Nokea
Of the following suggestions, which one would best prevent nursing personnel from becoming injured when providing the adolescent with care?
- A. Apply soft wrist restraints before ambulating the client.
- B. Ask a parent to care for the client.
- C. Explain steps involved in care before touching the client.
- D. Medicate the client immediately before ambulation.
Correct Answer: C
Rationale: Explaining steps reduces fear and potential for aggressive reactions.
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Which strategy is most appropriate for developing a positive, therapeutic relationship with the injured child at the time of assessment?
- A. The nurse should make an effort to have prolonged eye contact with the child.
- B. The nurse should maintain a body position at the same level as the child.
- C. The nurse should separate the child from the parent during the interview.
- D. The nurse should ask the child direct questions about the parent.
Correct Answer: B
Rationale: A non-threatening posture at the child's level builds trust.
Which information is most important to communicate each time the adolescent attends a group meeting?
- A. The date and time of the next meeting
- B. The qualifications of the participating therapists
- C. That everyone should use this support resource
- D. That client information is kept confidential
Correct Answer: D
Rationale: Confidentiality encourages trust and participation in therapy.
Which instruction is most important for the nurse to recommend to the teenage mother regarding parenting the infant?
- A. Give the baby a pacifier whenever the baby cries.
- B. Turn on a radio in the room with the baby.
- C. Cuddle and talk to the baby frequently.
- D. Place a brightly colored mobile above the crib.
Correct Answer: C
Rationale: Cuddling and talking foster bonding and emotional development, critical for the infant.
Which behavior best indicates that an adolescent is at increased risk for suicide?
- A. Disobeying family rules
- B. Arguing with siblings
- C. Letting his grade average drop from a 92 to 88
- D. Becoming depressed over a recent breakup with a girlfriend
Correct Answer: D
Rationale: Depression following a breakup is a significant risk factor for suicide.
If this child is typical of others the same age with a serious illness, which concept is the most commonly held belief about being ill?
- A. Illness is not life-threatening; recovery is assured.
- B. Significant others can prevent serious consequences.
- C. Illness is a punishment for some wrong-doing.
- D. Failure to comply with treatment results in parental rejection.
Correct Answer: C
Rationale: School-age children often view illness as punishment due to magical thinking.