Chapter 03: The Childbearing and Child-Rearing Family McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

Chapter 03: The Childbearing and Child-Rearing Family McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE 1. The nurse teaches parents that the formula used to guide time-out as a disciplinary method is a. 1 minute per each year of the child’s age. b. to relate the length of the time-out to the severity of the behavior. c. never to use time-out for a child younger than 4 years. d. to follow the time-out with a treat. ANS: A It is important to structure time-out in a time frame that allows the child to understand why he or she has been removed from the environment. The current guideline is 1 minute per age in years. Relating time to a behavior is subjective and is inappropriate when the child is very young. Time-out can be used with the toddler. Negative behavior should not be reinforced with a positive action. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 44 OBJ: Integrated Process: Teaching-Learning MSC: Client Needs: Health Promotion and Maintenance 2. The nurse observes that when an 8-year-old enters the playroom, the child often causes disruption by taking toys from other children. The nurse’s best approach for this behavior is to a. ban the child from the playroom until the child learns to control behavior. b. explain to the children in the playroom that this child is very ill and should be allowed to have the toys. c. approach the child in his or her room and ask, “Would you like it if the other children took your toys from you?” d. approach the child in his room and state, “I am concerned that you are taking the other children’s toys. It upsets them and me.” ANS: D By the nurse’s using “I” rather than the “you” message, the child can focus on the behavior. The child and the nurse can begin to explore why the behavior occurs. Banning the child from the playroom will not solve the problem. The problem is his behavior, not the place where he exhibits it. Illness is not a reason for a child to be undisciplined. When the child recovers, the parents will have to deal with a child who is undisciplined and unruly. Children should not be made to feel guilty and to have their self-esteem attacked. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 44 OBJ: Integrated Process: Communication and Documentation MSC: Client Needs: Health Promotion and Maintenance 3. Families who deal effectively with stress exhibit which behavior pattern? a. Focus on family problems b. Feel weakened by stress