A teen client acts out in disruptive ways. When he threatens to throw a pool ball at another
adolescent, which intervention would set limits and give permission?
a. "You will be taken to seclusion if you throw that ball.".
b. "Do not throw the ball. Put it back on the pool table.".
c. "Attention, everyone. We are all going to the crafts room.".
d. "Please, do not lose control of your emotions.".
B
Setting limits and giving permission uses clear, sharp statements about which behavior is not
allowed and gives permission for performing the behavior that is expected. Option A is a threat.
Option C uses restructuring, which would be inappropriate in this instance. Option D is a direct
appeal to the child's developing self-control that may be ineffective.
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The nurse is caring for a client who is obese. Appropriate interventions related to nutrition for this client include: Standard Text: Select all that apply
1. BMI measurement. 2. Monitor weight weekly. 3. Record oral intake. 4. Limit client access to food. 5. Monitor skin for redness and breakdown.
A school nurse researcher studying bullying discovers that the type of victimization she is observing is different for different racial groups and genders within her school district
She wants to study the effect of peer support on bullying and chooses to make sure that the experimental and control groups, although randomly assigned, contain equal percentages of children of all races. What does this strategy exemplify? a. Carryover b. Blocking c. Counterbalancing d. Sequencing
A patient is diagnosed with meningitis that developed after experiencing otitis media. What will the nurse most likely assess in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are Select all that apply.
1. Fever 2. Stiff neck 3. Confusion 4. Photophobia 5. Palpitations
While assessing a school-age child, the nurse notices a regular–irregular heartbeat. The nurse listens carefully and notes that the heart rate increases on inspiration and decreases on expiration. Which nursing action is appropriate based on these data?
1. Record the finding as normal. 2. Notify the healthcare provider. 3. Schedule an electrocardiogram (ECG) immediately. 4. Ask the mother if a murmur has been detected before.