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When the nurse is collecting a nursing history, an adolescent states that she has tried speed. For what does the nurse recognize this as the street name?
- A. Barbiturates
- B. Cocaine
- C. Methamphetamine
- D. Marijuana
Correct Answer: C
Rationale: Speed' is the street name for methamphetamine.
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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.
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.
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used?
- A. Alcohol
- B. Cocaine
- C. Amphetamines
- D. PCP
Correct Answer: A
Rationale: Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and ataxia.
A parent asks the nurse to describe what is meant by a 'learning disability.' Which is the nurse's most helpful response?
- A. A child may have difficulty with perception, language, comprehension, or memory.'
- B. It is characterized by inattention, impulsiveness, and hyperactivity.'
- C. The child's intellectual ability limits his learning.'
- D. The child has difficulty learning because of brain damage.'
Correct Answer: A
Rationale: Learning disability is an educational term. Children with learning disabilities may have average to above-average intelligence but may experience difficulties in perception, language, comprehension, and conceptualization.