A nurse is providing parent training for parents of a child diagnosed with a disruptive behavior disorder involving the use of time out. When describing how to implement this, which of the following would the nurse identify as the first step?

Correct Answer: B

Rationale: The correct answer is B: Clearly identifying what is required for the child. This is the first step in implementing time out as a behavioral intervention. By clearly identifying the expectations and rules for the child, the parents establish the criteria for when time out will be used, making the consequences of the behavior explicit. This helps the child understand the connection between their behavior and the consequence of time out. Explanation for the other choices: A: Having the child recount the reason for the time out - This would come after the child has been placed in time out, not as the first step. C: Informing the child what will happen because of the behavior - This step comes after clearly identifying the rules and expectations for the child. D: Placing the child in a designated area removed from others - This is the action taken after the child has been informed and understands the expectations.

Correct Answer: C

Rationale: The correct answer is C: Keep the cord dry until it falls off. This is the correct instruction for cord care as it helps prevent infection. Keeping the cord dry creates an environment that is less conducive to bacterial growth. Moisture can lead to bacterial growth and increase the risk of infection. By keeping the cord clean and dry, the parent can help promote healing and prevent complications. The other choices are incorrect: A: Contact provider if the cord still turns black - The cord naturally darkens and dries up as it heals, so it turning black is a normal part of the healing process. B: Clean the base of the cord with hydrogen peroxide daily - Hydrogen peroxide can be too harsh and may delay healing. Using a neutral pH cleanser is a better choice for cord care. D: The cord stump will fall off in five days - The cord typically falls off between 10-14 days after birth, so this instruction is inaccurate and may lead to unrealistic expectations.

Correct Answer: A

Rationale: The correct answer is A because frotteuristic disorder involves non-consensual touching or rubbing against a non-consenting person for sexual gratification. The choice of "Lack of relationships" is correct as individuals with this disorder often have difficulty forming and maintaining intimate relationships. Choices B, C, and D are incorrect because frotteuristic disorder is not associated with overall aggressive nature, criminal history including robbery, or intense hatred of women. These factors are not specific to the diagnosis of frotteuristic disorder.

Correct Answer: C

Rationale: Correct Answer: C - Psychotherapy Rationale: 1. Correctional nurses focus on physical health, not mental health. 2. Psychotherapy is typically provided by mental health professionals. 3. Nurses may assess, maintain safety, and document patient progress. 4. Correctional settings prioritize security and medical care over psychotherapy.

Correct Answer: A

Rationale: Step 1: Encouraging participation in activities can help the client re-engage in pleasurable experiences, combating reduced interest. Step 2: Increasing activity levels can improve mood and motivation, addressing symptoms of depression. Step 3: This intervention aligns with evidence-based practice for managing depression. Summary: B: Collaborating with the prescriber is important but not a direct intervention for addressing reduced interest and pleasures in depression. C: Assisting the client to list positive self-characteristics can boost self-esteem but doesn't directly address reduced interest and pleasures. D: Scheduling rest periods may be helpful but doesn't specifically target the core symptom of reduced interest and pleasures.