A nurse is preparing to perform a physical examination for a 16-year-old adolescent. Which of the following actions should the nurse plan to take?
Encourage the parents to remain in the room.
Avoid using medical terminology during the examination.
Allow the adolescent to handle the equipment.
Limit the adolescent's choices throughout the examination
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Basketball: Basketball is a high-impact, contact sport that involves frequent running, jumping, and potential collisions with other players. Children with hemophilia are at increased risk for joint and soft tissue bleeding from trauma, so participation in basketball is not recommended.
B. Gymnastics: Gymnastics involves tumbling, jumping, and apparatus use, which can lead to falls and injuries. These activities carry a high risk of trauma-induced bleeding for children with hemophilia, making it an unsafe choice.
C. Swimming: Swimming is a low-impact sport that promotes cardiovascular fitness, muscle strength, and joint mobility without significant risk of trauma. Water-based activities are safe for children with hemophilia, providing exercise benefits while minimizing bleeding risk.
D. Golf: Golf is a non-contact, low-impact sport that allows children to participate safely without high risk of injury. It promotes coordination, concentration, and mild physical activity without placing stress on joints or increasing the likelihood of bleeding.
E. Soccer: Soccer is a contact sport with frequent running, collisions, and potential falls, increasing the risk of bleeding in joints and muscles. For children with hemophilia, soccer is generally considered unsafe due to the high potential for injury.
Correct Answer is C
Explanation
A. Accountability: Accountability refers to the nurse being responsible for their actions, decisions, and the outcomes of care provided. While important, simply explaining the purpose of a medication does not directly demonstrate accountability.
B. Autonomy: Autonomy involves supporting a client’s right to make informed decisions about their own care. The nurse’s explanation provides information but does not itself constitute enabling the client’s decision-making; additional discussion and consent would be required to demonstrate autonomy.
C. Veracity: Veracity is the ethical principle of truthfulness. By accurately explaining that furosemide is a diuretic that removes excess fluid, the nurse is providing truthful, clear information, allowing the client to understand their treatment and fostering trust.
D. Justice: Justice involves treating clients fairly and equitably, ensuring equal access to care and resources. Explaining the purpose of a prescribed medication is not an example of justice, as it pertains to truthful communication rather than fairness or resource allocation.
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