The nurse identifies which of the following statements by an adolescent as a priority?
"I like a boy in my class, but he doesn't like me."
"I skip breakfast and lunch because I weigh more than my friends do."
"I like the kids in drama but they get picked on."
"My mom wants me to be a plumber, but I don't want to."
The Correct Answer is B
Choice A reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a crush or a rejection, which are common and normal feelings for their age. The nurse should listen and empathize with the adolescent, but also reassure them that there are other people who like and care for them, and that their self-worth is not dependent on one person's opinion.
Choice B reason: This is the statement that the nurse should prioritize. The adolescent may be suffering from an eating disorder or a body image disturbance, which are serious and potentially life-threatening conditions. The nurse should assess the adolescent's weight, height, vital signs, and nutritional intake, and refer them to a specialist if needed. The nurse should also educate the adolescent on the dangers of skipping meals, the benefits of a balanced diet, and the importance of self-acceptance and self-esteem.
Choice C reason: This is not the statement that the nurse should prioritize. The adolescent may be facing a peer pressure or a bullying situation, which are common and challenging issues for their age. The nurse should support and encourage the adolescent to pursue their interests and hobbies, and to stand up for themselves and others. The nurse should also help the adolescent to develop coping skills, such as assertiveness, problem-solving, and stress management.
Choice D reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a role conflict or a career dilemma, which are common and normal dilemmas for their age. The nurse should respect and acknowledge the adolescent's preferences and aspirations, and help them to explore their options and potentials. The nurse should also facilitate a communication and understanding between the adolescent and their parent, and help them to reach a compromise or a solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Parallel play is a type of play that occurs when toddlers play near each other, but not with each other. They may use similar toys or activities, but they do not interact or share. Parallel play is a normal and common stage of play development for toddlers, as they are still learning to socialize and cooperate with others.
Choice B reason: This is not a likely type of play for toddlers. Use aggressive interactions is a behavior that involves hitting, biting, pushing, or yelling at other children. It may occur when toddlers are frustrated, angry, or jealous, or when they do not have the language or social skills to express their feelings or needs. Use aggressive interactions is not a desirable or appropriate behavior for toddlers, and it should be discouraged and corrected by adults.
Choice C reason: This is not a likely type of play for toddlers. Demonstrate fear is an emotion that involves feeling scared, anxious, or nervous about something. It may occur when toddlers are exposed to unfamiliar or threatening situations, people, or objects. Demonstrate fear is not a type of play, but a reaction that may prevent toddlers from playing or exploring.
Choice D reason: This is not a likely type of play for toddlers. Join in with the other children is a type of play that occurs when toddlers play together, cooperate, and share. They may use the same toys or activities, and interact with each other. Join in with the other children is a more advanced stage of play development for toddlers, as it requires more language and social skills. Most toddlers are not ready for this type of play until they are older.
Correct Answer is D
Explanation
Choice A reason: This is not a useful intervention for improving the self-concept of an older adult. Allowing the clothing to remain soiled after spilling may make the older adult feel dirty, embarrassed, or neglected. It may also increase the risk of infection or skin irritation. The nurse should help the older adult to change into clean clothing as soon as possible, and respect their dignity and comfort.
Choice B reason: This is not a useful intervention for improving the self-concept of an older adult. Encouraging them to wear clothes that are bigger so it is easier to put on may make the older adult feel unattractive, insecure, or incompetent. It may also affect their mobility and safety, as the clothes may be too loose or long. The nurse should help the older adult to wear clothes that fit well and suit their preferences and abilities.
Choice C reason: This is not a useful intervention for improving the self-concept of an older adult. Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room, may make the older adult feel lazy, depressed, or isolated. It may also affect their appetite and socialization, as the pajamas may indicate a lack of interest or readiness. The nurse should help the older adult to dress appropriately for the time and place, and encourage them to participate in activities and interactions.
Choice D reason: This is the best answer. Helping them fix their hair and wear properly fitting, clean clothing is a useful intervention for improving the self-concept of an older adult. It may make the older adult feel attractive, confident, and respected. It may also enhance their physical and mental health, as the hair and clothing may reflect their hygiene and mood. The nurse should help the older adult to maintain their personal appearance and style, and support their self-esteem and self-image.
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