The nurse instructs a school-age client how to use a peak flow meter to monitor asthma.The client was frustrated at first but now is able to state the reason for using the meter on a daily basis.Which response by the nurse is most appropriate when dealing with the growth and development characteristics of the preadolescent?
A) "It's too bad that you don't want to use the meter; it's just something you'll have to do."
B) "You should feel very proud of yourself for understanding and using your meter."
C) "Maybe you could make a game out of the daily use of your meter."
D) "Think of using the meter as one of your daily chores."

Question

Quizplus · Accepted Answer

A) It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.
B) It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.
C) It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.
D) It is generally accepted that positive reinforcement changes behavior. Chores often have negative associations for children, so suggesting that the child compare using the meter to chores may not provide the expected outcome. Using the meter is not a game; it is serious. It is not appropriate to make a game out of something as serious as a meter. A negative comment will not affect behavior change.

The Nurse Instructs a School-Age Client How to Use a Peak