The parent of an adolescent tells the nurse that the adolescent ...

[pane00]

The parent of an adolescent tells the nurse that the adolescent used to be on the honor roll at school, but now is failing every subject, skipping school, and doesn't care about anything except a new group of friends.
 
  The nurse recognizes this adolescent may be in need of counseling related to: 1. Adolescent substance abuse.
  2. Growth and development.
  3. Self-esteem.
  4. Independent living.

Question 2

The nurse knows that when designing a plan of care for a client with serious mental illness, the recovery and rehabilitation goals must be: Standard Text: Select all that apply.
 
  1. Attainable
  2. Realistic
  3. Permanent
  4. Immediate
  5. Flexible

[Swizqar]

Answer to Question 1

1
Rationale: Change in values, ideals, beliefs, and changes in friends are behaviors that are characteristic of teenaged substance abuse. Adolescents with substance abuse problems may also have issues with self-esteem, but the information relates directly to behaviors associated with adolescent substance abuse. The behaviors of the adolescent, described by the parent, are not directly related to a problem with growth and development or independent living.

Answer to Question 2

1,2,5
Rationale: Client goals must be realistic and attainable, keeping in mind the need to be flexible depending on crises and depleted resources (emotional and financial). The goals that will bring change are not immediate, instantaneous, or initially permanent.