Nokea
A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
You may also like to solve these questions
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: Functional focus involves assessing how visual patterns, such as the ability to drive, impact lifestyle.
Cancer diagnosis: Why do Blacks face poorer outcomes?
- A. Lack of access to, or utilization of, cancer screening
- B. Lack of health insurance
- C. Genetic variations
- D. Lack of resiliency against disease
Correct Answer: A
Rationale: Disparities in cancer outcomes often stem from limited access to care and resources, not inherent genetic differences.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
- A. “Yes, you just delivered a healthy, beautiful baby girl.”
- B. “This is your first baby. You can always try again for a boy.”
- C. “Don’t worry, many parents often feel the same way you do.”
- D. “You are tired. I think you should get some rest.”
Correct Answer: A
Rationale: The nurse should acknowledge the mother’s feelings and provide positive reinforcement, emphasizing the health of the baby.