Parents of a preschool-age child report that they find it ...

[formula1]

Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response by the nurse is appropriate based on this information?
 
  1. Can you try spanking the child only every other day for 1 week and see how that affects your child's behavior?
  2. Spanking is one form of discipline; however, you want to be sure that you do not leave any marks on the child.
  3. I think you are not parenting properly, so let's talk about ways to improve your parenting skills.
  4. Let's talk about other forms of discipline that have a more positive effect on the child.

Question 2

The parents of a 2-year-old girl inquire about information to help their child transition to bed each night. Which response by the nurse is appropriate?
 
  1. Let the child cry self to sleep a few nights to adjust to the transition.
  2. Play a favorite video at bedtime on a television in the child's room to enhance relaxation.
  3. Read a book to the child just before bedtime each night.
  4. Let the child fall asleep while playing and then put the child in bed.

[katheyjon]

Answer to Question 1

4
Explanation:
1. The behavior reported by the parents was excessive. The only appropriate response is to seek a more positive way to influence behavior in a child of this age. The nurse's response must reflect these feelings and should address other forms of discipline that have a more positive effect on the child. To suggest that spanking is an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.
2. The behavior reported by the parents was excessive. The only appropriate response is to seek a more positive way to influence behavior in a child of this age. The nurse's response must reflect these feelings and should address other forms of discipline that have a more positive effect on the child. To suggest that spanking is an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.
3. The behavior reported by the parents was excessive. The only appropriate response is to seek a more positive way to influence behavior in a child of this age. The nurse's response must reflect these feelings and should address other forms of discipline that have a more positive effect on the child. To suggest that spanking is an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.
4. The behavior reported by the parents was excessive. The only appropriate response is to seek a more positive way to influence behavior in a child of this age. The nurse's response must reflect these feelings and should address other forms of discipline that have a more positive effect on the child. To suggest that spanking is an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Answer to Question 2

3
Explanation:
1. A child of this age will not just learn to fall asleep on her own if left alone. Letting the child cry for an extended period of time can affect attachment issues.
2. Having a television in a 2-year-old child's room is not a healthy practice. This can lead to decreased physical activity.
3. Developing a quiet routine just before bedtime can help calm the child and give an expectation to what will happen next: going to bed.
4. Letting the child fall asleep while playing is not healthy, as it allows the child to get to the point of exhaustion without any limits set.