A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma. The child has been frustrated at first but now is able to state the reason for using the meter on a daily basis
Remembering the growth and development characteristics of the preadolescent, which of the following is an appropriate response by the nurse? 1. "You should feel very proud for understanding and using your meter.".
2. "Think of using the meter as one of your daily chores.".
3. "Maybe you could make a game out of the daily use of your meter.".
4. "It's too bad if you don't want to use the meter, it's just something you'll have to do.".
1. "You should feel very proud for understanding and using your meter.".
Rationale:
It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.
You might also like to view...
During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation
All other neurologic findings are normal. The nurse should interpret that these findings indicate: a. CN dysfunction. b. Lesion in the cerebral cortex. c. Normal changes attributable to aging. d. Demyelination of nerves attributable to a lesion.
Mr. Gonzalez is scheduled to undergo a hip replacement after he slipped on an icy step. During the preoperative phase, the nurse begins to enter the assessment findings into the database
Which of the following standardized terminologies will the nurse most likely use? 1. The Omaha System 2. The PeriOperative Nursing Data Set (PNDS) 3. North American Nursing Diagnosis International (NANDA-I) 4. International Classification of Nursing Practice (ICNP)
A patient has severe watery diarrhea from chemotherapy and is embarrassed having to be cleaned up frequently. The nurse notes several open areas on the patient's rectal area that cause pain. What nursing diagnosis takes priority?
a. Acute pain b. Impaired skin integrity c. Ineffective coping d. Decreased cardiac output
What is the nursing action related to the applying of biologic or synthetic skin coverings for a child with partial-thickness burns of both legs?
a. Splint the legs to prevent movement. b. Observe wounds for signs of infection. c. Monitor closely for manifestations of shock. d. Examine dressings for indications of bleeding.