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: Interesting textures may intrigue older infants but can overwhelm new eaters, risking rejection. Bland foods are better tolerated initially, making this less suitable and incorrect compared to the nurse’s focus on foods infants accept best when introducing solids in the class.
Choice B reason: Well-heated foods risk burns and aren’t preferred by infants, who tolerate room-temperature or slightly warm foods. Bland flavors are more acceptable, making this incorrect, as it doesn’t address the taste preference infants respond to best when starting solid foods in the diet.
Choice C reason: Bland foods are gentle on infants’ sensitive palates, encouraging acceptance when introducing solids. This aligns with pediatric nutrition guidelines for transitioning diets, making it the correct factor for the nurse to highlight in teaching parents about starting solid foods for infants.
Choice D reason: Thickened foods may pose choking risks or be hard to swallow for new eaters. Bland foods are more readily accepted, making this incorrect, as it doesn’t prioritize the flavor profile infants respond to best when introducing solid foods in the parent education class.
Correct Answer is D
Explanation
Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.
Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.
Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.
Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.
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