Question

While cleansing the wound of a school-aged child who fell from the roof of a storage building, the LPN/LVN overhears the parent and the client interacting. It is most important for the LPN/LVN to further assess if the parent makes which statement to the child.1. True2. False

Answer 1

The statements overheard by the LPN/LVN when the parent and the client (child) were talking are:

1. “Maybe in the future, you will follow the rules”

2. “You know, of course, this means no dinner tonight”

3. “Why did you climb up there when I told you not to?”

4. “It appears that your injury is not serious”

Explanation:

Statement 1 implies that the parents are being punitive where they are highlighting the child’s mistake or misbehavior and the consequences that the child is facing. This shows that the parents are not ready to accept their mistake of properly monitoring the child.

Statement 2 reflects the parents want to correct the child through negative reinforcement by way of punishment. They are stating that the child will not be given dinner to make the child understand that he has done a mistake by going up there and got to pay the price for it. They are thinking that this way they can correct their child because children get reinforced easily through negative reinforcements out of fear. The fear of facing a punishment will make them avoid doing the same mistake again. So the LPN/LVN should bother about this statement to further assess because this is not a correct disciplinary action. Further discrimination is required with regard to this statement by the nurse.

Statement 3 indicates that the child is very curious and exploratory type which is quite normal for a school-going child. The parents must be aware of the psychological developmental stages of their child should have monitored about the child’s whereabouts.

Statement 4 reflects the caring nature of the parents who are trying to pacify the child by downsizing the consequence of his mistake.