A nurse is conducting a health history of an adolescent who is accompanied by a parent. Which of the following interviewing techniques should the nurse use?
Use open-ended questions when asking the adolescent about their health history.
Communicate sympathy when asking the adolescent about their chief complaint.
Provide an opinion when discussing the adolescent's sexual history.
Interview the parent first when collecting the adolescent's health history.
The Correct Answer is A
A. Use open-ended questions when asking the adolescent about their health history: Open-ended questions encourage the adolescent to express concerns in their own words and promote trust and honesty. This approach supports accurate data collection and respects the adolescent’s developing autonomy and communication needs.
B. Communicate sympathy when asking the adolescent about their chief complaint: Expressing sympathy may unintentionally bias responses or shift focus away from objective data collection. Professional empathy and neutral listening are more appropriate to facilitate open communication.
C. Provide an opinion when discussing the adolescent's sexual history: Offering personal opinions can create discomfort, inhibit disclosure, and compromise therapeutic rapport. Sexual history should be explored in a nonjudgmental, factual manner to ensure accurate information.
D. Interview the parent first when collecting the adolescent's health history: Interviewing the parent first can limit the adolescent’s willingness to share sensitive information. Adolescents should be given the opportunity to speak privately to promote confidentiality and honest disclosure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fixed and dilated pupils: Fixed and dilated pupils typically indicate severe brain injury or increased intracranial pressure, which is unlikely in a minor head injury. These findings are more characteristic of significant trauma or neurological compromise rather than an expected symptom in minor cases.
B. Fever: Fever is not a direct consequence of a minor head injury. While infection or other complications can cause fever, it is not an expected finding immediately following a minor head trauma in an otherwise healthy adolescent.
C. Retinal hemorrhages: Retinal hemorrhages are usually associated with non-accidental trauma or severe head injuries. In a minor head injury from a typical accident, retinal hemorrhages are not expected and would warrant further investigation for other causes.
D. Vomiting: Vomiting is a common and expected symptom following a minor head injury, often due to transient increases in intracranial pressure or vestibular disturbance. It is frequently observed in adolescents after mild concussions and should be monitored for severity and frequency.
Correct Answer is ["B","E"]
Explanation
A. Feed the infant 1/2 tsp of honey daily: Honey should never be given to infants under 1 year due to the risk of botulism. This is unsafe and not recommended for managing colic.
B. Allow the infant to suck on a pacifier: Sucking on a pacifier can help soothe and calm infants, which may reduce crying episodes associated with colic. It is a safe and effective non-pharmacologic intervention.
C. Apply a hot water bottle to the infant's abdomen: Applying heat directly to an infant’s abdomen is unsafe because of the risk of burns. Warm baths or gentle tummy rubs are safer alternatives.
D. Offer the infant 1 oz of star anise tea: Herbal teas like star anise are not recommended for infants due to potential toxicity and lack of proven benefit in colic management.
E. Have the mother avoid milk products: If the infant is breastfed, maternal consumption of dairy can sometimes exacerbate colic due to sensitivity to cow’s milk proteins. A trial of eliminating milk products from the mother’s diet can help reduce symptoms.
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