A nurse is caring for an adolescent who was recently sexually assaulted.
Which of the following statements by the adolescent's guardian represents the presence of a positive support system? .

"I anticipate that my child will feel some self-blame.”.

"I will have to do all I can to monitor my child's relationships.”. .

"I should encourage my child to focus solely on the future.”. .

"I can encourage my child to think about what they did that allowed this event to happen.”. .

Answer and Explanation

The Correct Answer is A

The correct answer is choice A: "I anticipate that my child will feel some self-blame."

Choice A rationale: Recognizing that the adolescent may experience self-blame demonstrates understanding and empathy from the guardian. This statement suggests that the guardian is aware of potential emotional challenges the adolescent might face and can provide appropriate support.

Choice B rationale: While monitoring relationships may come from a place of concern, overly controlling behavior could potentially harm the adolescent's social development and trust in their support system.

Choice C rationale: Encouraging the adolescent to focus solely on the future might dismiss their current emotional state and the importance of processing their feelings. A positive support system should provide space for the adolescent to work through their emotions.

Choice D rationale: Encouraging the adolescent to think about what they did that allowed the event to happen can promote feelings of guilt and self-blame. This approach is not supportive and could exacerbate the adolescent's trauma.

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Correct Answer is B

Explanation

Choice A rationale:

This statement indicates a delusion, not a command hallucination. Delusions are fixed false beliefs that are not based in reality.

Choice B rationale:

This statement indicates a command hallucination. Command hallucinations involve hearing voices that direct the person to take action.

Choice C rationale:

This statement indicates paranoia, not a command hallucination. Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution or threat.

Choice D rationale:

This statement indicates a visual hallucination, not a command hallucination. Visual hallucinations involve seeing things that aren’t there.

A. Attending a cognitive behavioral therapy class. B. Taking an experimental medication. C. Receiving light therapy. D. Participating in a group exercise program.

Correct Answer is B

Explanation

Choice A rationale:

Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.

Choice B rationale:

Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.

Choice C rationale:

Light therapy is a non-invasive treatment and does not typically require informed consent.

Choice D rationale:

Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.

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A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system? .

Nursing Test Bank

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A nurse is caring for an adolescent who was recently sexually assaulted.
Which of the following statements by the adolescent's guardian represents the presence of a positive support system? .