A 14-year-old is sent to a residential program after arrests for truancy and assault. At the program, the teen refused to participate in scheduled activities and pushed a staff member, causing a fall. Which strategy by nursing staff is indicated?
a. Begin social skills training.
b. Coax to gain compliance.
c. Neutrally allow refusals.
d. Establish firm limits.
D
Firm limits are necessary to ensure physical safety and emotional security. Limit-setting will also protect other patients from the teen's thoughtless or aggressive behavior. Permitting refusals to participate in the treatment plan, coaxing, and bargaining are strategies that do not help the patient learn to abide by rules or structure.
You might also like to view...
Which information would the nurse provide as rationale for supporting the nurse licensure and mutual recognition movements?
1. Advancing technologies, especially telehealth and telephone triage makes single state licensure problematic. 2. Some areas have an oversupply of nurses while others are still experiencing a nursing shortage. 3. Multistate licensure will protect the safety of consumers who use call-in phone lines for health advice. 4. The number of practicing nurses holding more than one state license is increasing.
A pregnant patient complains that the iron she is taking makes her constipated. The patient asks the nurse, "Why can't I just supplement the iron solely through my diet?" The nurse's best re-sponse is
a. "Only 10% of dietary iron is absorbed by the body." b. "Only 25% of dietary iron is absorbed by the body." c. "You can increase iron significantly through diet; eat bananas and citrus fruits." d. "Drink a glass of milk daily with a half dose of iron, because it will enhance ab-sorption."
Nursing care in the fourth trimester includes an important intervention sometimes referred to as taking the time to mother the mother. Specifically this expression refers to:
a. Formally initializing individualized care by confirming the woman's and infant's identification (ID) numbers on their respective wrist bands. ("This is your baby."). b. Teaching the mother to check the identity of any person who comes to remove the baby from the room. ("It's a dangerous world out there.") c. Including other family members in the teaching of self-care and child care. ("We're all in this together.") d. Nurturing the woman by providing encouragement and support as she takes on the many tasks of motherhood.
Discharge teaching for the client with electrolyte disturbances is aimed at:
1. Identifying the underlying problem and preventing a reoccurrence. 2. Teaching the client to manage the underlying problem. 3. Identifying the client's knowledge deficits and correcting misconceptions. 4. Review of the client's health problems.