The nurse is giving a group of adolescents a lecture on sex ...

[naturalchemist]

The nurse is giving a group of adolescents a lecture on sex education. After the lecture, one adolescent asks the nurse for advice regarding being pressured by a boyfriend to have sex. Which response by the nurse is most appropriate?
 
  1. It's okay to have sex with your boyfriend if you love him.
 
  2. If all your friends are doing it, go ahead and follow your friends.
 
  3. Continue with your plan of not having sex right now.
 
  4. I can provide you with condoms if you need some.

Question 2

A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis would be appropriate for this child?
 
  1. Self-care deficit
  2. Impaired physical mobility
  3. Impaired home maintenance
  4. Delayed growth and development

[reelove4eva]

Answer to Question 1

3
Rationale:
1. It is not appropriate for the nurse to tell a student it is okay to have sex.
2. It is not appropriate to support peer pressure with regard to sex.
3. Provide support for adolescents who have decided not to have sexual intercourse. Encourage them to continue this plan, telling them that sexual feelings are normal, but that their decision about sexual intercourse is their right and privilege.
4. The adolescent has decided not to have sex, and should be supported in this decision, not offered condoms.

Answer to Question 2

4
Rationale 1: Self-care deficit does not apply to this age of child.
Rationale 2: The child's mobility is not due to a physiological problem, so impaired mobility is not appropriate.
Rationale 3: There are not enough data to determine if home maintenance is impaired.
Rationale 4: A 20-month-old child who is not walking is delayed in growth and development. Toddlers generally walk by 15 months of age.
Global

[naturalchemist]

TYSM

[nothere]

Excellent