A 15-year-old patient is seen for evaluation by court order
The parents seek to have this teen declared incorrigible because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the patient should recognize that these behaviors often occur in adolescents who:
a. are victims of childhood sexual abuse.
b. have antisocial personality disorder.
c. are experiencing schizophrenia.
d. have been ritually abused.
A
Self-mutilation; alcohol and drug abuse; bulimia; and unstable, unsatisfactory relationships are frequently seen in teens who are sexually abused. These behaviors are not as closely aligned with any of the other options.
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The nurse is performing a focused interview with the client and asks the client if there has been any drainage from the ears. The client responds, "Yes." Which statement by the health care provider indicates that the client may have developed acute otitis
1. "The ear canal itself is really red, raw, and sore." 2. "I noticed that the drainage looked clear, like water." 3. "The drainage looks like what is draining from my nose, kind of clear and mucous-like." 4. "It is kind of yellowish-reddish color."
While assessing an acutely ill patient's respiratory rate, the nurse assesses four normal breaths followed by an episode of apnea lasting 20 seconds. How should the nurse document this finding?
A) Eupnea B) Apnea C) Biot's respiration D) Cheyne-Stokes
You are instructing a patient who has been prescribed sucralfate (Carafate) for peptic ulcer disease. Which statement by the patient indicates the need for additional teaching?
a. "This drug coats my ulcer and protects it so that healing can occur." b. "I should eat foods with lots of fiber while I'm taking this drug." c. "If I feel dizzy, I will be sure to get up from bed slowly." d. "Once I am feeling better I can stop taking the drug."
Head circumference is measured in children with known or suspected hydrocephalus and children less than how many months old?
a. 40 c. 32 b. 36 d. 24