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 A
Explanation
Choice A reason: Consistent rules help toddlers understand expectations, fostering predictable behavior and security. This aligns with pediatric developmental discipline strategies, making it a correct point to teach parents, as it supports effective toddler behavior management and reduces confusion during disciplinary interactions.
Choice B reason: Scolding with labels like “naughty” shames toddlers, hindering self-esteem and learning. Consistency and boundaries teach effectively without negativity, making this incorrect, as it promotes ineffective discipline that may emotionally harm toddlers rather than guide their behavior constructively in the class.
Choice C reason: Toddlers begin learning self-control around 2, not 3-4 years, through guidance and boundaries. Consistency supports this, making this incorrect, as it underestimates toddlers’ capacity for early self-regulation when provided with appropriate disciplinary structures in a parenting education setting.
Choice D reason: Immediate addressing of behavior is ideal but not always necessary; delayed correction can still teach toddlers. Consistency and boundaries are more foundational, making this partially correct but incorrect for prioritization compared to the broader principles of discipline taught in the class.
Choice E reason: Boundaries provide toddlers with structure, promoting safety and behavioral learning even at a young age. This aligns with pediatric discipline principles, making it a correct point to emphasize, as it helps parents establish a framework for effective toddler behavior management in daily interactions.
Correct Answer is C
Explanation
Choice A reason: Gown, handwashing, and gloves are used for contact precautions, not droplet precautions, which require a mask to prevent respiratory droplet transmission. Pneumonia spreads via droplets, making gowns and gloves excessive, and this combination incorrect for the specific infection control needed in this scenario.
Choice B reason: Handwashing and gloves protect against contact transmission but do not address respiratory droplets in pneumonia, which requires a mask. Droplet precautions prioritize airway protection, making this incomplete and incorrect for the nurse’s protective measures in caring for a child with pneumonia.
Choice C reason: Droplet precautions for pneumonia require a mask to block respiratory droplets and handwashing to prevent fomite transmission. This combination aligns with infection control guidelines for droplet-borne infections, making it the correct choice for the nurse’s protective measures in this clinical scenario.
Choice D reason: Gown, gloves, and mask are used for airborne or contact precautions, not droplet precautions. Pneumonia requires only a mask and handwashing, as droplets are the primary transmission mode, making this excessive and incorrect for the specific precautions needed for this child’s care.
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