By being honest and nonjudgmental with 15-year-old Tony, the nurse has built a relationship in which Tony feels he can talk about things that worry him

He has shared with the nurse that his parents believe he is too young to know about or think about sex. Tony tells the nurse that he has been having wet dreams and is ashamed and afraid he will get into trouble. Which of the following statements would be appropriate for the nurse to respond?
A) "Since your parents feel you are not ready to talk about sex, you need to honor their wishes. You should try talking to your parents about this."
B) "Don't worry, it is perfectly normal for 15-year-olds to have the kinds of fantasies that lead to wet dreams. You should tell your parents about this."
C) "Wet dreams are not the result of anything you are doing but are simply the body's way of ridding itself of excess semen."
D) "You don't need to feel ashamed. I will speak to your parents about the importance of allowing you to experiment with and feel good about your sexuality."


C

Nursing

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A recent research study investigating weight loss in the morbidly obese,

found a statistically significant (p = 0.01) difference between subjects who followed an individually planned diet regimen with aerobic exercise and those in the treatment group, who also followed an individually planned diet regimen with aerobic exercise, but in addition, took a new medication. The medication, though extremely costly, created an additional 12 pound weight loss over the 3-month trial. What recommendations would be expected to come from this study? a. Further research is suggested as the medication appears promising. b. The findings are modest at best; the medication should not be recommended. c. The medication can provide significant results for anyone needing to lose weight. d. The expense is much too great to ever justify use of this medication.

Nursing

The client has been found to have vitiligo on her vulva. Which client statement indicates that the client requires additional teaching on this condition?

1. "This can occur in other places on my body." 2. "Vitiligo is only a decrease of pigmentation." 3. "Other serious health conditions are common with vitiligo." 4. "There usually are no other symptoms of this condition."

Nursing

The nurse educator is reviewing the different enteral tube feeding devices for nutritional support with their placement sites with a group of nursing students

Which student nurse response demonstrates an understanding of the proper placement of a button feeding device? A) A small silicone device used in place of a gastrostomy tube B) Devise placed with an endoscopic instrument C) Inserted through the nose into the stomach D) Placed through the skin into the stomach

Nursing

Brian Wagner is a home health nurse seeing a new client, Betty Green, an 80-year-old who is being treated for CHF, chronic obstructive pulmonary disease, and diabetes. Because of her health problems,

Betty is on eight different prescription medications. To help her manage her medications, Brian made several suggestions. Which of the following would not be a good intervention to deal with this problem? 1. Discuss possible side effects of her medications and symptoms of toxicity and explain what to do if they are experienced. 2. Explain that it is important that medications should always be kept in their original containers to ensure that they are not confused or mistaken. 3. Make a simplified chart of all medications and include purpose, dosage, frequency, and side effects. 4. Use a medication box that divides the medications by date and time of day and which one of her children can fill each week.

Nursing