The nurse is discussing discipline issues with a group of caregivers of preschool-aged children who have a cognitive impairment. One father tells the group that after he tells his child to stop doing something, the child just continues. Parents in the group make the following statements. Which statement indicates an understanding of disciplining the cognitively impaired child?
“We hold a family meeting to explain to our other children that she gets away with things they will not get away with because of her impairment.”
“We always take away a privilege our child has been looking forward to, such as going to a movie next weekend.”
“My wife and I just ignore the behavior and if there is a mess, clean up the mess. He doesn’t understand that he has an impairment.”
“We wait until a behavior happens a second time and immediately put our child in time-out.”
The Correct Answer is D
Choice A reason: Explaining differential treatment to siblings fosters resentment and doesn’t teach the impaired child. Time-out after repetition reinforces boundaries, making this unhelpful and incorrect compared to a direct discipline strategy addressing the cognitively impaired preschooler’s continued behavior effectively.
Choice B reason: Taking away privileges like movies is too abstract for a cognitively impaired preschooler to connect to behavior. Immediate time-out is clearer, making this ineffective and incorrect compared to a concrete, immediate consequence tailored to the child’s cognitive limitations in discipline.
Choice C reason: Ignoring behavior and cleaning up avoids teaching consequences, reinforcing unwanted actions in a cognitively impaired child. Time-out provides structure, making this counterproductive and incorrect compared to a strategy that directly addresses and corrects the preschooler’s behavior with appropriate discipline.
Choice D reason: Waiting for a second occurrence and using immediate time-out provides clear, consistent consequences, suitable for a cognitively impaired preschooler’s understanding. This aligns with pediatric behavioral strategies, making it the correct statement reflecting effective discipline for the child’s continued behavior issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Repeating symptoms may help but doesn’t provide immediate emergency guidance, risking delay in critical situations. Treating as hypoglycemia ensures rapid response, making this less practical and incorrect compared to a clear action plan for the caregivers’ concerns about diabetes emergencies.
Choice B reason: Instructing to treat unclear reactions as hypoglycemia prioritizes rapid glucose administration, which is safer and more urgent than mistreating hyperglycemia. This aligns with pediatric diabetes emergency protocols, making it the best initial response to ensure the child’s safety in potential crises.
Choice C reason: Providing pamphlets and videos educates long-term but doesn’t address immediate emergency response needs. Treating as hypoglycemia offers clear guidance, making this supplementary and incorrect compared to the urgent action needed to manage the caregivers’ fears about diabetes emergencies.
Choice D reason: Suggesting an insulin pump addresses insulin delivery, not symptom recognition or emergency response. Treating as hypoglycemia ensures safety in crises, making this irrelevant and incorrect compared to the immediate guidance needed for the caregivers’ concerns about handling diabetes emergencies.
Correct Answer is C
Explanation
Choice A reason: A compound tibia fracture from a skateboard flip is plausible, as high-impact activities can cause such injuries in active 9-year-olds. A spiral fracture with an inconsistent story raises more suspicion, making this less concerning and incorrect for prioritizing abuse investigation in the unit.
Choice B reason: A simple femur fracture from falling down stairs aligns with common childhood accidents, especially in a 10-year-old. The spiral fracture’s implausible bat story is more suspicious, making this less indicative and incorrect compared to the need to investigate potential abuse in another case.
Choice C reason: A spiral humerus fracture suggests twisting force, inconsistent with a bat swing by a peer, raising abuse concerns in a 7-year-old. This warrants further data collection, aligning with child maltreatment protocols, making it the correct situation for exploring possible mistreatment on the pediatric unit.
Choice D reason: A greenstick wrist fracture from ice-skating is typical in a 6-year-old, as falls cause such incomplete breaks in flexible bones. The spiral fracture’s questionable explanation is more concerning, making this plausible and incorrect for prioritizing abuse investigation among the children.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.