A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system?

"I can encourage my child to think about what they did that allowed this event to happen."

"I should encourage my child to focus solely on the future."

"I will have to do all I can to monitor my child's relationships."

"I anticipate that my child will feel some self-blame."

Answer and Explanation

The Correct Answer is D

A.   This statement suggests a potential for victim-blaming or placing responsibility on the adolescent for the assault. It does not reflect a positive support system because it may contribute to feelings of guilt and shame in the adolescent. Victims of sexual assault should not be made to feel responsible for the actions of the perpetrator.
B.   While encouraging the adolescent to focus on the future can be positive, solely focusing on the future without acknowledging or processing the trauma of the assault may invalidate the adolescent's current feelings and experiences. A supportive approach involves acknowledging and validating the adolescent's emotions and experiences, both past and present.
C.   This statement may come from a place of concern for the adolescent's safety and well-being, which is understandable. However, it can also indicate a lack of trust or an overprotective stance that may not fully empower the adolescent to regain a sense of control over their life and decisions.
D.   This statement demonstrates an understanding of common reactions and emotions experienced by individuals who have been sexually assaulted. Acknowledging that the adolescent may feel self-blame can be a way to open up discussions about these feelings and reassure the adolescent that they are not at fault. It shows empathy and readiness to support the adolescent emotionally.

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Correct Answer is D

Explanation

A. Helping clients establish long-term goals can provide motivation and direction. However, while setting goals is important, it may not directly address immediate barriers to learning unless the goals are broken down into manageable steps that are relevant to the current learning session.
B. Teaching sessions should not be scheduled right before bedtime because older adults may be fatigued at the end of the day, which can impair their ability to concentrate and retain information. Fatigue can act as a barrier to effective learning.
C. Scheduling teaching sessions for a long duration could lead to cognitive overload and fatigue, which are significant barriers to learning.
D. This can help create a non-threatening learning environment and encourage open communication. This approach can reduce defensiveness and promote a collaborative atmosphere.

A. "The medication may cause ringing in my ears." B. "The medication may cause urinary incontinence." C. "I may be more sensitive to the sun while taking this medication." D. "I may experience a metallic taste while taking this medication."

Correct Answer is C

Explanation

A. Tinnitus, or ringing in the ears, is not a common side effect of haloperidol. Therefore, this statement does not indicate an accurate understanding of the medication's potential side effects.
B. Urinary incontinence is also not typically associated with haloperidol. Therefore, this statement does not reflect correct knowledge about the medication.
C. Haloperidol can indeed make individuals more sensitive to sunlight, and patients are often advised to avoid prolonged exposure to the sun and to use sunscreen when outdoors.
D. Haloperidol is not associated with any form of dygeusia

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A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

Explanation

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