A nurse is teaching parents how to apply time-out as a ...

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A nurse is teaching parents how to apply time-out as a disciplinary method for their 4 year old. Parents have understood the teaching if they state which formula correctly guides the use of time-out?
 
  a. Use the guideline of 1 minute per each year of the child's age.
  b. Relate the length of the time-out to the severity of the behavior.
  c. Never use time-out for a child younger than age 4 years.
  d. Follow the time-out with a treat.

Question 2

Which nursing activities do not meet the standard of care? Select all that apply.
 
  a. Failure to notify a physician about a child's worsening condition
  b. Calling the supervisor about staffing concerns
  c. Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
  d. Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
  e. Documenting that a physician was unavailable and the nursing supervisor was notified

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Answer to Question 1

A
In time-out, the child is told to sit on a chair for a predetermined time, usually 1 minute per year of age. Relating time to a behavior is subjective and inappropriate when the child is very young. Time-out can be used with a toddler. Negative behavior should not be reinforced with a positive action.

Answer to Question 2

A, C
A nurse who fails to notify a physician about a child's worsening condition and delegating the assessment of a new admit to a UAP do not meet the standard of care. Calling the supervisor about staffing concerns, asking the UAP to take vital signs, and documenting that a physician could not be reached and the nursing supervisor was notified all meet the standard of care.