In working with a preschool-age child, which intervention would be considered as part of an effective plan for time-outs?
1. Identify in advance, situations that lead to anger
2. Explanations are not important to the child who is out of control
3. Length of time depends upon how long it takes the child to calm down
4. Incorporate a token economy
3
Rationale: When children cannot behave in acceptable ways, they can take a time-out from the activity by sitting in a chair until they are able to pull themselves together. The use of behavioral interventions on inpatient units allows nursing staff to give continuous feedback to the children about the appropriateness of their behavior. As the child calms down, help the child see why the time-out was needed and what can be done differently next time. The goals are to have children learn what precedes episodes during which they lose control and learn ways to avoid the negative consequences of out-of-control behavior. Such behavior may or may not be anger-oriented. A token economy is not part of time-out planning.
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A nurse you know is 5 weeks pregnant. She works on a unit where chemotherapy is administered. Which of the following statements would make you believe she needs additional health teaching about avoiding teratogens during pregnancy?
A) "I care for about five patients a day." B) "Latex gloves irritate my hands, so I don't use them." C) "I never accompany patients to the x-ray department." D) "I find giving emotional support taxing."
The nurse can record that the compensatory mechanism for the correction of metabolic acidosis is in effect when the nurse observes:
a. increased urinary output. b. reduced abdominal distention. c. Kussmaul's respirations. d. decreased blood pressure.
The nurse studying the development of the American health care system understands that before the 1990s, health care funding was primarily
a. driven by fee-for-service costs. b. from charitable organizations. c. paid for by entitlement programs. d. the responsibility of each state.
The nurse wore gloves during a dressing change. When the gloves are removed, the nurse should:
a. wash hands thoroughly. b. check the gloves for leaks. c. rinse gloves in disinfectant solution. d. apply new gloves before touching the next patient.