After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

"If he starts to act out, we'll have him do a time-out to help him refocus.”.

"We can use a reward system when he behaves appropriately.”.

"If he misbehaves, we need to punish him instead of reward him.”.

"We need to help him set realistic goals that he can achieve.”. —