Which behavior demonstrated by an adolescent should alert the school nurse to a problem of substance abuse?
a. States feelings of worthlessness
b. Increased desire for social conformity
c. Does not feel the need for peer approval
d. Rebellious behavior
D
Rebellious or aggressive behavior is a behavior that may indicate substance abuse. Feelings of worthlessness are suggestive of a depressive disorder. An adolescent with a substance abuse problem may be depressed, but this behavior is not a manifestation of substance abuse. The clinical manifestations of substance abuse are marked by an increase in antisocial behavior as the desire for social conformity decreases and the need for the substance increases. The adolescent with a substance abuse problem may demonstrate an excessive dependence on peer influence.
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While hospitalized, a school-age child began sleepwalking. The nurse teaches the parents how to handle sleepwalking once the child is discharged. Which statement indicates that this teaching has been effective?
A) "We should not wake up the child.". B) "We should shake the child to wake up immediately.". C) "We should wake the child up gently and return the child to bed.". D) "We should keep the child awake in the living room to play before going to bed.".
A teenage female patient tells the nurse that she has been sexually active with her boyfriend for two months. For which sexually transmitted infection should this patient be assessed?
1. genital herpes 2. human papillomavirus 3. condyloma acuminatum 4. chlamydia
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is termed:
1. primipara. 2. primigravida. 3. multipara. 4. nulligravida.
A nurse is reviewing results of preoperative screening tests and notes the patient's potassium level is dangerously low. What should the nurse do next?
A) Nothing; potassium levels have no influence on surgical outcome. B) Include the information in the postoperative end of shift report. C) Document the data and notify the physician who will do the surgery. D) Ask the patient and family members why the potassium is low.