A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because: (select all that apply)
a. it is a vital component of implementing a behavior modification program.
b. a therapeutic alliance is the first step in a nurse's therapeutic use of self.
c. the adolescent has demonstrated resistance to other authority figures.
d. acceptance and trust convey feelings of security for the adolescent.
e. adolescents usually relate better to authority figures than peers.
ANS: B, D
Trust is frequently an issue because the adolescent may never have had a trusting relationship with an adult. Trust promotes feelings of security and is the basis of the nurse's therapeutic use of self. Adolescents value peer relationships over those related to authority. Rewards for appropriate behavior are the main component of behavior modification programs.
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The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister?
a. Pustule b. Papule c. Wheal d. Vesicle
_________________is a shared way of life and the combination of traditions and beliefs that that make a group of people bond together
ANS:
A client with type 1 diabetes mellitus is admitted to the emergency department with Kussmaul's breathing and severe dehydration. The nurse anticipates that the client will have an order for:
1. an IV infusion of Lantus insulin. 2. an IV infusion of Novolin NPH 70/regular 30 insulin. 3. an IV infusion of regular insulin. 4. an IV infusion of Actos.
In which instance can a 13-year-old patient give consent for treatment?
1. When the parents are not readily available 2. If the child is consenting to treatment for a venereal disease 3. If the child is consenting to treatment for an emergency surgery 4. Under no circumstances can a 13-year-old give valid consent.