Nokea
The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons. Which products contain these substances? (Select all that apply.)
- A. Glue
- B. Chlorine
- C. Cleaning fluid
- D. Copy machine toner
- E. Aerosol sprays
Correct Answer: A,C,E
Rationale: The most frequently used products for inhaling hydrocarbons and fluorocarbons are glue, cleaning fluid, and aerosol sprays.
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A 9-year-old child has been admitted to the hospital after 'huffing' lighter fluid and is in a high euphoric state. For what should the nurse assess?
- A. Depressed respirations
- B. Severe vomiting
- C. Frightening hallucinations
- D. Elevation of temperature
Correct Answer: A
Rationale: Inhaling hydrocarbons depresses the central nervous system, including respiratory rate and general sensorium.
What would be the appropriate response to an adolescent who states, 'This has been the worst day of my life?'
- A. You should focus your mind on positive thoughts.'
- B. Everybody has a bad day now and then.'
- C. You're young. What could be so terrible?'
- D. Tell me about the worst day of your life.'
Correct Answer: D
Rationale: The nurse establishes a rapport with the adolescent by acknowledging his or her feelings and giving the adolescent full attention.
The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? (Select all that apply.)
- A. Lack of trust
- B. Acting out
- C. Exaggerated self-confidence
- D. Blaming others for problems
- E. Depression
Correct Answer: A,B,E
Rationale: Children from dysfunctional families exhibit lack of trust, act out, and show signs of depression.
A child is diagnosed with attention-deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
- A. Social anxiety
- B. Impulsivity
- C. Hyperactivity
- D. Distractibility
- E. Inattention
Correct Answer: B,C,D,E
Rationale: ADHD is characterized by inattention, hyperactivity, impulsivity, and distractibility.
The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
- A. I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself.'
- B. My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them.'
- C. My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet.'
- D. My girlfriend is here with me. She told me to call because I was talking crazy about killing myself.'
Correct Answer: B
Rationale: The risk of death increases when there is a definite plan of action, the means are readily available, and the person has few resources for help and support.