A 14-year-old female patient tells the school nurse that she frequently cuts herself. The nurse is very upset by this information. What is the best action by the nurse?
1. Report the problem to the principal.
2. Call the girl's parents and suggest a psychiatric evaluation.
3. Reflect on her own reactions and focus on responding to the patient's needs.
4. Shift the conversation to the girl's academic performance.
Answer: 3
Explanation: Because the patient is not in imminent danger, the desire to involve others, whether it is the principle or the girl's parents, must be guided by the patient's choices and the need to respect confidentiality. While developing the nurse-patient relationship, the nurse must learn to respond to the patient rather than react to the patient. Ignoring the issue does not address the patient's needs.
You might also like to view...
Enlargement of the prostate in benign prostatic hypertrophy is primarily the result of changes related to aging and the effects of
a. dihydrotestosterone. b. frequent sexual activity. c. smoking. d. overstimulation of alpha-1 adrenergic receptors.
When critiquing sample size in a study, which of the following study type would require the largest sample size?
a. Correlational b. Experimental c. Grounded theory d. Phenomenological
The nurse has explained the process of phagocytosis to a client with an infected wound. The client is fascinated by the nurse's description of cells that eat other cells and asks, "Why don't they eat good cells, too?" How should the nurse respond?
1. "They do, but there are not enough phagocytic cells to kill enough good cells to make a person sick." 2. "The cells migrate to the infection before they start killing other cells." 3. "They don't eat good cells because of a process called chemotaxis." 4. "These cells can tell the difference between cells from the person's body and foreign cells."
The decelerations stop, and the remainder of the labor is uneventful; D.H. has an episiotomy to allow more room for the infant to emerge and delivers a male infant. What is involved in the immediate care of the newborn?
What will be an ideal response?