After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:
A) "If he starts to act out, we'll have him do a time-out to help him refocus."
B) "We can use a reward system when he behaves appropriately."
C) "If he misbehaves, we need to punish him instead of reward him."
D) "We need to help him set realistic goals that he can achieve."
Ans: C
Punishment for misbehaving would be inappropriate because it would lead to negative feelings and further decrease self-esteem. Appropriate behavior management strategies include time-outs, positive reinforcement, reward or privilege withdrawal, or a token system. Setting realistic goals also is helpful to foster self-esteem and independence.
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