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 C
Explanation
A. Sores may occur from mouth trauma or viral infections but are not a common side effect of inhaled corticosteroids.
B. Hairy tongue is a rare condition usually linked to poor oral hygiene or antibiotic use, not inhaled corticosteroids.
C. Thrush (oral candidiasis) is a common side effect of inhaled corticosteroids. The medication can suppress local immunity in the mouth and throat, allowing Candida (yeast) to overgrow. This is why patients are advised to rinse their mouth after using inhaled corticosteroids.
D. Bad breath may result from dry mouth or infections but is not a primary or common side effect of this medication.
Correct Answer is D
Explanation
Step 1: Use the Holliday-Segar formula for maintenance fluids:
For the first 10 kg: 100 mL/kg/day
For the next 10 kg: 50 mL/kg/day
For any additional kg over 20 kg: 20 mL/kg/day
Step 2: Calculate for 36 kg
First 10 kg → 10 × 100 = 1,000 mL
Next 10 kg → 10 × 50 = 500 mL
Remaining 16 kg → 16 × 20 = 320 mL
Total = 1000 + 500 + 320 = 1,820 mL/day
Step 3: Convert to hourly rate
1820 mL/day ÷ 24 hr = 75.8 mL/hr
= 76 mL/hr (rounded off to the nearest whole number.
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