A nurse is assisting in the care of an adolescent who states, "I hate living at home. It's impossible to please my parents." Which of the following responses should the nurse make?

"Your parents care for you and want what's best for you."

"Let's talk about your relationship with your parents."

"Why do you think your parents are hard to please?"

"Things will get better as time goes on."

Answer and Explanation

The Correct Answer is B

Choice A reason: While this statement might be true, it can come across as dismissive or invalidating the adolescent's feelings. The nurse's goal should be to listen and understand the adolescent's perspective, rather than making assumptions about the parents' intentions.

Choice B reason: This response opens up a conversation about the adolescent's feelings and experiences regarding their relationship with their parents. It shows empathy and a willingness to understand the adolescent's perspective, which can help build trust and rapport. By exploring the relationship, the nurse can gather more information and provide appropriate support and guidance.

Choice C reason: Asking "Why do you think your parents are hard to please?" can come across as confrontational or judgmental. It might make the adolescent feel defensive or misunderstood. The nurse should focus on creating a supportive environment for the adolescent to express their feelings without feeling judged.

Choice D reason: Telling the adolescent that "Things will get better as time goes on" can seem dismissive and may not address the immediate concerns and feelings the adolescent is experiencing. It is important for the nurse to validate the adolescent's feelings and offer support and understanding in the present moment.

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Correct Answer is B

Explanation

Choice A reason: A decrease in appetite is not a typical effect of starting a nicotine transdermal system. In fact, individuals may experience an increase in appetite and potential weight gain after quitting smoking, as nicotine acts as an appetite suppressant. It is important for clients to be aware of this potential change so they can plan healthy eating habits and manage their weight effectively.

Choice B reason: Nicotine replacement therapy, including the nicotine transdermal system, is designed to help minimize symptoms of nicotine withdrawal. These symptoms can include cravings, irritability, anxiety, and difficulty concentrating. By providing a controlled release of nicotine, the transdermal system helps reduce the intensity of withdrawal symptoms and supports the quitting process.

Choice C reason: It is unrealistic to expect clients to stop smoking immediately after starting a nicotine transdermal system. The goal of nicotine replacement therapy is to gradually reduce dependence on nicotine while managing withdrawal symptoms. Clients are often encouraged to set a quit date and use the transdermal system as part of a comprehensive plan to stop smoking over time.

Choice D reason: Applying a new patch every 4 hours is incorrect and impractical. Nicotine transdermal patches are typically designed to be worn for 16 to 24 hours, depending on the specific product. Clients should follow the manufacturer's instructions and their healthcare provider's guidance for the proper use of the patch, usually replacing it once a day.

A. Encourage the client to participate in a board game. B. Touch the client on the shoulder to console them. C. Bring a security guard whenever approaching the client. D. Use a calm, clear tone when speaking to the client.

Correct Answer is D

Explanation

Choice A reason: Encouraging the client to participate in a board game may be helpful for social interaction and engagement, but it is not the most appropriate intervention to address hostile verbal outbursts. Engaging in activities like board games can be beneficial for overall mental health, but the immediate issue of managing aggression requires more direct strategies.

Choice B reason: Touching the client on the shoulder to console them is not advisable in this situation. Physical contact can be misinterpreted by clients with schizophrenia and may escalate their agitation or aggression. It is important to maintain personal boundaries and use verbal communication to convey support and reassurance.

Choice C reason: Bringing a security guard whenever approaching the client can create an atmosphere of fear and mistrust. It is important to establish a therapeutic relationship built on trust and respect. While safety is a priority, using calm communication and de-escalation techniques is preferable to prevent hostile behavior.

Choice D reason: Using a calm, clear tone when speaking to the client is an effective intervention for managing hostile verbal outbursts. Calm communication helps de-escalate the situation and prevents further agitation. It shows the client that the nurse is in control and can provide a stable, reassuring presence, which is essential for building trust and maintaining a therapeutic environment.

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A nurse is assisting in the care of an adolescent who states, "I hate living at home. It's impossible to please my parents." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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