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Homework answers / question archive / Lone Star College System, North Harris - PSYC 1301 Chapter 36: Adolescent Psychiatric Nursing Test Bank MULTIPLE CHOICE 1)An adolescent relates a mutual masturbatory experience to a nurse and says, “I think I’m a homosexual

Lone Star College System, North Harris - PSYC 1301 Chapter 36: Adolescent Psychiatric Nursing Test Bank MULTIPLE CHOICE 1)An adolescent relates a mutual masturbatory experience to a nurse and says, “I think I’m a homosexual

Psychology

Lone Star College System, North Harris - PSYC 1301

Chapter 36: Adolescent Psychiatric Nursing Test Bank

MULTIPLE CHOICE

1)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?

a.

“Adolescence is the common

time for sexual experimentation.”

b.

“It’s important to be happy with your sexuality, whatever it may

be.”

c.

“You might be bisexual. Tell me about your sexual behavior in

detail.”

d.

“It’s believed that many homosexual people begin to

experiment at your age.”

 

 

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

a.

Call the principal and request a locker search without breaching

confidentiality.

b.

Accompany the witness to the principal’s office to further

discuss what was seen.

c.

Call the police immediately and report that there is a student in

school with a gun.

d.

Call the parents of the depressed teen and ask them to come and

talk with their child.

 

 

 

  1. Which intervention would be the most therapeutic for the school nurse on the 1-year anniversary of a shooting that killed three of the school’s adolescent students?

a.

Plan a convocation for students, family, and teachers to revisit the

deaths and loss.

b.

Recommend that the principal cancel school for private

observances around the town.

c.

Plan a forum of commemoration for faculty, students, and family with grief counselors and experts

on violence prevention.

d.

Suggest to the principal that no specific acknowledgement be made in order to avoid reinforcing attention to the

violence that occurred.

 

 

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

a.

is abusing alcohol on the

weekends.

b.

has been caught smoking hash in

the school bathroom.

c.

admits to being curious about the alcohol in the family liquor

cabinet.

 

d.

has begun selling drugs at school to support a serious drug

addiction.

 

 

  1. Which nursing intervention would be most effective when assisting an adolescent who is in stage three of substance abuse?

a.

Recommend a drug-free self-help

group and family therapy.

b.

Provide drug education and drug-

free activities for the adolescent.

c.

Recommend hospitalization at a drug abuse center to facilitate

withdrawal.

d.

Provide anticipatory guidance to help the adolescent develop

healthy coping skills.

 

 

  1. 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?

a.

“Are there any other behavior

changes that concern you?”

 

b.

“Being interested in Hitler isn’t necessarily something to be

worried about.”

c.

“Have you ever talked with your child about how this interest in

Hitler concerns you?”

d.

“I’ll be happy to talk with your child, but anything I learn is

considered confidential.”

 

 

  1. 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.

Report the parent’s comments to

the school guidance counselor.

b.

Invite the parent to meet with the nurse and guidance

counselor.

c.

Educate the parent that to some

people a tattoo is considered “body art.”

d.

Share with the parent that many students get tattoos as a sign of

independence.

 

 

  1. 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:

a.

“Let’s discuss this. The symptoms of adolescent depression can look very different from those of adult

depression.”

b.

“Have you set limits on the student’s behavior and called for an immediate family

intervention?”

c.

“I’ll call the student’s parents and see if I can get their permission to assess for possible

depression.”

d.

“Have you noticed whether others have been bullying the

student in your class?”

 

 

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

a.

“Can you tell me what you were thinking that caused you to

attempt suicide?”

b.

“It appears that you were really interested in letting your classmates know you were

angry.”

c.

“If you are willing to discuss the

 

 

reasons you wanted to die, I’m

certainly willing to listen to you.”

d.

“How do you feel I can help you, since most suicide attempts are

really cries for help?”

 

 

  1. 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.

identifying for the teacher that this is fairly normal adolescent behavior but encouraging the teacher to continue to monitor

the child.

b.

seeing the adolescent immediately to discuss the drawings and calling social

services to report the situation.

c.

asking the teacher what the adolescent said about the drawings and then giving direct attention to the behavior and its

implications.

d.

instructing the teacher to call the parents and have them come to the school immediately so the situation can be discussed with

the principal.

 

 

 

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

a.

Arrange for crisis intervention therapy for the adolescent

lasting at least 1 year.

b.

Establish a trusting relationship while periodically assessing the

adolescent for depression.

c.

Encourage the adolescent to meet weekly for lunch and discussion regarding the feelings

of loss.

d.

Perform an ongoing mental status and lethality assessment every month for a period of no

less than 6 months.

 

 

  1. 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?

a.

To determine the extent of the countertransference, ask the adolescent, “Why do you think a

nurse could help?”

b.

Maintain a balanced stance with the adolescent, but plan to teach the parents to gradually allow for

independence.

c.

To establish trust, tell the adolescent that the nurse will strongly encourage the parents to allow more opportunities for

independence.

d.

In order to encourage dialogue,

 

 

ask the adolescent to provide specific examples and situations in which the parents acted

strictly.

 

 

  1. 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?

a.

Ask the student to discuss what

is happening on Fridays.

b.

Call the student’s parents to determine their view concerning

the behavior.

c.

Request that the school counselor invite the student’s

parents for a family meeting.

d.

Arrange for an examination including diagnostic testing to

rule out any medical illnesses.

 

 

  1. Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the

 

treatment plan? The adolescent:

a.

says, “I’m ready to get started,

but I’m just a little worried.”

b.

becomes tearful, and the voice

quivers while saying, “goodbye.”

c.

says, “I never thought I’d be

sorry to stop coming here!”

d.

writes a note sharing fears of

relapsing once independent.

 

 

  1. 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.

“As you know nurses are obligated to document patient conversations, but I can be trusted not to tell anyone else but staff what you share with

me.”

b.

“A nurse has a sacred responsibility to advocate for our patients, and I have taken an oath to maintain the confidentiality of all my

patients.”

c.

“I am very discrete when it comes to issues my patients discuss with me when they consider the topics to be serious

or important.”

d.

“I will always maintain your confidence except when I think

that what you tell me might place you or others in danger.”

 

 

 

  1. 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.

Reassure him that they are freckles not extra breasts, and send the student back to the

gym to play basketball.

b.

Acknowledge the student’s self- consciousness while reflecting the reality that the statement

was made as an insensitive joke.

c.

Call the principal and explain the situation and the possibility that the school may be experiencing a bullying problem that focuses

on anatomy jokes.

d.

Inform his parents of their child’s concerns, and suggest they have a discussion about hurtful joking and age appropriate anatomy to

deal with the issue.

 

 

  1. 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:

a.

ask the child why he feels a need

 

 

to keep running away.

b.

inform the parent that these actions could be considered

physical abuse.

c.

refer both the adolescent and the parent to the local juvenile

justice authorities.

d.

encourage the parent and child to talk with the nurse about the

current problems.

 

 

  1. 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.

Sexual behavior

b.

Peer pressure

c.

Social role

d.

Identity

 

 

  1. An adult states, “When I was young, I would never have even thought of being disrespectful or being disobedient to my parents.” The nurse gains insight that supports the theory that this adult was probably raised in a home with which parenting style?

a.

Authoritarian

 

b.

Traditional

c.

Democratic

d.

Permissive

 

 

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

a.

A 13-year-old girl with poor

school performance

b.

A 14-year-old male exhibiting

hostile behavior

c.

A 17-year-old female with alcohol

abuse issues

d.

An 18-year-old male with

relationship problems

 

 

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

a.

Encourage the adolescent to identify and verbalize feelings

rather than acting them out.

b.

Encourage the adolescent to select individuals to call when

the urge to self-mutilate occurs.

c.

Teach the adolescent stress

management techniques to

 

 

reduce impulsivity, such as

counting to 10.

d.

Teach the adolescent to use distraction techniques, such as snapping a rubber band, when

destructive urges arise.

 

 

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

a.

“There isn’t anything so wonderful about this kind of

therapy.”

b.

“I’m really busy and may miss some of our meetings because of

things I have to do.”

c.

“I don’t really need to be here. It’s my parents who have the real

problems, not me.”

d.

“It is so embarrassing to have to come here and talk with someone I hardly know about my

problems.”

 

 

MULTIPLE RESPONSE

 

1. 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.

arrange for the adolescent to

sleep in a safe place.

b.

report the adolescent’s drinking

to the local police.

c.

inform the parents that the child

will be suspended.

d.

call the parents to notify them of

the situation.

e.

notify the school’s alcohol

counselor.

 

 

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