A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder.
Which of the following statements by the parent indicates an understanding of the redirection technique? .
"I should re-engage my child in an appropriate activity.”.
"I should move closer to my child when they are agitated.”. .
"I should use role-playing to enhance new behavioral skills.”. .
"I should ignore attention-seeking behaviors.”. . .
The Correct Answer is A
Choice A rationale:
Re-engaging the child in an appropriate activity is a good example of the redirection technique.
Choice B rationale:
Moving closer to the child when they are agitated could escalate the situation rather than calm it.
Choice C rationale:
Using role-playing to enhance new behavioral skills is a good strategy, but it is not an example of the redirection technique.
Choice D rationale:
Ignoring attention-seeking behaviors could lead to an escalation of those behaviors as the child seeks attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.
Choice B rationale:
The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.
Choice C rationale:
This statement is correct. A client retains the legal right to privacy of health information even after they have died.
Choice D rationale:
A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.
Correct Answer is []
Explanation
Condition Most Likely Experiencing:
Delirium
- The client's acute confusion, restlessness, disorientation, and inability to perform basic tasks suggest delirium rather than dementia or normal aging. Delirium often has an underlying cause, such as infection or medication side effects, and requires immediate intervention.
Actions to Take:
Monitor for an underlying infection.
- Explanation: Infections, particularly urinary tract infections (UTIs) in older adults, are a common cause of delirium. Since the client has been incontinent, an infection could be contributing to the confusion. Identifying and treating the infection can help resolve symptoms.
Use symbols rather than written signs for directions.
- Explanation: Since the client is confused and struggling to recognize basic instructions (e.g., confusing the call light with the TV remote), visual cues like symbols can help them navigate their environment and follow instructions more easily.
Parameters to Monitor:
Presence of agnosia.
- Explanation: Agnosia (difficulty recognizing objects or their use) can indicate cognitive decline. The client mistaking a washcloth for something that belongs in a dryer suggests possible cognitive impairment, and tracking this symptom will help assess changes in mental status.
Ability to complete familiar tasks.
- Explanation: Monitoring whether the client can complete daily activities (e.g., using the call light correctly, self-care) will help determine if their confusion is improving or worsening over time.
Incorrect Choices and Explanations:
Anticipate a prescription for donepezil.
- Why Incorrect? Donepezil is used for Alzheimer’s disease, which develops gradually, unlike delirium, which is sudden and reversible if the cause is treated.
Anticipate a prescription for duloxetine.
- Why Incorrect? Duloxetine is an antidepressant. While depression can cause confusion, this case strongly suggests acute delirium rather than major depressive disorder.
Determine the date of the client’s last eye examination.
- Why Incorrect? Vision problems are not the primary concern in this case. The client's confusion is more likely related to delirium rather than visual impairment.
Night vision.
- Why Incorrect? While vision problems can impact safety, the client’s confusion is the main issue here, not their ability to see at night.
Attendance at group therapy.
- Why Incorrect? Group therapy is useful for conditions like depression or dementia but does not address the immediate, acute nature of delirium.
Oxygen saturation.
- Why Incorrect? The client’s oxygen saturation is already normal (97%), making it an unlikely cause of the delirium. The focus should be on potential infection or other triggers.
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