The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response should be based on the knowledge that discipline is:
Essential for the child.
Best achieved with punishment for misbehavior.
Not needed unless the child becomes problematic
Too difficult to implement with a special-needs child
The Correct Answer is A
A. Discipline is essential for all children, including those with disabilities. It provides structure, helps establish boundaries, promotes safety, and supports social development. The approach may need to be adapted to the child’s developmental level and abilities, but the need for consistent, positive discipline remains crucial.
B. Discipline should focus on positive reinforcement and teaching, not punishment. Punishment can be harmful, especially if not developmentally appropriate.
C. Discipline should be proactive, not reactive. Waiting until a child becomes problematic can lead to inconsistent and less effective outcomes.
D. While it may require more creativity and patience, discipline is not too difficult with special-needs children when it's tailored to their individual capabilities and needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A vanilla milkshake contains dairy, which can coat the throat and cause coughing or throat clearing, potentially leading to bleeding.
B. Orange juice is acidic and can irritate the surgical site, causing pain and discomfort.
C. Cranberry juice, while not as acidic as orange juice, can still be irritating due to its tartness, especially in the early postoperative phase.
D. Crushed ice is ideal shortly after a tonsillectomy. It helps keep the throat moist, provides soothing relief, and poses minimal risk of irritation or bleeding. It is often recommended as one of the first oral intake options post-op.
Correct Answer is D
Explanation
A. Children with CF are at risk for dehydration due to excessive salt loss in sweat, so adequate fluid intake is essential, not restriction.
B. Children with CF require high-calorie, high-fat, and high-protein diets to support growth and compensate for malabsorption. Low-fat, low-protein diets are inappropriate.
C. Sodium loss through sweat is significant in CF, especially in hot weather, so salt intake should not be restricted—in fact, extra salt may be needed.
D. Pancreatic insufficiency in CF leads to malabsorption of fats and proteins. Administering pancreatic enzymes with all snacks and meals aids digestion and improves nutrient absorption, which is essential for growth and weight maintenance.
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