The nurse identifies which of the following statements by an adolescent as a priority?
"I like a boy in my class, but he doesn't like me."
"I skip breakfast and lunch because I weigh more than my friends do."
"I like the kids in drama but they get picked on."
"My mom wants me to be a plumber, but I don't want to."
The Correct Answer is B
Choice A reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a crush or a rejection, which are common and normal feelings for their age. The nurse should listen and empathize with the adolescent, but also reassure them that there are other people who like and care for them, and that their self-worth is not dependent on one person's opinion.
Choice B reason: This is the statement that the nurse should prioritize. The adolescent may be suffering from an eating disorder or a body image disturbance, which are serious and potentially life-threatening conditions. The nurse should assess the adolescent's weight, height, vital signs, and nutritional intake, and refer them to a specialist if needed. The nurse should also educate the adolescent on the dangers of skipping meals, the benefits of a balanced diet, and the importance of self-acceptance and self-esteem.
Choice C reason: This is not the statement that the nurse should prioritize. The adolescent may be facing a peer pressure or a bullying situation, which are common and challenging issues for their age. The nurse should support and encourage the adolescent to pursue their interests and hobbies, and to stand up for themselves and others. The nurse should also help the adolescent to develop coping skills, such as assertiveness, problem-solving, and stress management.
Choice D reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a role conflict or a career dilemma, which are common and normal dilemmas for their age. The nurse should respect and acknowledge the adolescent's preferences and aspirations, and help them to explore their options and potentials. The nurse should also facilitate a communication and understanding between the adolescent and their parent, and help them to reach a compromise or a solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the correct answer. Self-esteem is the degree to which the client values and respects themselves. It affects the client's confidence, satisfaction, and happiness. It is influenced by the client's self-image, self-efficacy, and self-awareness. A client who believes they have the ability and aptitude to successfully complete a task may have a high self-esteem, but it is not the same as self-efficacy.
Choice B reason: This is not the correct answer. Self-concept is the overall perception and evaluation of the client's self. It includes the client's self-image, self-esteem, and self-efficacy. It is influenced by the client's personal, interpersonal, and environmental factors. A client who believes they have the ability and aptitude to successfully complete a task may have a positive self-concept, but it is not the specific term for their belief.
Choice C reason: This is the best answer. Self-efficacy is the confidence in one's ability to accomplish a specific task. It affects the client's motivation, performance, and persistence. It is influenced by the client's past experiences, vicarious learning, verbal persuasion, and emotional arousal. A client who believes they have the ability and aptitude to successfully complete a task has a high self-efficacy.
Choice D reason: This is not the correct answer. Self-image is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. It is influenced by the client's self-esteem, self-efficacy, and self-awareness. A client who believes they have the ability and aptitude to successfully complete a task may have a positive self-image, but it is not the same as self-efficacy.
Correct Answer is D
Explanation
Choice A reason: This is not a statement that shows an understanding of safety. A fluffy pillow can pose a suffocation risk for a 10-month old baby, who may not be able to move their head away from it. The nurse should educate the parent on the safe sleep practices for infants, such as placing the baby on their back, using a firm and flat surface, and avoiding soft bedding and toys in the crib.
Choice B reason: This is not a statement that shows an understanding of safety. A car seat on the table can be unstable and fall off, causing injury to the baby. The nurse should instruct the parent on the proper use and installation of the car seat, such as securing it in the back seat of the car, facing the rear, and using the harness straps and clips correctly.
Choice C reason: This is not a statement that shows an understanding of safety. Whole milk is not recommended for a 10-month old baby, who may not be able to digest it well and may develop an allergy or intolerance. The nurse should advise the parent on the appropriate nutrition for infants, such as breastfeeding or formula feeding until 12 months, and introducing solid foods gradually and with caution.
Choice D reason: This is the best answer. A crib mattress in the low position is safer for a 10-month old baby, who may be able to pull themselves up and try to climb out of the crib. The nurse should commend the parent on this action and remind them to check the crib for any hazards, such as loose screws, gaps, or sharp edges.
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