Exam 36: Adolescent Psychiatric Nursing

When asked to manage the care of an intoxicated adolescent who was found drinking alcohol in the school bathroom,the school nurse should: (Select all that apply.)

A parent reports,"My adolescent sometimes acts like an adult and at other times like a child." The nurse reassures the parent,explaining that this represents an expected attempt to cope with changes in which developmental area?

A father drags his adolescent to the nurse's office at school and says,"I caught him trying to run away from school again." The nurse should initially:

An adolescent is just beginning individual therapy.The nurse suspects the adolescent is demonstrating resistance when stating:

Which intervention by the nurse would be the most therapeutic when a student reports witnessing a depressed teenager put a gun into a locker?

Which behavior would indicate to the nurse that an adolescent has entered the third stage of substance abuse? The adolescent:

An adolescent says,"What am I supposed to do? My parents are so strict.They never let me do anything or go anywhere with my friends." Which nursing intervention would be most effective?

An adolescent refuses to go to gym class after classmates jokingly called two freckles under his nipples extra breasts.Which intervention would be most therapeutic for this adolescent?

A parent calls the school nurse to say,"My teenager got a forearm tattoo without my permission and won't be returning to school.We will educate our child at home,away from all the evil influences at your institution." Which is the most appropriate initial action for a school nurse to take?

A nurse would be most concerned about the risk of suicide in which adolescent?

Which nursing intervention would be most effective when assisting an adolescent whose best friend recently committed suicide?

An adolescent relates a mutual masturbatory experience to a nurse and says,"I think I'm a homosexual." Which statement by the nurse with respect to the patient's development stage is most appropriate?

Which statement would be the most therapeutic initially when interviewing an adolescent who attempted suicide in the school bathroom?

Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the treatment plan? The adolescent:

An adolescent currently being treated for aggressive behavior says,"I need to tell you something very important,but first you have to promise not to tell anyone else." Which communication by the nurse would be most therapeutic?

A teacher shows a nurse an adolescent's textbook that has been defaced with sexually explicit drawings and asks,"Do you think that this student is being molested at home?" The nurse responds most therapeutically by:

A parent shares with a nurse a concern that an adolescent "constantly reads about Hitler and watches history television programs that show concentration camp footage." Which statement would be the most therapeutic response?

An adolescent self-mutilates by cutting.Which strategy would best support the child in eliminating these urges initially?

When a teacher reports that an adolescent has begun failing in class and is isolated from friends during laboratory sessions,the nurse responds most therapeutically by stating:

Since the divorce of parents 6 months ago,an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses.Which nursing intervention would be most therapeutic in this situation?