The school nurse is working with a 13-year-old boy who recently ...

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The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes. Which of the following would be one of the areas on which the teaching discussion should focus?
 
  1. Encouraging the boy to tell his friends about healthy nutrition, so they are not tempting him with fast food
  2. Referring the boy to a psychologist in order to deal with the new diagnosis
  3. Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis
  4. Making sure the boy tells everyone about his diagnosis in case there is a problem

Question 2

Which nursing intervention is an independent function of the nurse?
 
  a. Administering oral analgesics
  b. Teaching the woman perineal care
  c. Requesting diagnostic studies
  d. Providing wound care to a surgical incision

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Answer to Question 1

3
Rationale:
1. One of the prevailing experiences of the adolescent period is becoming associated with a peer group. The 13-year-old does not want to appear different from all of his peers. This can lead to depression. Focusing on what he can still do (physical activity, groups, hobbies) even though he has a new diagnosis will give him a sense of control and normalcy with his life.
2. One of the prevailing experiences of the adolescent period is becoming associated with a peer group. The 13-year-old does not want to appear different from all of his peers. This can lead to depression. Focusing on what he can still do (physical activity, groups, hobbies) even though he has a new diagnosis will give him a sense of control and normalcy with his life.
3. One of the prevailing experiences of the adolescent period is becoming associated with a peer group. The 13-year-old does not want to appear different from all of his peers. This can lead to depression. Focusing on what he can still do (physical activity, groups, hobbies) even though he has a new diagnosis will give him a sense of control and normalcy with his life.
4. One of the prevailing experiences of the adolescent period is becoming associated with a peer group. The 13-year-old does not want to appear different from all of his peers. This can lead to depression. Focusing on what he can still do (physical activity, groups, hobbies) even though he has a new diagnosis will give him a sense of control and normalcy with his life.

Answer to Question 2

B
Feedback
A Administering oral analgesics is a dependent function; it is initiated by a
physician and carried out by the nurse.
B Nurses are now responsible for various independent functions, including
teaching, counseling, and intervening in nonmedical problems. Interventions
initiated by the physician and carried out by the nurse are called dependent
functions.
C Requesting diagnostic studies is a dependent function.
D Providing wound care is a dependent function; it is usually initiated by the
physician through direct orders or protocol.

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