Nokea
Which response by the nurse to the parents is most appropriate at this time?
- A. The physicians here are very well qualified.
- B. This diagnosis is difficult for you to accept.
- C. Why do you feel you need a second opinion?
- D. It's not as bad as it may seem right now.
Correct Answer: B
Rationale: Acknowledging the difficulty of accepting the diagnosis validates the parents' emotions and opens communication without being confrontational.
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If the unprescribed drug is an anabolic steroid, which other physical effect is common?
- A. Decreased lung capacity
- B. Bronzed skin
- C. Occurrence of or worsened acne
- D. Brittle nails
Correct Answer: C
Rationale: Acne is a common side effect of anabolic steroids.
To help the parents cope with their disappointment and loss of their 'perfect' baby, which nursing action is most appropriate initially?
- A. Encourage the parents to verbalize their feelings.
- B. Treat the child as a normal newborn.
- C. Refer the couple to community resources for assistance.
- D. Encourage the parents to consider long-term institutional placement.
Correct Answer: A
Rationale: Encouraging verbalization allows parents to express grief and begin processing their emotions, which is critical initially for coping with the diagnosis.
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.
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.
To minimize this child's apprehension about the bone marrow puncture, which nursing strategy is most appropriate?
- A. Explain the procedure shortly before it is done.
- B. Give the information as soon as the test is scheduled.
- C. Postpone teaching about the procedure until specific questions are asked.
- D. Wait for the physician to explain the procedure to the child and parents.
Correct Answer: A
Rationale: Explaining shortly before reduces anxiety while ensuring understanding.