The mother of a child with "annoying behavior" tells the nurse, "I think my son is just trying to drive my husband and me nuts
We tell him to sit still and stop jerking his arms and he does for only a minute or two, and then he's back at it again. He's really annoying in church where it's quiet and he makes these loud grunting sounds. If you can get through to him and make him stop, therapy will be worth the money we spend." The nurse's best reply is:
1. "What you say about your son is pretty insensitive. How do you think he feels?"
2. "I know therapy seems very expensive to you, but your son is a very sick child."
3. "I think with the use of some behavior modification techniques, we can achieve control."
4. "Your son's behavior is due to brain dysfunction. He has no control over these actions."
ANS: 4
Tourette's disorder is probably a genetic disorder transmitted within families. The tics are invol-untary. The individual may be able to suppress them for a moment or two but has no real control over the behaviors. The tics are worsened by stress and less prominent during sleep. Option 4 ex-plains the organic nature of the disorder, which may help the mother stop blaming the child. Op-tion 1 is too judgmental. Option 2 is inappropriate. Option 3 is untrue; behavior modification cannot suppress the tics.
You might also like to view...
A nurse has been working as a case manager for the past 6 months and would like to become certified. Which of the following organizations should the nurse pursue certification through?
a. Case Management Society of America (CMSA) b. American Nurses Credentialing Center (ANCC) c. American Nurses' Association (ANA) d. Centers for Medicare and Medicaid (CMS)
While assessing a typical patient with cholecystitis who complains of localized pain, the nurse asks if the pain has radiated to the:
A) Left upper arm B) Lower abdomen C) Neck or jaw D) Right shoulder
The parents of a terminally ill child do not want the child dying in the hospital. What can the nurse suggest to help these parent's needs?
A) Admit to a long-term care facility. B) Have hospice provided through home care. C) Discharge the child to home right before death. D) Have family stay with the child around-the-clock in the hospital.
Which of the following is most appropriate when the nurse assesses the intensity of the client's pain?
1. Ask about what precipitates the pain. 2. Question the client about the location of the pain. 3. Offer the client a pain scale to objectify the information. 4. Use open-ended questions to find out about the sensation.