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.”. .
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Making a personal introduction to the client at each interaction is a recommended approach for clients with dementia. It helps to orient the client and establish a connection, which can reduce confusion and anxiety.
Choice B rationale:
Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.
Choice C rationale:
Choice D rationale:
Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.
Correct Answer is A
Explanation
Choice A rationale:
Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.
Choice B rationale:
Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.
Choice C rationale:
There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.
Choice D rationale:
Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.
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