The nurse is part of a multidisciplinary team for a 10-year-old girl who has a history of self-mutilation. As the team members develop a behavior plan of care, the nurse should prioritize what action?

A) Encourage the girl to get involved in extracurricular activities to distract herself from self-destructive urges.
B) Take a nursing history to confirm a diagnosis of borderline personality disorder.
C) Review her academic record to document that she qualifies for extra assistance.
D) Outline a behavior contract with the girl delineating the consequences of self-destructive behavior.


Ans: D
Feedback:
The multidisciplinary team develops and monitors an individualized education program (IEP), which becomes a legal document outlining the student's educational, social, and behavior goals and objectives and provides a school-based plan to meet those goals and objectives. The purposes of the IEP process are to identify the specific disability the child has and to detail the supports and services the child needs to ensure that he or she is successful in school. Nurses promote safety and provide case management.

Nursing

You might also like to view...

The nurse is caring for a 5-month-old girl whose family has a history of food allergies. The nurse is providing teaching about foods to avoid in the first year of life. Which of the following responses indicates a need for further teaching?

A) "She cannot have any cow's milk." B) "I should continue breastfeeding until at least 6 months." C) "Peanuts in any form should be avoided." D) "Any kind of fruit is acceptable."

Nursing

The nurse is admitting a 59-year-old patient to the medical-surgical unit after a diagnosis of cellulitis of the calf. What factors does the nurse know impact the processes of inflammation, repair, and replacement? (Mark all that apply.)

A) Severity of the injury B) Social relationships C) Condition of the host D) Familial support E) Nature of the injury

Nursing

The nurse is discussing the long-term consequences of uncontrolled hypertension with a group of clients. Place in order the pathological changes that occur as a result of uncontrolled hypertension

Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Damage to the blood vessels occurs, particularly the small arteries and arterioles. Response 2. Damage to the blood vessels continues with thickening of the arterial walls. Response 3. The blood vessels become inflamed. Response 4. The lumen of the arteries narrows. Response 5. Blood flow to the vital organs decreases.

Nursing

When assessing for deep vein thrombosis, the most reliable finding for the nurse to consider is:

A. A positive Homans' sign B. Pallor to the distal area C. Edema noted in the extremity D. Tenderness and warmth on palpation

Nursing