The nurse asks, "Do your parents drink every day?" The adolescent suddenly shouts, "I'm not going to talk about that! It's none of your business, anyway! Leave me alone!"

How does the nurse interpret the adolescent's behavior?
a.
The adolescent is acting out and needs to be brought under control so the conference can continue.
b.
The adolescent is trying to shift the focus of the conference away from himself, and the nurse needs to refocus.
c.
The adolescent is demonstrating that this problem requires the assistance of a psychiatrist.
d.
The adolescent is responding to the discrediting of his parents, which causes anxiety.


ANS: D
Discrediting parents threatens the child's security and creates anxiety.

Nursing

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The nurse is reviewing the results of the patient's laboratory findings and notes an elevated C-reactive protein (CRP). What does this indicate?

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The nurse has explained the seriousness of a client's condition to the family. The family understands that which one of the following problems most increases the mortality for their loved one with terminal heart failure?

1. Other serious comorbidities 2. Age 3. Positive mental attitude 4. Taking ACE inhibitors

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For what reason do students of nursing examine the U.S. health care system?

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A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?

a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells b. Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells c. Autoimmune disease against hematopoiesis by activated immunoglobulins d. Inherited genetic disorder with recessive X-linked transmission

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