When a 5-year-old child is disruptive, the nurse says, You must ...

[mikaylakyoung]

When a 5-year-old child is disruptive, the nurse says, You must take a time-out. The expectation is that the child will:
 
  a. go to a quiet room until called for the next meal.
  b. slowly count to 20 before returning to the group activity.
  c. sit on the edge of the activity until able to regain self-control.
  d. sit quietly on the lap of a staff member until able to apologize for the behavior.

Question 2

An adolescent acts out in disruptive ways. When this adolescent threatens to throw a pool ball at another adolescent, which comment by the nurse would set limits?
 
  a. Attention, everyone. We are all going to the craft room.
  b. You will be taken to seclusion if you throw that ball.
  c. Do not throw the ball. Put it back on the pool table.
  d. Please do not lose control of your emotions.

[Pariscourtney]

Answer to Question 1

ANS: C
Time-out is designed so that staff can be consistent in their interventions. Time-out may require having the child sit on the periphery of an activity until he or she gains self-control and reviews the episode with a staff member. Time-out may not require having the child go to a designated room and does not involve special attention such as holding. Having the child count to 10 or 20 is not sufficient.

Answer to Question 2

ANS: C
Setting limits uses clear, sharp statements about the prohibited behavior and provides guidance for performing a behavior that is expected. The incorrect options represent a threat, use restructuring (which would be inappropriate in this instance), and make a direct appeal to the child's developing self-control that may be ineffective.

[mikaylakyoung]

Gracias!

[peter]

Excellent