Shortly after a 15-year-old's parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, "All the other kids have families
If my parents loved me, then they would stay together." Which nursing intervention is most appropriate?
a. Develop a plan for activities of daily living.
b. Communicate disbelief relative to the adolescent's feelings.
c. Assist the adolescent to differentiate reality from perceptions.
d. Assess and document the adolescent's level of depression daily.
ANS: C
The patient's perceptions that all the other kids are from two-parent households and that he or she is different are not based in reality. Assisting the patient to test the accuracy of the perceptions is helpful.
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A) Daily intramuscular injections throughout the course of treatment B) Peripheral IV administration three times a day for 7 to 10 days C) Weekly IV infusions over 6 to 8 hours through a central line D) Oral administration of imatinib in a home setting
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a. Adverse b. Side c. Therapeutic d. Toxic
During the physical assessment of a client who has been inactive due to a leg injury, the nurse notes that the client tends to breathe very shallowly. What technique should the nurse teach the client in order to breathe more efficiently?
A) Deep breathing B) Pursed-lip breathing C) Diaphragmatic breathing D) Incentive spirometry
When caring for a newborn several hours after birth, what would the nurse assess as a normal newborn's respiratory rate?
A) 12 to 16 breaths/min B) 16 to 20 breaths/min C) 20 to 30 breaths/min D) 30 to 60 breaths/min