For a newly-admitted 15-year-old client who has a risk for violence, the team should understand that a basic need for the client that must be met is:
A) The need for acceptance by peers.
B) Unconditional acceptance by the therapeutic team.
C) Self-esteem preservation.
D) The need for socialization.
C
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When planning to answer a 16-year-old girl's questions about menstruation, the nurse must consider cognitive development. What is developed during adolescence according to Piaget?
a. The ability to view a situation from multiple perspectives b. The ability to focus more on the past than present situations c. The ability to exercise concrete reasoning d. The ability to consider hypothetical situations
Your client, who remains in the hospital after having surgery for a hernia, indicates a desire to learn how to change the dressing or have a family member taught to do this if the client is unable to do it correctly
Which of the following is the most appropriate nursing diagnosis? 1. Compromised family coping 2. Disabled family coping 3. Interrupted family processes 4. Readiness for enhanced family coping
Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment?
a. Assess serum electrolytes. b. Measure blood urea nitrogen and creatinine. c. Assess blood pressure. d. Monitor level of consciousness.
What is the best response by the nurse when the mother of a 24-hour-old newborn asks why her baby is being screened for congenital heart disease?
A) "We don't trust you to notice possible heart problems in your baby." B) "This is a routine mandatory newborn screening." C) "Your baby's skin color is a little red." D) "The doctor heard a heart murmur which is not normal at this stage after delivery."