A nurse is assisting with the care of a newborn.

For each potential nursing intervention, click to specify if the action appropriate, nonessential, or contraindicated for the newborn.

A. Encourage the parents to remain in the room: Adolescents benefit from privacy during a physical examination to promote trust, autonomy, and open communication about sensitive issues. Parents may be asked to step out during parts of the exam, so keeping them present at all times is not recommended.

B. Avoid using medical terminology during the examination: While explanations should be clear, avoiding all medical terminology can limit the adolescent’s understanding. Using age-appropriate language along with brief medical terms helps the adolescent learn about their health and fosters health literacy.

C. Allow the adolescent to handle the equipment: Allowing the adolescent to interact with examination tools (e.g., stethoscope, blood pressure cuff) reduces anxiety, promotes engagement, and increases cooperation. Hands-on involvement empowers the adolescent and helps them feel more comfortable during the assessment.

D. Limit the adolescent's choices throughout the examination: Providing choices whenever possible, such as the order of nonurgent assessments or clothing options, supports autonomy and collaboration. Restricting choices can increase resistance and reduce the adolescent’s comfort.

A. "I never did anything to deserve this.": This statement reflects feelings of anger and unfairness, which are characteristic of the anger stage of grief. The client is focusing on perceived injustice rather than attempting to negotiate or make promises to change outcomes.

B. "I'm going through a rough time, but things will improve.": This statement demonstrates hopefulness and optimism, which aligns more with denial or an attempt at coping. It does not indicate bargaining or negotiating to delay or change the outcome of the terminal illness.

C. "I need to see my child graduate from college before I go.": This statement reflects the bargaining stage of grief, where the client may make promises or set conditions in an attempt to postpone death or alter the outcome. It often involves “if only” thinking or focusing on specific events they hope to witness.

D. "I need to update my will as soon as possible.": Preparing legal documents or organizing affairs reflects acceptance of the terminal illness rather than bargaining. The client is acknowledging the inevitability of death and planning accordingly, which aligns with the acceptance stage of grief.