the next steps, which may include scheduling a follow-up appointment to evaluate the child's ears.
D. "The tubes are sutured in place and must be surgically removed": This is incorrect. Tympanoplasty tubes are not sutured in place; they are typically designed to fall out on their own after a certain period of time. Additionally, removal of tympanoplasty tubes usually does not require another surgical procedure.
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