Nokea
What is the best suggestion the nurse can give the nursing assistant caring for the 2-year-old child at this time?
- A. Let the child choose from two acceptable alternatives.
- B. Withhold something the child desires until the child complies.
- C. Identify what is expected of the child, rather than ask.
- D. Inform the mother if the child continues to be uncooperative.
Correct Answer: A
Rationale: Offering choices fosters autonomy while maintaining boundaries.
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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.
When reviewing the assessment data, the nurse would expect to note which characteristic physical finding?
- A. Extremely low body weight
- B. Erosion of dental enamel
- C. Cessation of menstruation
- D. Patchy loss of hair
Correct Answer: B
Rationale: Erosion of dental enamel is caused by frequent vomiting in bulimia.
When the gym owner asks the teenager if he would like a drug to help increase muscle mass, which factor will most likely influence a desire to accept?
- A. Several teammates are taking this drug.
- B. The team is having a winning season.
- C. His parents support his interest in football.
- D. He can afford to pay for a substantial supply.
Correct Answer: A
Rationale: Peer influence is a strong motivator for adolescents.
It is normal for adolescents to test previously accepted values in order to acquire which attribute?
- A. Ideology
- B. Identity
- C. Intuition
- D. Insight
Correct Answer: B
Rationale: Adolescents seek to establish their identity, per Erikson's stages.
When the client calls the nurse to report the following physical changes, which symptom is considered a serious side effect of clozapine that needs to be reported immediately to the prescribing physician?
- A. Frequent diarrhea
- B. Severe sore throat
- C. Gradual weight loss
- D. Ringing of the ears
Correct Answer: B
Rationale: Severe sore throat may indicate agranulocytosis, a life-threatening side effect of clozapine.