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When crisis intervention is provided, which nursing action takes priority?
- A. Explaining the benefits of professional counseling
- B. Encouraging the survivors to talk about the event
- C. Reassuring the survivors that they will adapt
- D. Advising consulting a physician for drug therapy
Correct Answer: B
Rationale: Talking about the event helps process trauma and is a priority in crisis intervention.
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Which nursing action is most appropriate for the mother at this time?
- A. Briefly take over bathing the newborn.
- B. Advise the mother to discontinue the bath.
- C. Give all future baths in the nursery.
- D. Point out the good job being done.
Correct Answer: A
Rationale: Taking over briefly supports the mother, reducing her anxiety while allowing her to remain involved.
When the parents ask if their child is psychotic, the nurse who is performing the initial interview is most correct in explaining which of the following as a behavior exhibited by psychotic people?
- A. They have poor response to new situations.
- B. They have difficulty in relationships.
- C. They cannot differentiate reality from unreality.
- D. They feel helpless in resolving problems.
Correct Answer: C
Rationale: Psychosis is characterized by impaired reality testing.
After receiving the news about her pregnancy, which of the following occurrences is most beneficial to the pregnant adolescent at this time?
- A. A positive mothering instinct
- B. Making plans for marriage
- C. Financial support from her boyfriend
- D. Emotional support from her family
Correct Answer: D
Rationale: Family emotional support is critical for the teen's well-being during pregnancy.
If the admitting nurse documents all of the following parental behaviors, which behavior is most likely to suppress this child's ability to reach the maximum potential for development?
- A. The parent dresses and undresses the teen.
- B. The parent answers all the medical questions.
- C. The parent exaggerates the teen's abilities.
- D. The parent assumes blame for the teen's condition.
Correct Answer: A
Rationale: Over-involvement like dressing the teen hinders independence.
Which assessment finding differentiates bulimia from anorexia nervosa in an adolescent with a suspected eating disorder?
- A. Body image distortion
- B. Purging after meals
- C. Decreased self-esteem
- D. Binge eating
Correct Answer: B
Rationale: Purging after meals is characteristic of bulimia, not always present in anorexia.