A parent brings an adolescent child to the doctor's office. The nurse will be assessing both physical and psychosocial concerns. Which of the following actions by the nurse demonstrates a developmental approach to interviewing the adolescent?
1. Interview the adolescent in private.
2. Refer the psychosocial assessment to the mental health counselor at school.
3. Ask the parent to wait for the doctor in the next room.
4. Include the parent in the interview.
1
Rationale: A developmental approach to assessing adolescents is to respect their privacy and conduct the assessment in private. There are several ways to approach this and there will be times when having privacy with the adolescent will not be possible; however, the ideal is to assess the adolescent alone. Referring the psychosocial assessment is not an option as there may be issues that require immediate attention. Asking the parent to wait in another room may be a means of providing privacy for the adolescent.
You might also like to view...
Staff nurses have been asked to comment on the work of a nurse manager as part of the manager's performance review
Which comments by the staff nurses would indicate to the supervisor that the manager is also a leader? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "He helped me to understand the structure of the hospital's organization." 2. "I hope to be as good a manager as he is someday." 3. "He negotiated a pay increase for the RNs on the unit." 4. "His example has encouraged me to get to know people in other departments in the hospital." 5. "His assignments are always fair and appropriate for the client census."
A patient recently fell while she was out jogging and has severely sprained her left ankle. What should the nurse tell her when discussing how much medication she should take to reduce her symptoms?
a. High doses of NSAIDs may be necessary to get the antiinflammatory response. b. She should take the medications only when needed to avoid developing drug dependency. c. Oral forms of NSAIDs are not very helpful, and she should have the injectable forms for good response. d. NSAIDs should be taken on an empty stomach to enhance absorption.
A patient, age 54, is on postoperative day 2 after undergoing an open cholecystectomy. Immediately after the surgery, she vomited and may have aspirated some emesis. The nurse is concerned that the patient will develop pneumonia
In planning for her care, the nurse suspects the patient may have a. bacterial pneumonia. b. aspiration pneumonia. c. viral pneumonia. d. atypical pneumonia.
Which intervention would be most appropriate for the nurse to use when conducting a maintenance group?
a. Helping patients identify better coping strategies b. Accepting, empathizing, and showing concern c. Asking patients to identify topics for the group d. Confronting ingrained behaviors and defenses