Author Question: In working with a preschool-age child, which intervention would be considered as part of an ... (Read 20 times)

09madisonrousseau09 · **on:** Jul 19, 2018

In working with a preschool-age child, which intervention would be considered as part of an effective plan for time-outs?

1. Identify in advance, situations that lead to anger
2. Explanations are not important to the child who is out of control
3. Length of time depends upon how long it takes the child to calm down
4. Incorporate a token economy

Question 2

A client who is being discharged offers the nurse a ceramic bowl made during hospitalization as a symbol of the open vessel the client has become for accepting new ideas. What is the best response by the nurse?

1. This is a beautiful gesture, I will place it in the day room for everyone to enjoy.
2. I wish I could accept this, but you know I'm not allowed to.
3. Let me pay you for this. I don't feel I should just accept it after all the hard work you put into it.
4. You worked very hard on becoming receptive to new ideas this past month; I would be honored to accept this symbol of your progress.

Briannahope · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: When children cannot behave in acceptable ways, they can take a time-out from the activity by sitting in a chair until they are able to pull themselves together. The use of behavioral interventions on inpatient units allows nursing staff to give continuous feedback to the children about the appropriateness of their behavior. As the child calms down, help the child see why the time-out was needed and what can be done differently next time. The goals are to have children learn what precedes episodes during which they lose control and learn ways to avoid the negative consequences of out-of-control behavior. Such behavior may or may not be anger-oriented. A token economy is not part of time-out planning.

Answer to Question 2

4
Rationale: Gifts are most often given during the termination phase of one-to-one relationships. It is appropriate to accept a gift if feelings and the motive for giving the gift have been clarified. Placing a breakable object in the day room of an inpatient unit is inappropriate due to safety risks. Refusing to accept the gift is a personal choice the nurse could make; however, the client may feel disappointed and rejected by this refusal. Paying the client for any item is discouraged and usually against hospital policy.