Nokea
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?
- A. A sense of hopelessness and despair are a normal part of adolescence.
- B. Gay and lesbian adolescents are at a particularly high risk for suicide.
- C. Problem-solving skills are of limited value to the suicidal adolescent.
- D. Previous suicide attempts are not an indication of risk for completed suicides.
Correct Answer: B
Rationale: Gay and lesbian adolescents are at a particularly high risk for suicide. Research has shown that sexual minority youth, such as gay, lesbian, bisexual, and transgender adolescents, are at a higher risk for suicide due to the stress, discrimination, and lack of acceptance they may face. It is important for the school nurse to address the unique risk factors and challenges faced by LGBTQ+ adolescents when discussing suicide prevention in order to provide appropriate support and resources.
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The MOST appropriate answer to why infants cry in response to another infant's cry is
- A. an early sign of empathy development
- B. a sign of good hearing reflex
- C. a startle reflex
- D. an early sign of fear development
Correct Answer: A
Rationale: Empathy begins developing early, though rudimentary.
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
- A. radiotherapy
- B. concomitant chemotherapy-radiotherapy
- C. another surgery
- D. observation
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
What is the primary nursing intervention to prevent bacterial endocarditis?
- A. Institute measures to prevent dental procedures.
- B. Counsel parents of high-risk children about prophylactic antibiotics.
- C. Observe children for complications, such as embolism and heart failure.
- D. Encourage restricted mobility in susceptible children.
Correct Answer: B
Rationale: The primary nursing intervention to prevent bacterial endocarditis is to counsel parents of high-risk children about prophylactic antibiotics. This is recommended by the American Heart Association for children with certain heart conditions before dental procedures that could introduce bacteria into the bloodstream. By providing education on the importance of prophylactic antibiotics, nurses can help prevent bacterial endocarditis by reducing the risk of bacterial infection associated with dental procedures in susceptible children. It is important to involve the parents in the decision-making process and ensure they understand the rationale behind the use of prophylactic antibiotics to protect their child's heart health.
Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)
- A. Spending off-duty time with children and families
- B. Asking questions if families are not participating in the care
- C. Clarifying information for families
- D. Buying toys for a hospitalized child
Correct Answer: B
Rationale: Asking questions if families are not participating in the care is a behavior that indicates a therapeutic relationship with children and families. It shows the nurse's concern and interest in understanding the family's perspectives and addressing any barriers to participation.
A client in the final stages of terminal cancer tells the nurse: "I wish I could be just be allowed to die. I'm tired of fighting this illness. I have lived life a good life. I only continue my chemotherapy and radiation treatment because my family wants me to." What is the best nurse's best response?
- A. "Would you like to talk to a psychologist about your thoughts and feelings?"
- B. "Would you like to talk to your minister about the significance of death?"
- C. "Would you like to meet with your family and your physician about this matter?"
- D. "I know you are tired of fighting this illness, but death will come in due time."
Correct Answer: A
Rationale: The best response for the nurse to provide in this situation is to offer the client the option to talk to a psychologist about their thoughts and feelings. This demonstrates the nurse's understanding and compassion towards the client's emotional struggles and the complexity of their situation. By suggesting a professional to talk to, the nurse can provide the client with the appropriate support and guidance to help them navigate their feelings of wanting to be allowed to die. It also allows the client to voice their concerns and emotions with a trained professional who can offer them coping strategies and support tailored to their individual needs.