While gathering an adolescent's health history, the nurse recognizes that the patient began to act out behaviorally and engaged in risky behavior when the patient's parents divorced
Which information will the nurse gather to determine situational low self-esteem?
a. How long the parents were married
b. How the patient views behaviors
c. Why the parents are divorcing
d. Why the patient is acting out of control
ANS: B
A nurse can identify situational life stressors that can impact a person's self-concept. By asking about a patient's thoughts and feelings, the nurse will be able to use communication skills in a therapeutic manner. This will facilitate the patient's insight into behaviors and will enable the nurse to make referrals or provide needed health teaching. The length of time married and the reason for the parents' divorce do not explain the patient's behaviors. Why the patient is acting out of control is not as important as how the patient views actions when out of control.
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A patient with schizophrenia who is part of the assertive community treatment (ACT) program indicates that he wants to offer an art class to other participants. Which is an appropriate statement by the nurse?
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The patient should be cautioned not to overuse these eye drops because doing so may result in: A) Decreased effectiveness B) Bacterial or viral infection C) Softening of the cornea D) Astigmatism
You need to reposition a person in the chair. Which is correct?
a. Follow the nurse's directions and the care plan. b. Pull the person up from behind. c. Use a transfer belt. d. Ask the person what to do.