When a teacher reports that an adolescent has begun failing in class and is isolated from friends during laboratory sessions, the nurse responds most therapeutically by stating:
a. "Let's discuss this. The symptoms of adolescent depression can look very different from those of adult depression.".
b. "Have you set limits on the student's behavior and called for an immediate family intervention?"
c. "I'll call the student's parents and see if I can get their permission to assess for possible depression.".
d. "Have you noticed whether others have been bullying the student in your class?"
A
The symptoms the teacher is observing may well be adolescent depression, but the nurse would be most therapeutic to offer perspective discussion regarding how adolescents generally display depression.
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A clinic nurse is assessing a child who takes methylphenidate (Ritalin) for the treatment of attention-deficit/hyperactivity disorder (ADHD). The nurse knows that a potential side effect from the prolonged use of methylphenidate (Ritalin) is:
A) Psychosis. B) Decreased intelligence. C) Sore throat. D) A decrease in rate of growth and development.
The nurse should ask the client to do which of the following when testing the function of the spinal accessory nerve (CN XI)?
1. Swallow a sip of water. 2. Elevate the shoulders. 3. Open the mouth and say "ah." 4. Vocalize the sounds "la-la," "mi-mi," and "kuh-kuh."
The patient is scheduled to have an EEG to confirm the presence of a sleep disorder. The patient asks the nurse to describe Stage IV NREM sleep. What is the best response by the nurse?
1. "This is the lightest stage of sleep, and is profoundly affected by anxiety." 2. "Dreaming occurs here; without dreams you will be irritable and paranoid." 3. "This is the deepest stage of sleep; without it you will be tired and depressed." 4. "This stage comprises the greatest amount of sleep time, and is important."
The nurse enters a room to find the patient sitting up in bed crying. How would the nurse display a critical thinking attitude in this situation?
a. Tell the patient she'll be back in 30 minutes. b. Set a box of tissues at the patient's bedside before leaving the room. c. Ask the patient why she is crying. d. Limit visitors while the patient is upset.