When admitting an adolescent to a hospital unit, the nurse knows she should keep in mind which of the following?
a. The nurse should use the "three wishes" question to assess cognitive level.
b. When a teen asks a direct question, the teen does not really want the answer.
c. Teens recognize that life is a roller-coaster ride with ups and downs.
d. Teens are able to self-assess competency.
ANS: A
To assess a teen's cognitive level and to find out about the ability to make long-term plans, an easy approach is to use the "three wishes" question. The nurse should ask the teen to name three things he would expect to have in 5 years. Answers can be analyzed for factors such as concreteness, realism, and goal-directness. When a teen asks a direct question, he is ready to hear the answer. The nurse should answer directly and honestly. Some teens lack sufficient experience to recognize that life has ups and downs and that things will eventually be better. Adolescents still rely primarily on feedback from adults and from friends to judge their own competency.
You might also like to view...
The nurse explains that skilled nursing facilities are mandated to staff their facility with:
1. one RN serving as director and one licensed nurse on duty for at least 8 hours each day. 2. RNs to provide complex care such as ostomy changes, IVs, or wound care. 3. RNs to supervise the patient care given by aides. 4. two LPNs and three aides per 10 patients at all times.
An elderly patient who lives alone in the community is concerned about recent exposure to the flu and asks for an influenza vaccination. What patient education should the nurse provide?
a. "Because exposure has already occurred, the injection will not reduce the risk of developing flu this season." b. "Protection against the flu should begin about 1 to 2 weeks after injection." c. "A person should not receive the vaccine unless direct contact has been con-firmed." d. "The vaccine is given only if the exposures have been verified as type A influen-za."
What should the nurse do after obtaining a sample for ABG?
a. Maintain pressure over the site for 3 to 5 minutes. b. Check the artery proximal to or above the puncture site. c. Place the syringe into a plastic bag, and send it to the lab. d. Apply a cool compress to hematoma formation at the puncture site.
A client mentions to a nurse that she is following a special diet for weight loss. The diet eliminates all forms of wheat and barley that stimulate the appetite and cause weight gain. The client is:
A) Avoiding gluten. B) Eating a Paleo diet. C) Using the Atkins diet. D) Binge-eating and purging.