Which developmental approaches should the nurse implement for the hospitalized adolescent? Select all that apply
a. Expect regression.
b. Provide privacy.
c. Encourage peers to call.
d. Answer questions with simple concrete ex-planations.
e. Encourage questions about appearance.
B, C, E
The developmental appropriate approaches for an adolescent include providing privacy for care and visiting, encouraging questions about appearance and the effects of illness, and encouraging peers to call and visit if the adolescent's condition can tolerate this action. The adolescent requires the use of scientific terminology and detailed explanations; answering questions with simple concrete explanations is appropriate for the preschool age. Regression occurs for the school age and younger child, but is not common in the adolescent.
You might also like to view...
The nurse assesses the teeth, gums, and tongue of an older patient complaining of mouth pain. What additional actions should the nurse take at this time? Standard Text: Select all that apply
1. Review vital signs. 2. Assess respiratory status. 3. Encourage the patient to gargle. 4. Review the patient's tooth brushing routine. 5. Palpate lymph nodes along the patient's jaw.
A patient with ongoing back pain, nausea, and abdominal bloating has been diagnosed with cholecystitis secondary to gallstones. The nurse should anticipate that the patient will undergo what intervention?
A) Laparoscopic cholecystectomy B) Methyl tertiary butyl ether (MTBE) infusion C) Intracorporeal lithotripsy D) Extracorporeal shock wave therapy (ESWL)
Which symptoms of inflammation are caused by leakage of blood plasma into the tissues at the site of injury or invasion? (select all that apply)
a. Increased production and migration of leukocytes b. Phagocytosis and fever c. Warmth and redness d. Swelling and pain
When percussing a client's abdomen in order to gather assessment data, the nurse must rely most heavily on the ability to:
1. Differentiate between the various elicited sounds. 2. Observe subtle variation in the contour of the abdomen. 3. Supplement the technique with fine finger dexterity. 4. Locate the margins of the various abdominal organs.