After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

"If he starts to act out, we'll have him do a time-out to help him refocus.”.

"We can use a reward system when he behaves appropriately.”.

"If he misbehaves, we need to punish him instead of reward him.”.

"We need to help him set realistic goals that he can achieve.”. —

Answer and Explanation

The Correct Answer is C

Choice A rationale

Time-outs are an effective behavioral strategy for children with attention deficit/hyperactivity disorder (ADHD) because they remove the child from an overstimulating or reinforcing environment, allowing them to calm down and regain self-control. This technique supports the management of impulsive or disruptive behaviors by providing a structured pause.

Choice B rationale

A positive reward system is a highly recommended intervention for managing ADHD behavior, as these children respond well to immediate and consistent reinforcement for desirable actions. Rewards motivate them to practice and internalize appropriate behaviors, focusing on positive achievements rather out of negative consequences.

Choice C rationale

Punishing misbehavior instead of using positive reinforcement or logical consequences is generally ineffective and detrimental for children with ADHD. Effective management focuses on structure, positive feedback for desired behavior, and clear, immediate, non-physical consequences, not purely on punitive measures, which can worsen self-esteem and compliance.

Choice D rationale

Helping the child with ADHD set realistic, achievable goals is essential for building self-efficacy and confidence. Breaking down tasks into smaller, manageable steps reduces feelings of overwhelm and allows the child to experience success, which is a powerful motivator for continued effort and behavioral control.

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Correct Answer is D

Explanation

Choice A rationale

Inserting a padded tongue blade or any object into the mouth during a seizure is strictly contraindicated as it can cause injury, such as chipping teeth, lacerating gums, or triggering severe jaw clenching, potentially causing airway obstruction or aspiration, which outweighs the risk of the child biting their tongue.

Choice B rationale

Positioning a child in a sitting position during a generalized seizure is dangerous because it provides no support and increases the risk of head injury and aspiration. The child should instead be placed on the floor in a side-lying position, known as the recovery position, to facilitate drainage of oral secretions and maintain a patent airway.

Choice C rationale

Initiating rescue breathing is inappropriate as soon as seizure activity begins, because the child is often breathing but may have irregular or shallow respirations. Interventions should focus on safety and maintaining a patent airway by positioning. Rescue breathing is only indicated if the child stops breathing after the seizure, not during the ictal phase.

Choice D rationale

Moving objects out of the way is the most important immediate safety measure during a tonic-clonic seizure. This action protects the child from striking hard, sharp, or hot objects in the immediate vicinity during uncontrolled, involuntary movements, preventing trauma such as head injury or fracture.

Correct Answer is ["4200"]

Explanation

Step 1 is: 70 units/kg × 60 kg.

Step 2 is: 4200 units. The final calculated answer is 4200 units.

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After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are teaching a group of preschool teachers what to do when a child has a seizure. Your teaching plan should include which of the following?

Correct Answer is D

Explanation

According to the heparin protocol, a patient is to receive 70 units per kilogram IV before a continuous heparin infusion is started. For a patient weighing 60 kilograms, how many units of heparin should be administered? Whole number.

Correct Answer is ["4200"]

Explanation

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