A 14-year-old girl is being treated for conduct disorder. She refused to attend class today, stating that yesterday the other nurse told her she didn't have to go to class if she did not want to. The best response by the nurse would be:
A) "Fine, but you're confined to your room."
B) "Missing class is against the rules."
C) "You and I both know you're lying."
D) "Why do you keep fighting the system?"
B
Feedback: Reinforcing rules avoids a power struggle; the nurse must set limits on the unacceptable behavior of missing class. The nurse can negotiate with a client a behavioral contract outlining expected behaviors, limits, and rewards to increase treatment compliance.
You might also like to view...
A patient tells the nurse she had the bacilli Calmette-Guérin (BCG) vaccination as a child because her mother had tuberculosis. How will this patient be screened for tuberculosis?
1. Two-step Mantoux test 2. PPD test 3. Sputum tests 4. Chest X-ray
The parents of a toddler who dies after being brought to the ER launch a lawsuit, claiming that the failure of nurses to pursue concerns related to their son's deteriorating condition contributed to his death
The senior nurse executive is named in the suit: a. As a global respondent. b. Under the doctrine of respondeat superior. c. As a frivolous action. d. Under the element of causation.
You are working with a client who recently underwent a hysterectomy. She has a history of bipolar disorder. When she arrives at the postsurgical checkup, she is speaking more slowly, is crying, and reports that she feels depressed
Which of the following risks should be assessed at this time? a. risk for hallucinations b. risk for suicide c. risk for exhaustion d. risk for violence
Using the pyramid framework to organize various levels of healthcare information, which are on the bottom layer or base of the pyramid?
a. Case studies b. Meta-analyses, c. Systemic reviews d. Summaries