A 14-year-old male is admitted after a sports injury.
He appears withdrawn and avoids eye contact with staff. What is the best nursing approach?
Offer privacy and allow the patient to express himself gradually.
Encourage him to discuss his emotions with his parents.
Focus only on physical care to avoid overwhelming him.
Assign him to a shared room to improve socialization.
The Correct Answer is A
Choice A rationale
Offering privacy and allowing gradual self-expression respects the adolescent's developmental stage, which often includes a need for autonomy and fear of judgment. Providing a non-threatening environment can reduce anxiety and build trust, fostering a sense of security that encourages the patient to open up when they feel ready, without feeling pressured or overwhelmed.
Choice B rationale
Encouraging immediate discussion with parents might be premature and perceived as a lack of understanding by the adolescent. Adolescents often value peer relationships and may find it difficult to express sensitive emotions to parents, especially after a traumatic event like an injury. This approach could increase their withdrawal and reluctance to communicate.
Choice C rationale
Focusing solely on physical care neglects the psychological and emotional needs of the adolescent, which are crucial for holistic recovery. Emotional distress can hinder physical healing and overall well-being. Avoiding emotional support can make the patient feel invalidated and isolated, potentially prolonging their withdrawal and emotional distress.
Choice D rationale
Assigning a withdrawn adolescent to a shared room without prior assessment or consent can exacerbate their anxiety and discomfort. While socialization is important, forcing it upon a patient who is already withdrawn can be counterproductive, potentially leading to increased stress and a further retreat into themselves rather than improving their social engagement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A patient denying suicidal thoughts today is a positive sign and suggests a temporary reduction in immediate risk. However, it does not negate the overall risk given a recent admission for suicidal ideation. Continuous monitoring and assessment are still required, as suicidal ideation can fluctuate. This statement provides a baseline but needs to be evaluated in the context of ongoing assessment.
Choice B rationale
A patient requesting to sleep alone with the door closed signifies a potential for isolation and an increased opportunity for self-harm, especially in a psychiatric setting where close observation is crucial for individuals with suicidal ideation. This statement demands immediate follow-up to assess the patient's current mental state, ensure safety, and implement appropriate suicide precautions.
Choice C rationale
A patient eating lunch with peers and laughing indicates positive social engagement and an improvement in mood. This is a favorable sign, suggesting a reduction in immediate distress and an increased capacity for social interaction, which is therapeutic. While continued monitoring is necessary, this statement does not require immediate follow-up for safety concerns related to suicidal ideation.
Choice D rationale
A patient stating sadness began after a pet died provides valuable insight into a potential trigger for their suicidal ideation. This information is important for therapeutic intervention and processing grief. While this is a significant piece of information, it is historical data that informs care planning rather than an immediate safety concern requiring urgent intervention compared to a direct request for isolation.
Correct Answer is A
Explanation
Choice A rationale
This choice is incorrect because Naegele's Rule involves adding seven days to the first day of the last menstrual period and then subtracting three months. Starting with September 17, adding seven days yields September 24. Subtracting three months from September 24 results in June 24, which is not the correct estimated delivery date according to the rule.
Choice B rationale
This choice is incorrect because applying Naegele's Rule requires a precise calculation. If the first day of the last menstrual period was September 17, adding seven days gives September 24. Subtracting three months from September 24 would result in June 24, not June 10, thus indicating an error in calculation for this option.
Choice C rationale
This choice is incorrect as it does not align with the application of Naegele's Rule. The rule specifies adding seven days to the LMP and subtracting three months. Starting from September 17, adding seven days brings it to September 24. Subtracting three months from September 24 mathematically leads to June 24, making June 20 an inaccurate calculation.
Choice D rationale
This choice is correct because Naegele's Rule is applied by adding seven days to the first day of the last menstrual period and then subtracting three months. With a last menstrual period of September 17, adding seven days results in September 24. Subtracting three months from September 24 accurately yields June 24 of the following year as the estimated date of delivery.
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