The nurse is providing guidance after observing a mother interact with her negative 2-year-old son. In which situation is the mother handling the negativism properly?
A) Telling the child to stop tearing pages from magazines
B) Asking the child if he would please stop throwing toys
C) Telling the child firmly, "We don't scream in the office."
D) Saying, "Please come over here and sit in this chair, OK?"
C
Response:
Telling the child firmly, "We don't scream in the office" gets the point across to the child that his behavior is unacceptable while role-modeling appropriate communication. Telling the child to stop tearing up magazines does not give him direction for appropriate behavior. Asking the child if he would quit throwing toys gives him an opportunity to say "no," as does asking "OK?" at the end of a direction.
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A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis?
1. Clay-colored stools and dark urine 2. History of early passage of meconium in the newborn period 3. History of chronic, progressive constipation and failure to gain weight 4. Continual bouts of foul-smelling diarrhea
A newly admitted patient with schizophrenia approaches the unit nurse and says, "The voices are bothering me. They are yelling and telling me stuff. They are really bad.". Which response by the nurse would be most appropriate?
a. "Do you hear these voices very often?" b. "Do you have a plan for getting away from the voices?" c. "I'll stay with you. Tell me what you are hearing.". d. "Try to ignore them and play cards with the others.".