An adolescent says, "What am I supposed to do? My parents are so strict. They never let me do anything or go anywhere with my friends.". Which nursing intervention would be most effective?
a. To determine the extent of the countertransference, ask the adolescent, "Why do you think a nurse could help?"
b. Maintain a balanced stance with the adolescent, but plan to teach the parents to gradually allow for independence.
c. To establish trust, tell the adolescent that the nurse will strongly encourage the parents to allow more opportunities for independence.
d. In order to encourage dialogue, ask the adolescent to provide specific examples and situations in which the parents acted strictly.
D
Adolescents can exaggerate situations and issues and often need time and perspective to view issues more objectively. By helping the adolescent view the issues more dispassionately, the nurse will assist him or her to problem solve more effectively and to begin to view issues from the parents' perspective as well.
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A child and the child's family visit a psychiatric outpatient setting because the parent is concerned about the child's behaviors at school. The child scores 65 on the global assessment of functioning (GAF) scale
The nurse should instruct the parent that the child most likely: A) Requires inpatient therapy. B) Is experiencing homicidal thoughts. C) Is functioning well in the area of school. D) Can be treated effectively as an outpatient.
A client who has neuropathy of the lower extremities is prescribed an opioid analgesic for pain. The provider adds a tricyclic antidepressant medication (TCA) for pain management. The client asks the nurse, "Why am I getting this new drug?
I am not depressed, my feet just burn." What is the best response from the nurse? 1. "This drug will also help with the nerve pain you are having in your feet." 2. "It is to help you sleep at night instead of using the opioid." 3. "Sometimes people get depressed with chronic pain." 4. "Maybe this is a mistake, if you are not depressed."