When assisting a 5-year-old child to develop the ability to delay ...

[penguins]

When assisting a 5-year-old child to develop the ability to delay gratification, it is most valuable for the nurse to:
 
  a. teach parents to assign a point system for expected daily activities.
  b. develop the nurse-patient relationship during unstructured playtime.
  c. encourage the child to express feelings when feeling frustrated.
  d. model the ability to delay gratification.

Question 2

A patient admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder (OCD) tells a nurse of a need to perform oral hygiene at least 15 times each day while sleeping only 1 hour each night for the last 5 days.
 
  Within the next 48 hours, which outcome would best indicate that nursing interventions to relieve anxiety had been successful? a. The patient sleeps 6 hours nightly.
  b. The patient states that performing rituals is silly..
  c. The patient verbalizes that brushing one's teeth 15 times each day is too much..
  d. The patient admits to being acutely anxious and wants help.

[joewallace]

Answer to Question 1

A
Nursing interventions that help children learn to delay gratification include a point system to reinforce the behaviors, the use of games with commands such as stop and wait, and other activities and strategies that teach self-control.

Answer to Question 2

A
Patients with obsessive-compulsive disorder may be so consumed by rituals that they are not able to stop long enough to eat, go to the bathroom, or sleep. Sleeping 6 hours per night in comparison with sleeping only 1 hour indicates improvement.