The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?
He has chosen a girl who is overly dependent on him. They should talk to him about making sure he meets his own needs, including doing the schoolwork he enjoys, in any relationship.
He is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so it would be helpful if they would make a schedule for him that includes about a half-hour per day to talk with his girlfriend.
He is not developmentally mature enough to have an intimate relationship with one girl; they should encourage him to spend time with groups of friends rather than time alone with his girlfriend.
He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with or talk to his girlfriend as long as he has completed his schoolwork for the day.
The Correct Answer is D
Choice A reason: Assuming the girlfriend is overly dependent lacks evidence and may alienate the teen. Encouraging balance with schoolwork while respecting his relationship fosters autonomy, making this judgmental and incorrect compared to supporting his developmental need for relationships while ensuring academic responsibilities are met.
Choice B reason: Imposing a strict schedule assumes immaturity and undermines a 16-year-old’s autonomy, potentially causing resistance. Allowing girlfriend time after schoolwork respects his developmental stage, making this overly controlling and incorrect compared to fostering independence while addressing the parents’ concerns about his behavior.
Choice C reason: Discouraging an intimate relationship ignores the 16-year-old’s developmental need for close bonds, which is normal. Permitting girlfriend time post-schoolwork balances responsibilities, making this restrictive and incorrect compared to supporting his social growth while ensuring he meets academic and extracurricular obligations.
Choice D reason: At 16, forming close relationships is a key developmental task for future adult bonds. Allowing girlfriend time after schoolwork respects his identity while addressing parental concerns, aligning with adolescent psychosocial development, making this the best suggestion to balance his needs and responsibilities effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.
Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.
Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.
Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.
Correct Answer is D
Explanation
Choice A reason: External fixation devices use pins and frames to stabilize bones externally, not covering the body like a cast. A spica cast encases the lower body, leaving feet open, making this incorrect for the treatment described in pediatric orthopedic care for lower body immobilization in children.
Choice B reason: Stockinette is a soft fabric used under casts for comfort, not a treatment covering the body. A spica cast fits the description of encasing the waist and legs, leaving feet open, making this incorrect for the specific orthopedic treatment discussed for children with disorders.
Choice C reason: Internal fixation devices, like plates or screws, are surgical implants, not external body coverings. A spica cast matches the description of covering the lower body with open feet, making this incorrect for the treatment used in pediatric orthopedic disorders requiring immobilization.
Choice D reason: A spica cast covers the lower body from the waist down, including one or both legs, while leaving the feet open, used for pediatric orthopedic conditions like hip dysplasia. This aligns with treatment descriptions, making it the correct choice for the question about orthopedic care.
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