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 ["A","B","C","D"]
Explanation
Choice A reason: This is a correct answer. Second-hand smoke is the smoke that is exhaled by a smoker or emitted by a burning cigarette, cigar, or pipe. It contains many harmful chemicals that can cross the placenta and affect the developing fetus. Second-hand smoke can increase the risk of low birth weight, preterm birth, congenital anomalies, and sudden infant death syndrome (SIDS) .
Choice B reason: This is a correct answer. Drugs including alcohol are substances that can alter the mood, perception, or behavior of the user. They can also cross the placenta and affect the developing fetus. Drugs including alcohol can cause fetal alcohol spectrum disorders (FASDs), neonatal abstinence syndrome (NAS), growth restriction, brain damage, and birth defects .
Choice C reason: This is a correct answer. Infections are diseases that are caused by microorganisms, such as bacteria, viruses, fungi, or parasites. They can also cross the placenta and affect the developing fetus. Infections can cause miscarriage, stillbirth, preterm labor, congenital infections, and congenital anomalies .
Choice D reason: This is a correct answer. Metabolic conditions are disorders that affect the body's ability to produce or use energy, such as diabetes, thyroid disease, or phenylketonuria (PKU). They can also cross the placenta and affect the developing fetus. Metabolic conditions can cause macrosomia, hypoglycemia, congenital hypothyroidism, or intellectual disability .
Choice E reason: This is not a correct answer. Processed foods are foods that have been altered from their natural state, such as canned, frozen, or packaged foods. They may contain additives, preservatives, or artificial flavors or colors. They do not cross the placenta and affect the developing fetus directly, but they may affect the mother's nutrition and health. Processed foods may increase the risk of obesity, hypertension, or gestational diabetes, which can indirectly affect the fetal development .
Correct Answer is B
Explanation
Choice A reason: This is not the main purpose of educating the client. The client may or may not teach others about their medications, but that is not the nurse's responsibility.
Choice B reason: This is the best answer. Educating the client helps them understand their health status, treatment options, and self-care needs. This empowers them to make informed decisions that affect their health and well-being.
Choice C reason: This is not a valid reason for educating the client. The client may still need the nurse's assistance even after receiving education. The nurse's role is to support the client, not to make them independent.
Choice D reason: This is not a good reason for educating the client. The client should not advise others on their medical conditions, as this may lead to misinformation or harm. The client should refer others to qualified health professionals for advice.
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