A parent is concerned about her 8-year-old child's recent behavior and calls the nurse for advice. According to the parent, her child is constantly crying, is not sleeping well, has withdrawn from activities, and does not want to attend school. Which should the nurse explore in more detail with the parent?
1. Bullying
2. Sexual abuse
3. Lead poisoning
4. Drug abuse
1
Explanation:
1. Physical complaints, suicidal thoughts, and other problems can result from bullying.
2. Sexual abuse should be suspected if the child is experiencing vaginal discharge or excessive sexual curiosity for age.
3. Lead poisoning can lead to physical symptoms, including neurologic deficits, but would not include the signs of emotional distress that the child is exhibiting.
4. Drug abuse is more likely to occur in an adolescent than a child of this age.
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The nurse is taking care of an adolescent who was admitted following an automobile accident. Which of the following should the nurse know in caring for this client?
1. The adolescent's main concern is with death and dying. 2. Adolescents are concerned with privacy and independence. 3. Adolescents have a fear of loss of self-control related to body. 4. Adolescents will experience separation anxiety.
From where are the "risk for" nursing diagnoses identified?
a. The care plan b. The interventions c. The assessment d. The evaluation
The nurse knows that which of the following treatment plans listed below is most likely to be prescribed after a computed tomography (CT) scan of the head reveals a new-onset aneurysmal subarachnoid hemorrhage?
A) Stat administration of tissue plasminogen activator (tPA) B) Administration of a diuretic such as mannitol to reduce cerebral edema and ICP C) Monitoring in the ICU for signs and symptoms of cerebral insult D) Craniotomy and clipping of the affected vessel
The American Nurses Association (ANA) believes nurses should not participate in active euthanasia (and assisted suicide) because such acts violate ____________________
A. the Patient Self-Determination Act B. civil laws C. the Good Samaritan laws D. the Code of Ethics for Nurses