Chapter 33: Caring for Children in Diverse Settings Prep U
The nurse is preparing to admit a 4-year-old who will be having tympanostomy tubes placed in both ears. Which strategy is most likely to reduce the child's fears of the procedure? "The doctor is going to insert tympanostomy tubes in your ears." "Let me show you how tiny these tubes are." "Let me show you the operating room." "Don't worry, you will be asleep the whole time."
"Let me show you how tiny these tubes are."
The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will best elicit the child's cooperation? "You will need to cooperate. Otherwise, you might not feel better." "Do you want to play a breathing exercise game with me?" "Let's see who can blow these cotton balls off the table first." "You need to do the breathing or you could get pneumonia."
"Let's see who can blow these cotton balls off the table first."
The mother of a 4-year-old returns to the hospital after being away for 3 days. She is anxious and excited to be back; however, the toddler turns his back to her and scoots away as she attempts to pick him up. Which response should the nurse prioritize in this situation? "His distrust is abnormal. It may or may not go away in a day or two; we will just have to wait and see." "His distrust is normal and may have lingering effects, but you should touch and soothe him as much as possible." "Now that he has seen that you have returned he will feel better, but you should leave the room for a few minutes to help him feel in control." "He is probably just tired from the many tests run while you were away."
"His distrust is normal and may have lingering effects, but you should touch and soothe him as much as possible."
The nurse is caring for a 3-year-old child who is hospitalized for pneumonia. When considering his developmental age and need for security, which statement by the nurse after an invasive procedure would be most helpful? "See, I told you it would be ok." "I am proud of how you were such a good boy." "I know you are glad that is over." "You acted like such a big boy."
"I am proud of how you were such a good boy."
The parents of a 10-year-old child tell the nurse they are nervous about their child being discharged to home. The parents state, "We trust you all so much that we are afraid to go home and have home health care. Do you think our child will do as well at home?" What would be the best response by the nurse? "I understand your anxiety, but being at home helps your child's growth and development. The home care nurses will be there to support you." "It's scary going home but it is the best place for both you and your child." "Your child is at a much higher risk for infection in the hospital, so being home is a much better option." "Home care nurses are very qualified to give care to your child. You have nothing to worry about."
"I understand your anxiety, but being at home helps your child's growth and development. The home care nurses will be there to support you."
The nurse is providing teaching for the parents of an 8-year-old girl who has undergone surgery. The nurse emphasizes the importance of maintaining adequate hydration. Which response by the mother would indicate a need for further teaching? "Anything that melts at body temperature is counted as a fluid." "I should offer her small amounts of fluid frequently." "I will remind her that she will need an IV if she does not drink." "Ice chips count as fluid intake. One cup of ice equals a half-cup of water."
"I will remind her that she will need an IV if she does not drink."
The nurse at a pediatric clinic is preparing a 5-year-old child for admission to the hospital for a tonsillectomy and adenoidectomy. Which response should the nurse prioritize when asked by the child what happens at the hospital? "Remember? It's where your mom went to get your baby brother." "Some people go here to have babies, or when they're sick or hurt, so they can try to get better." "People go there when they have a bad accident and get fixed." "It's like a big doctor's office with lots of people and beds."
"Some people go here to have babies, or when they're sick or hurt, so they can try to get better."
A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching? "We told him to use his manners and behave like a big, brave boy." "We watched a program for kids on public television about being in the hospital." "We found several books for him at the library that talk about being in the hospital." "We have a date to visit pediatrics and tour their department."
"We told him to use his manners and behave like a big, brave boy."
A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching? "We watched a program for kids on public television about being in the hospital." "We found several books for him at the library that talk about being in the hospital." "We told him to use his manners and behave like a big, brave boy." "We have a date to visit pediatrics and tour their department."
"We told him to use his manners and behave like a big, brave boy."
The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best? "I need to remove a little blood." "I need to take some blood." "Why don't you sit on your mom's lap?" "We need to put a little hole in your arm."
"Why don't you sit on your mom's lap?"
A nurse is caring for a 6-year-old boy hospitalized due to an infection requiring intravenous antibiotic therapy. The child's motor activity is restricted and he is acting out, yelling, kicking, and screaming. How should the nurse respond to help promote positive coping? "Let me explain why you need to sit still." "Do I need to call your parents?" "Your medicine is the only way you will get better." "Would you like to read or play video games?"
"Would you like to read or play video games?"
The toddler needs elbow restraints to keep his hands away from a facial wound. What will the nurse do to best ensure their safe use? Apply lotion to the skin prior to putting on the restraints. Remove one restraint at a time on a regular basis to check for skin irritation. Have the parent check for equal warmth bilaterally in his hands and fingers. Choose restraints long enough to fit closely under the arm and extend over the wrist.
.Remove one restraint at a time on a regular basis to check for skin irritation.
The nurse who wishes to be as supportive as possible to the hospitalized preschooler makes great effort to avoid threatening the 4-year-old's: creativity. body integrity. verbal skills. food preferences.
.body integrity.
The nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client? Determine how much the child knows and is capable of understanding. Keep the child away from any food or drinks to ensure the child is NPO. Explain how the therapeutic plan can be used in preparing the child for surgery. Teach technical terminology to the caregivers so they will understand what is being said postoperatively.
Determine how much the child knows and is capable of understanding.
The nurse is caring for a 13-year-old who is hospitalized for management of his recently diagnosed diabetes. The child has been withdrawn, and when asked she reports she is "just tired of being sick". What action by the nurse will be of the greatest benefit to helping the child with this concern? Encourage the child to call her friends on the phone. Provide books and magazines of interest to her. Ask the one of the child's parents to stay with her at all times. Encourage the child to participate in planning her daily care.
Encourage the child to participate in planning her daily care.
An adolescent would benefit from being out of his hospital room. What can the nurse do to promote this? Select all that apply. Invite the adolescent to meet with other teens for lunch in a common space. Suggest the adolescent visit other areas within the hospital that are away from the pediatric unit. Challenge the adolescent to a video game in the recreation area. Encourage the teen to investigate the playroom.
Invite the adolescent to meet with other teens for lunch in a common space. Challenge the adolescent to a video game in the recreation area.
A nurse is using a doll to explain what will be done when starting an intravenous (IV) line on a 4-year-old child. What type of play is this? Parallel play Interactive play Therapeutic play Play therapy
Therapeutic play
The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer? Cooperative play Therapeutic play Onlooker play Play therapy
Therapeutic play
A nurse is caring for a young child who has been hospitalized in a facility that is located several hours from the child's home. The child has not seen his parents in three weeks. When they arrive to visit, the child ignores them. The nurse is aware that this is common in which stage of separation anxiety? Third stage Second stage First stage Fourth stage
Third stage
A 12-year-old client is hospitalized. Which finding will the nurse expect while providing care to this client? Separation anxiety Uncomfortable during genital assessment Inability to understand explanation Refusal of treatments
Uncomfortable during genital assessment
The nurse is caring for several families in the home care setting. What additional team member will the nurse have available to assist in the home setting? An infectious disease specialist Unlicensed assistive personnel An emergency medicine provider Surgical care interns
Unlicensed assistive personnel
A 5-year-old boy is brought to the emergency room with a possible broken arm. His 18-year-old sister, who is also his primary caregiver, has come with him. The boy is relatively calm, but his sister is so upset she is nearly hysterical. The nurse notes that as her behaviors show more anxiety, the boy is getting more upset and his anxiety is also increasing. What initial action would be best for the nurse to take in this situation? Ask the sister if she prefers to leave the exam room. Ask his sister to calm down so that she can help her brother remain calm as well. While attending to the child, reassure the sister and suggest interventions she can help with. Reassure the child that he is going to be fine and that his sister is just nervous.
While attending to the child, reassure the sister and suggest interventions she can help with.
The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV on a stuffed bear. This is an example of: play therapy. therapeutic play. positive reinforcement. age-related activity.
therapeutic play.
A nurse getting ready to conduct preoperative teaching with a 9-year-old child realizes that the best method when teaching young clients is to: give all information to the parent. discuss everything at once. give little information quickly. use short sessions.
use short sessions.
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child how to take deep breaths. The best way that the nurse can accomplish this is by: using a pinwheel. using a flow meter. teaching purse-lip breathing. using a spirometer.
using a pinwheel.
A nurse with no pediatric experience has been transferred to a pediatric unit to work for the day. Which comments by the nurse indicate knowledge of developmental considerations when providing hygiene needs to a 3-month-old infant? "I need to find the talcum powder to use after the bath." "I think the baby is old enough for me to use the bathtub if I am careful." "I plan on using a sponge bath to bathe the infant." "I will be sure to only leave the infant for a very short time if I forget anything during the bath."
"I plan on using a sponge bath to bathe the infant."
A nurse is educating the parents on how to help their 10-year-old daughter deal with an extended hospital stay due to surgery, followed by traction. Which response indicates a need for further teaching? "She will be sensitive to our concerns." "She will watch our reactions carefully." "I should not tell her how long she will be here." "We must prepare her in advance."
"I should not tell her how long she will be here."
The nurse is providing teaching for the parents of an 8-year-old girl who has undergone surgery. The nurse emphasizes the importance of maintaining adequate hydration. Which response by the mother would indicate a need for further teaching? "I should offer her small amounts of fluid frequently." "I will remind her that she will need an IV if she does not drink." "Ice chips count as fluid intake. One cup of ice equals a half-cup of water." "Anything that melts at body temperature is counted as a fluid."
"I will remind her that she will need an IV if she does not drink."
A new home healthcare nurse asks her preceptor for some hints to help establish a good relationship with her pediatric clients and their families. What is the best response by the preceptor? "Make sure you find out things that the child is interested in. This will give you things to talk about." "Be sure to speak with the families away from the child. This will keep the child from being scared of you." "Address the child and parents by their first names. It will make it seem less formal." "Always talk in a loud voice. This will make sure the family hears everything you say."
"Make sure you find out things that the child is interested in. This will give you things to talk about."
Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for a planned hospital admission? Discourage questions so as to not frighten the child. Tell the child that the procedure will not hurt because we have "magic medicine." Allow the child to put on surgical attire and "operate" on a doll to teach what will be happening. Since the family is Hispanic, all preparation needs to be in Spanish.
Allow the child to put on surgical attire and "operate" on a doll to teach what will be happening.
The pediatric nurse would use standard precautions in caring for which client on her floor? A child who is diagnosed with pertussis An infant with diarrhea A toddler with chicken pox An adolescent who has a broken arm
An adolescent who has a broken arm
The pediatric nurse would use standard precautions in caring for which client on her floor? An infant with diarrhea A child who is diagnosed with pertussis An adolescent who has a broken arm A toddler with chicken pox
An adolescent who has a broken arm
The nurse is caring for a 9-year-old child on an inpatient pediatric unit who is admitted for an extended stay. The child continually refuses meals. What can the nurse do to help increase the child's intake? Select all that apply. Ask the dietitian to visit the child to help determine foods the child prefers. Encourage the child to eat several small meals instead of fewer larger meals. If approved by the physician, allow the parents to bring food from home for the child. Assist the child to choose from the facility menu foods they like. Tell the child that their play time will be shortened if they don't eat.
Assist the child to choose from the facility menu foods they like. Encourage the child to eat several small meals instead of fewer larger meals. Ask the dietitian to visit the child to help determine foods the child prefers. If approved by the physician, allow the parents to bring food from home for the child.
The nurse is caring for a hospitalized toddler who is prescribed bedrest. Which item(s) would the nurse recognize as appropriate for the toddler? Select all that apply. Stacking blocks or small boxes to stack Boxes to put toys in and/or take out toys Fine print books or magazines to read Coins, small tokens or marbles to organize and sort Jigsaw puzzle with pieces 1/2 in (1.25 cm) or smaller Nursery rhymes or sing-along songs on tape
Boxes to put toys in and/or take out toys Stacking blocks or small boxes to stack Nursery rhymes or sing-along songs on tape
A mother of a recently discharged preschooler calls the pediatric floor that provided care to her child a week ago. She reports that the child is having elimination accidents, temper tantrums and is waking up at night with nightmares. How should the nurse respond to the mother's concerns? Recommend that she sternly tell the child to quit acting out or he will be punished. Reassure her that this is typical behavior following a traumatic event and she needs to pay more attention to him. The entire family needs to spend more time with the child, directing their attention to him. Children this age often show regressive behaviors and have nightmares following hospitalization due to fear of another separation.
Children this age often show regressive behaviors and have nightmares following hospitalization due to fear of another separation.
The nurse is caring for an 18-month-old boy hospitalized with a gastrointestinal disorder. The nurse knows that the child is at risk for separation anxiety. The nurse watches for behaviors that indicate the first phase of separation anxiety. For which behavior should the nurse watch? Crying and acting out Exhibiting apathy and withdrawing from others Losing interest in play and food Embracing others who attempt to comfort him
Crying and acting out
A 5-year-old child is scheduled for hospitalization in 2 weeks. Which is the best intervention to help ease the potential stress of hospitalization in this child? Encourage the family and client to participate in a program to prepare for the hospitalization. Arrange for the child to tour the hospital. Allow the child to talk to a client who recently had the same procedure. Have the parents explain the situation.
Encourage the family and client to participate in a program to prepare for the hospitalization.
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing intervention would be least effective in alleviating the child's anxiety? Allow the child to handle the blood pressure cuff before using it. Assign the child to the same nurse each day. Explain all procedures using medical terminology. Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
A nurse is admitting a 7-year-old child to the pediatric unit of the hospital. While the nurse is showing the child and parents the room and explaining where things are, the child becomes upset and frightened. What is the best action by the nurse? Go slowly with the acquaintance process. Keep on showing and explaining to the parents and do not include the child. Ask the parents to leave the room while explaining procedures to the child. Tell the child that there is nothing to be afraid of and that nobody will hurt the child during hospitalization.
Go slowly with the acquaintance process.
A nurse who has worked in a variety of settings over the past several years is trying to determine what setting she would most like to work in now. The nurse is very organized, works well in an autonomous environment, and prefers one-on-one care. Which setting would best fit this nurse's needs? Physician's office Home health Health department School nurse
Home health
The nurse has been assigned to care for a child who is on transmission-based precautions. This nurse has not cared for this child before. Which action would be the best way to help the child feel comfortable with the nurse? Remind the child that her caregivers will be in to visit soon. Read to the child for a few minutes before starting care. Let the child see the nurse's face before the mask is put on. Ask the parent to introduce the new nurse.
Let the child see the nurse's face before the mask is put on.
A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child? Explain to his caregiver that his pain level shows he is getting better quickly. Tell him to let you know if he begins to feel pain. Observe him for physical signs which might indicate pain. Ask him to show you his pain level using the color pain scale.
Observe him for physical signs which might indicate pain.
A team of nurses has been chosen to devise a program to help educate children and their families about the hospital and being hospitalized. Which activity should the nurses plan to best achieve this goal? Ask the school nurse to do a presentation to groups of schoolchildren about what it is like to be in the hospital. Work with the local library to provide resources (books, pamphlets, or DVDs) explaining the admission process and hospitalization, which the families can check out and view together. Offer guided tours to an organized group such as Boy Scouts or Girl Scouts. Plan an open house and invite the families of the community to come tour the hospital.
Plan an open house and invite the families of the community to come tour the hospital.
A 6-year-old child will be hospitalized for a surgical procedure. How can the nurse best ease the stress of hospitalization for this child? Tell the parents to bring toys for the child from home. Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital. Have another child talk with the child to be hospitalized. There is no way to adequately prepare a child for an impending hospitalization.
Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital.
A 6-year-old child will be hospitalized for a surgical procedure. How can the nurse best ease the stress of hospitalization for this child? There is no way to adequately prepare a child for an impending hospitalization. Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital. Have another child talk with the child to be hospitalized. Tell the parents to bring toys for the child from home.
Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital.
The nurse is reviewing a job description of a school nurse. Which activity would the nurse question? Provide training and education to other staff on CPR, first aid, and other health issues. Provide immunizations to students. Providing emergency first aid care. Educate students on health promotion activities, such as bike and car safety.
Provide immunizations to students.
The charge nurse is planning staffing on a pediatric unit. Which client will the charge nurse assign to the registered nurse? The 12-year-old client with a urinary tract infection taking oral antibiotics The 8-year-old client recovering from an appendectomy who is ambulating The 6-year-old client admitted yesterday for oral rehydration following a mild gastrointestinal disorder The 1-year-old client with a respiratory disorder prescribed oxygen therapy
The 1-year-old client with a respiratory disorder prescribed oxygen therapy
The nurse is caring for a 7-year-old boy in a body cast. He is shy and seems fearful of the numerous personnel moving in and out of his room. How can the nurse help reduce his fear? Remind the boy he will be out of the hospital and going home soon. Encourage the boy's parents to stay with him at all times to reduce his fears. Tell him not to worry; explain that everyone is here to care for him. Write the name of his nurse on a board and identify all staff on each shift, every day.
Write the name of his nurse on a board and identify all staff on each shift, every day.
A 15-year-old boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be: about his ability to control his own behavior. anxiety related to the surgical procedure itself. about a change in body image. adequacy of postsurgical pain control.
about his ability to control his own behavior.
The nurse is talking with the parents of a 6-month-old girl hospitalized with a respiratory infection. The parents state, "Since our child is so young it will be easier for her to cope with us being at work all day." How should the nurse respond? "I love babies so much that I will be happy to give her extra attention when you both are at work." "Just be prepared for her to show signs of separation anxiety if one of you isn't going to stay with her." "Is there a familiar person in your child's life who might be able to spend time with her while you're at work?" "I am sure she will be just fine when you both are at work."
"Is there a familiar person in your child's life who might be able to spend time with her while you're at work?"
The nurse is educating the parents of a 7-year-old boy, scheduled for surgery, to help prepare the child for hospitalization. Which statement by the parents indicates a need for further teaching? "We should visit the hospital and go through the preadmission tour in advance" "We should talk about going to the hospital and what it will be like coming home" "It is best to wait and let him bring up the surgery or any questions he has" "It is a good idea to read stories about experiences with hospitals or surgery"
"It is best to wait and let him bring up the surgery or any questions he has"
The nurse is documenting the child's intake. The child ate 4 cups of ice during this shift. How many cups of fluid did the child ingest? ½ cup of fluid 2 cups of fluid 4 cups of fluid 1 cup of fluid
2 cups of fluid
The nurse is assigned to care for a 7-year-old child following hernia repair. When will the nurse begin to plan for the client's discharge? Immediately upon the client's admission to the unit The day the primary health care provider writes the discharge prescription The morning after the client's surgical procedure After a home health nurse is consulted
Immediately upon the client's admission to the unit
What will the nurse view as best maintaining normalcy in the life of a 10-year-old boy who is experiencing a lengthy hospitalization? Watching daytime television Playing board games with the child life specialist Keeping up with his schoolwork Writing down his oral intake on the day and evening shifts Choosing the time of his bath or shower
Keeping up with his schoolwork
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply. Tell the children that hospitals are places for sick people to come and sometimes they don't leave. Provide a room for the class with hospital gowns, masks and equipment used on children. Tour the hospital, including the playrooms on the pediatric floors. Offer to let them see and play with the injection equipment such as syringes and needles. Let the children lie in the beds, use the call lights and practice being a patient.
Provide a room for the class with hospital gowns, masks and equipment used on children. Tour the hospital, including the playrooms on the pediatric floors. Let the children lie in the beds, use the call lights and practice being a patient.
The nurse is providing home care for an 8-year-old girl who is dependent on a ventilator. What is a part of case management for the child and family? Teaching the parents how to do passive range of motion and active range of motion with their child. Scheduling respite care of the child with a child care provider. Problem solving with the parents and child ways to get the child's homework when she is unable to attend school. Doing the complex sterile dressing changes the child requires.
Scheduling respite care of the child with a child care provider.
A 6-year-old with leukemia is placed on reverse isolation. What nursing actions could prevent depression and loneliness in this client? Select all that apply. Do all nursing tasks at one time. Spend extra time to talk while in the room. Play a game while in the room. Read a story while in the room. Quickly exit the room when possible.
Spend extra time to talk while in the room. Read a story while in the room. Play a game while in the room.
The hospital charge nurse is evaluating the care given by one of the staff nurses to determine if the nurse is providing developmentally appropriate care to infants on the unit. Which actions by the staff nurse demonstrate knowledge of developmentally appropriate care for infants? Select all that apply. The charge nurse notices the staff nurse provide comfort during and after procedures by holding and talking to infants The staff nurse uses gentle stroking and holding of the infants The charge nurse witnesses the staff nurse assisting the parents with care of their infant The staff nurse encourages the parents to change the feeding schedule so it coincides with the unit's medication administration schedule The staff nurse uses the en face position when holding newborns
The staff nurse uses the en face position when holding newborns The charge nurse notices the staff nurse provide comfort during and after procedures by holding and talking to infants The staff nurse uses gentle stroking and holding of the infants The charge nurse witnesses the staff nurse assisting the parents with care of their infant
A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit. The nurse understands that the girl is in the second phase of separation anxiety when she observes what behavior? The toddler is quiet, looks sad, and is disinterested in playing. The toddler cries inconsolably. The child exhibits signs of anger. The girl ignores her. The girl acts extremely agitated.
The toddler is quiet, looks sad, and is uninterested in playing. Explanation:The second stage of separation anxiety is despair. In this stage, the child becomes inactive and sad and has little interest in food or play. Agitation, crying, and anger are signs of protest, which is the first stage of separation anxiety.
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply. Tell the children that hospitals are places for sick people to come and sometimes they don't leave. Offer to let them see and play with the injection equipment such as syringes and needles. Let the children lie in the beds, use the call lights and practice being a patient. Provide a room for the class with hospital gowns, masks and equipment used on children. Tour the hospital, including the playrooms on the pediatric floors.
Provide a room for the class with hospital gowns, masks and equipment used on children. Tour the hospital, including the playrooms on the pediatric floors. Let the children lie in the beds, use the call lights and practice being a patient.
A nurse with no pediatric experience has been transferred to a pediatric unit to work for the day. Which comments by the nurse indicate knowledge of developmental considerations when providing hygiene needs to a 3-month-old infant? "I plan on using a sponge bath to bathe the infant." "I think the baby is old enough for me to use the bathtub if I am careful." "I will be sure to only leave the infant for a very short time if I forget anything during the bath." "I need to find the talcum powder to use after the bath."
"I plan on using a sponge bath to bathe the infant."
A few days after discharge, the parent of an 8-year-old calls the pediatric clinic, expressing concern about the child's behavior now that she is home. The child has been treating her siblings badly and using inappropriate language. Which suggestion should the nurse prioritizeto this caregiver as an appropriate way to handle this situation? "Children often feel guilty for the attention they've taken away from their siblings and act out as a way of earning the attention." "Coming home is a difficult adjustment. Warn your daughter that you expect her to begin to behave better over the next few weeks." "Respond to her behavior in a firm, loving, consistent way." "Tell her you don't like her behavior and have her stay in her room until she can be nicer to her siblings."
"Respond to her behavior in a firm, loving, consistent way."