Nokea
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.
You may also like to solve these questions
The nurse asks, 'Do your parents drink every day?' The adolescent suddenly shouts, 'I'm not going to talk about that! It's none of your business, anyway! Leave me alone!' How does the nurse interpret the adolescent's behavior?
- A. The adolescent is acting out and needs to be brought under control so the conference can continue.
- B. The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
- C. The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
- D. The adolescent is responding to the discrediting of his parents, which causes anxiety.
Correct Answer: D
Rationale: Discrediting parents threatens the child's security and creates anxiety.
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.
How does the nurse describe a person who is bulimic?
- A. Severely underweight
- B. Alternates binge eating with purging
- C. Introverted perfectionist
- D. Has extremely close family relationships
Correct Answer: B
Rationale: Bulimia is characterized by alternating binge eating and purge behavior.
A 15-year-old boy was previously active in a band and saved money to buy a special guitar. What would a nurse assess as an early sign of depression in this boy?
- A. He gives up the band to spend time with his girlfriend.
- B. He spends all of his time at the library studying to qualify for the honor society.
- C. He gives his guitar away and spends his time listening to music in his room.
- D. He withdraws all of his money out of the bank to buy an expensive leather jacket.
Correct Answer: C
Rationale: A major depression is characterized by a prolonged behavioral change from baseline that interferes with school, family life, and age-specific activities, frequently signaled by giving prized possessions away.
The nurse is planning the care of an adolescent with anorexia nervosa. What characteristic(s) cause this disorder? (Select all that apply.)
- A. Discomfort relative to emerging sexuality
- B. Fear of intimacy
- C. Pervasive high self-esteem
- D. Egocentricity
- E. Inability to meet developmental needs
Correct Answer: A,B,D,E
Rationale: Discomfort with emerging sexuality, fear of intimacy, egocentricity, and inability to meet developmental needs are causes of anorexia nervosa, while low self-esteem, not high, is also a factor.