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Old 08-16-2011
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Question What should the mother do ?

A 4-year-old girl is discovered pulling the tail of the family dog. Her mother, who had warned her previously that this behavior was unacceptable, now assigns the girl to a 5 minute time out period. A timer is set up so that the girl can keep track of the time period. After two minutes of the period, the girl begins to scream and cry. At this point, the mother's best response would be to -

A. do nothing until the time out period has ended
B. explain to the child why this type of punishment is necessary
C. offer the child a choice between becoming quiet or "being paddled"
D. reset the timer to add an additional 5 minutes to the time out period
E. tell the child that if she quiets down she will be rewarded by a treat at the end of the time out period
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Old 08-16-2011
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Not sure but, I think its A.
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Old 08-16-2011
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d) add more 5 minutes
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Old 08-16-2011
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its D)....reset the timer....i think i remember dis frm kaplan videos
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A. do nothing until the time out period has ended
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Old 08-16-2011
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B - explain to her why she is there.
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Old 08-16-2011
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I think the mother should do in the way of B:explain to the child why this type of punishment is necessary
the girl is so little. and she can not know which is right or wrong. so mother must tell her the reason. next time. she will not do it



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Old 08-17-2011
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Correct Answer D. reset the timer to add an additional 5 minutes to the time out period

The correct answer is D. reset the timer to add an additional 5 minutes to the time out period.

Explanation -

The purpose of the time out is to remove the girl from stimuli to facilitate the extinction of unwanted behavior. To be effective, time out must be used consistently and predictably. If the child protests during a time out, as in this case, additional time is added to the period to extinguish the protest behaviors. The goal is to convey the clear message that the time out will be ended only when unacceptable behaviors are ended. To impact behavior, the intervention must be closely associated with the behavior.

To delay in responding to the girl's protests (choice A) makes it harder for her to realize that the additional time is a direct consequence of her behavior.

At age 3, reasoned, rational explanations (choice B) are unlikely to have any impact on the child's behavior. The child probably lacks the cognitive capacity to grasp the abstract rationale for why she is being disciplined. '

Paddling (choice C) is a type of attention, and can actually reinforce the behavior the parents are trying to extinguish. The child learns that protestation will bring the parents and their attention, even if it is negative attention. In addition, as a general rule, any response option on the USMLE exam that has someone hitting a child will almost certainly be scored as a wrong answer!

This option encourages the child to cry and then demand a treat to become quiet (choice E), a kind of juvenile blackmail. Avoiding bad behavior is a baseline and need not be specially rewarded.
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