Psychosocial integrity
A 10-year-old child who has head lice tells the school nurse, "I'm mad because my mother said I got lice because I don't keep myself clean." What will the nurse say to the child to initiate therapeutic communication about this subject?
"It sounds as if you feel that your mother is putting you down."
How to identify a natal sex man who now identifies as a woman? SATA
-transgender -transwoman
Which activities should the nurse recommend to a middle-age adult client to find a sense of fulfillment, according to Erikson? Select all that apply.
-Attending church functions -Becoming involved at a local hospital -Volunteering to coach for a grandchild's soccer team
when you assess a 3 year old and find them to have old bruising to the arms, back buttock and ect and their mother states they fell down some stairs. How do you get more information from the child?
Ask them to SHOW YOU HOW THEY FELL down the stairs to take more pressure off of given a verbal explanation that they may not have the understanding or words to articulate
A nurse is caring for a client with bipolar disorder, depressive episode. What should the nurse's initial objective for this client be?
Feeling comfortable with the nurse
Bipolar wife, age 25 was brought in in a manic phase by her husband. The patient is currently hypersexual how do you proceed?
PRIVATE ROOM
A psychotic male client is admitted to the hospital for evaluation. While obtaining the history, the nurse asks why he was brought to the hospital by his parents. The client states, "They lied about me. They said I murdered my mother. You killed her. She died before I was born." What does the nurse recognize that the client is experiencing?
Persecutory delusions
A clinic nurse observes a 2-year-old client sitting alone, rocking and staring at a small, shiny top that she is spinning. Later the father relates his concerns, stating, "She pushes me away. She doesn't speak, and she only shows feelings when I take her top away. Is it something I've done?" What is the most therapeutic initial response by the nurse?
Telling the father that it is nothing he has done and sharing the nurse's observations of the child (they exhibit symptoms of autism)
A public health nurse makes a home visit to a family after the birth of a third child. The other children are 1 and 3 years old, and both have developmental delays. What must the nurse initially identify to work effectively with this family?
Who makes the decisions that affect the family
When you get your patients chart and it reads a male name (George) but you walk in the room and find a "woman" in a skirt how do you proceed?
ask the pt identifiers and then apoligize briefly and ask if they would like to alter how they will be identified in their chart