The parents of a 14-year-old boy express concern over their child's rebellious behavior. The nurse should plan to respond to the parents' concern by informing them that their:

Child should be referred to a juvenile correctional facility

Child's behavior is normal because the adolescent is trying to adjust to his emerging identity

Child's behavior is a matter of concern because he is likely conflicted about establishing companionship with a partner

Child's behavior is expected because he is expressing his need to support future

Answer and Explanation

The Correct Answer is B

A.   Referring to a correctional facility is inappropriate for normal adolescent behavior.
B.   Rebellious behavior is typical during adolescence as individuals explore their identity and independence.
C.   While relationships can be a source of conflict, the statement generalizes the behavior too broadly.
D.   The response is unclear and does not adequately address the parents’ concerns about typical
adolescent behavior.

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Correct Answer is D

Explanation

A. Inserting an indwelling urinary catheter could increase the risk of infection rather than prevent skin impairment.
B. Limiting caloric and protein intake can negatively impact skin integrity.
C. While assessing for pain is important, turning the patient regularly is a more direct intervention to prevent skin breakdown.
D. Regular repositioning helps alleviate pressure on areas susceptible to skin impairment, making it the most effective intervention.

A. Prevent a shift in the nurse's base of support B. Narrow the base of support C. Allow the nurse to bring his or her feet close together D. Shift the center of gravity further away from the base of support

Correct Answer is A

Explanation

A. Raising the bed helps prevent a shift in the nurse's base of support, making it easier to maintain stability while providing care.
B. Narrowing the base of support can increase the risk of losing balance.
C. Bringing feet close together may compromise stability; maintaining a wider base is safer.
D. Shifting the center of gravity away can lead to instability; the goal is to keep it aligned over the base of support.

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The parents of a 14-year-old boy express concern over their child's rebellious behavior. The nurse should plan to respond to the parents' concern by informing them that their:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Of the following interventions, which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?

Correct Answer is D

Explanation

The nurse is providing care to a patient who is bedridden. To prevent fatigue, the nurse raises the height of the bed. The nurse understands that balance is maintained by raising the bed to:

Correct Answer is A

Explanation

The nurse using critical thinking skills to enhance communication with patients is one who:

The nurse is caring for a patient on Contact precautions. Which of the following actions would be appropriate to prevent the spread of disease?

The nurse is caring for a patient on Contact precautions. Which of the following actions would be appropriate to prevent the spread of disease?

The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. Immediately, the nurse assigns a nursing diagnosis of risk for injury with a goal for the patient to be safe. Which of the following actions should the nurse take first?

A patient is experiencing a subjective sense of numbing and a reduced awareness of surroundings. The patient is experiencing what ego defense mechanism?

The nurse is caring for a hospitalized patient. Which of the following behaviors alerts the nurse to consider the need for restraint?

The coordinated efforts of the musculoskeletal and nervous system maintain balance, posture, and body alignment. Body alignment refers to:

The patient is brought to the Emergency Department with possible injury to the left shoulder. Which area will the nurse assess to best determine joint mobility?