A nurse in a clinic is caring for an adolescent.
The adolescent is at greatest risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The adolescent is at greatest risk for: i. Impaired social interaction as evidenced by the adolescent's ii. discourteous behavior.
Rationale: The adolescent's behavior, such as sneaking out, roaming the neighborhood alone, and not following teachers' directions, indicates difficulties in interacting appropriately within social contexts and respecting boundaries, which can lead to impaired social interactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Stand directly in front of the client when talking. Standing directly in front of a client with a history of anger and aggression can be perceived as confrontational and may escalate the situation. It's better to stand at an angle and maintain an open posture to appear less threatening. Therefore, this choice is incorrect.
B. Avoid wearing necklaces during client care. Wearing necklaces or other loose jewelry can pose a safety risk if a client becomes aggressive and grabs them. Avoiding such items is a precaution to prevent potential harm. This choice is correct.
C. Provide immediate verbal feedback for escalating behavior. Providing immediate verbal feedback is important to de-escalate aggressive behavior by addressing it promptly and setting clear boundaries. This helps in managing the client's behavior effectively. This choice is correct.
D. Bring security with you for all client interactions. While bringing security can be necessary in certain high-risk situations, it is not appropriate or practical for all interactions and can increase the client's anxiety or aggression. Instead, security should be involved based on risk assessment and the specific context. Therefore, this choice is incorrect.
E. Review the layout of the facility. Knowing the layout of the facility is important for ensuring safety and planning escape routes if a situation becomes unsafe. It helps staff navigate the environment efficiently in case of an emergency. This choice is correct.
Correct Answer is A
Explanation
A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities: This is the correct approach according to child protection guidelines. School personnel are mandated reporters and must report suspected abuse or neglect to protect the child's safety.
B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion: This approach can inadvertently pressure the child and is not recommended as it may lead to further distress or inaccurate information.
C. Respect the child's privacy and wait for them to share information about the injuries voluntarily: While respecting privacy is important, child protection takes precedence when there are signs of abuse or neglect.
D. Document and discuss the observations with the child's teacher to gather more information: While documentation is important, it should not delay reporting suspected abuse or neglect to the appropriate authorities.
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