crisis

A 2½-year-old child is admitted for treatment of injuries supposedly sustained in a fall down a flight of stairs. Which statements are more likely to come from a parent who engages in child abuse?

"Trial and error is a way for kids to learn about accidents and dangers." "Every time I turn around the kid is falling over something." "This child is adventurous and doesn't understand about getting hurt." "The kid didn't have a problem using the stairs without my help before this." "Little kids are always on the go, and I just can't keep running after him."

Which initial question by the nurse would be most therapeutic to alleviate the anxiety of the client who is pacing the floor and appears extremely anxious?

"Where would you like to walk with me?"

Which statement best defines a crisis?

A threat to equilibrium

Which behavior would the nurse observe in a child with oppositional defiant disorder?

Deliberately annoys others

Which goal is applicable to adolescents with conduct disorder?

Demonstration of respect for the rights of others

The nursing staff used seclusion for a client due to behavior that placed other clients and staff at risk for harm. Which intervention would the nurse perform first when reintegrating the client into the unit?

Discuss behavior that necessitated seclusion.

Which overall outcome would the school nurse formulate for a 6-year-old client with attention-deficit/hyperactivity disorder (ADHD)?

Enhancing self-image as a worthy person

Which intervention would be most appropriate in an attempt to promote socialization for a child with autism spectrum disorder?

Imitating and participating in the child's activities

For a child with attention-deficit/hyperactivity disorder (ADHD), which behaviors are expected?

Impulsiveness Excessive talking Playing video games for hours on end Failure to follow through or finish tasks

Which statement indicates that the client is experiencing a crisis?

Nothing I try works. Everything just keeps getting worse."

A primary health care provider writes a prescription of "Restraints PRN (as needed)" for a client who has a history of violent behavior. Which action would the nurse take?

Notify the provider that PRN prescriptions for restraints are unacceptable.

Which universal characteristic is seen in children with attention deficit

Overreaction to stimuli

Which nursing goal would be priority for an adolescent who has a history of fighting, stealing, vandalizing property, running away from home, and has been suspended from school repeatedly?

Preventing violence

Which action would the nurse take for a client who paces back and forth across the floor, speaks incoherently, and continually talks to and verbally fights with people who are not present?

Provide emotional support while demonstrating acceptance of the client.