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. While hydration is important in respiratory illnesses, improved hydration is not the primary goal of using a cool mist tent.
B. A barking cough is a characteristic symptom of laryngotracheobronchitis (croup) and indicates ongoing airway irritation, not improvement.
C.. Stridor is a high-pitched, harsh sound caused by airway narrowing. A decrease in stridor indicates reduced inflammation and improved airway patency, which is the intended effect of the cool mist therapy.
D. A decreased temperature may occur with other supportive care or antipyretics, but it is not a direct indicator of improved airway function from mist therapy.
Correct Answer is D
Explanation
A. Captopril is an ACE inhibitor, not a diuretic. It is used to treat hypertension and heart failure by lowering blood pressure and reducing afterload.
B. Spironolactone is a potassium-sparing diuretic, meaning it helps the body eliminate fluid without causing potassium loss.
C. Chlorothiazide is a thiazide diuretic and can cause some potassium loss, but it is generally less potent than loop diuretics like furosemide.
D. Furosemide (Lasix/LSK) is a loop diuretic and a non–potassium-sparing diuretic. It is commonly used in children with cardiac conditions to reduce fluid overload but requires careful monitoring of electrolytes, especially potassium, due to the risk of hypokalemia.
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