The parent of an adolescent tells the nurse that the adolescent used to be on the honor roll at school, but now is failing every subject, skipping school, and doesn't care about anything except a new group of "friends"
The nurse recognizes this adolescent may be in need of counseling related to: 1. Adolescent substance abuse.
2. Growth and development.
3. Self-esteem.
4. Independent living.
1
Rationale: Change in values, ideals, beliefs, and changes in friends are behaviors that are characteristic of teenaged substance abuse. Adolescents with substance abuse problems may also have issues with self-esteem, but the information relates directly to behaviors associated with adolescent substance abuse. The behaviors of the adolescent, described by the parent, are not directly related to a problem with growth and development or independent living.
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During preoperative teaching, the patient asks the nurse why she must have nothing by mouth for 8 hours before surgery. Which of the following is the most appropriate response for the patient?
A) "Food and fluid must be restricted for 8 hours before surgery so you are not at risk for aspiration." B) "The restriction of food or fluid will prevent the development of pneumonia related to decreased lung capacity." C) "The presence of food in the stomach interferes with the absorption of anesthetic agents." D) "By withholding food for 8 hours before surgery, you will not develop constipation in the postoperative period."
Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle underlies hospice care?
A) Death must be accepted. B) Symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team develops an individual plan of care for the patient. D) Terminally ill patients should die in the hospital.
The enactment of Social Security in 1935 afforded older adults the ability to
a. enter a city-sponsored nursing home. b. purchase care privately. c. receive care by a physician in the home. d. stay in hospitals until completely well.
The nurse is caring for a client who is hospitalized with exacerbation of Crohn's disease. What does the nurse expect to find during the physical assessment?
a. Positive Murphy's sign with rebound ten-derness b. Dullness in the lower abdominal quadrants c. High-pitched, rushing bowel sounds in the right lower quadrant d. Abdominal cramping that the client says is worse at night