A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but she said she couldn't be pregnant
" The nurse understands that the patient's mother's behavior exemplifies: 1. Low self-esteem.
2. Anger.
3. Denial.
4. Ignorance.
3
Rationale 1: Nothing in the scenario indicates that the patient's mother has low self-esteem.
Rationale 2: Anger will often manifest as loud or negative speech, which might include blaming or shaming. However, nothing in the scenario indicates that this is true.
Rationale 3: Denial is a coping mechanism used to maintain psychological stability when confronting something negative or emotionally difficult. Parents of pregnant adolescents usually do not want their child to be pregnant at that age, and so they might deny the reality of the situation.
Rationale 4: The parents might be ignorant of their child's sexual activity, but when faced with weight gain, they denied pregnancy could be the cause of the change.
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The nurse aide reports to the charge nurse that the client in room 210 is complaining of "severe pain" in the lower extremities. On review of the client record, the nurse notes that the client has not received pain medication in the past 18 hour
The client is in a nursing home, has severe arthritis, and often presents with musculoskeletal pain. The client is usually given pain medication every 4 to 6 hours. The nurse may interpret this report of an increase of pain as a result of which of the following? A) client dependency on narcotics B) untreated pain resulting in lower pain threshold C) client need for alternative measures for pain relief D) inaccuracy of the nurse aide's assessment of the client complaint
What disease of the kidney is genetic in nature and leads to kidney failure?
A) Nephritic syndrome B) Acute glomerulonephritis C) Nephrotic syndrome D) Polycystic kidney disease
The client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head-down position."