A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?

offer the client antiemetic

Notify the provider of the situation

Administer a sedative to calm the client.

initiate the IV per the parent's request.

Answer and Explanation

The Correct Answer is B

A.   Offering the client an antiemetic doesn't address the issue of refusal of treatment.
B.   In this situation, the nurse should notify the provider of the conflict between the client's refusal of treatment and the parent's insistence, allowing for further assessment and intervention.
C.   Administering a sedative to calm the client is not appropriate without further assessment and consent.
D.   Initiating an IV per the parent's request doesn't address the ethical and legal complexities involved in a competent minor's refusal of treatment.

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Correct Answer is C

Explanation

A. While staying with the child until they fall asleep might provide immediate comfort, it might not address the underlying fear of monsters and might create a dependency on the parent's presence.
B. Dismissing the child's fear by stating that monsters are not real might invalidate the child's feelings and not effectively address the fear.
C. Using a night light can provide a sense of security and diminish the fear of monsters by illuminating the room, making it less scary for the child.
D. Allowing the child to sleep in the parent's bed might temporarily alleviate fear but might not address the fear of monsters in the long run and could create sleep dependency.

A. "This puts you in an at-risk category." B. "We need to talk about safe sex." C. "You're not gay, you're confused." D. "Tell me what makes you think you are gay."

Correct Answer is D

Explanation

A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closets at bedtime. Which one of the following statements should the nurse make?

Correct Answer is C

Explanation

During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

Correct Answer is D

Explanation

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

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