The nurse observes that an adolescent admitted to the inpatient ...

[kaid0807]

The nurse observes that an adolescent admitted to the inpatient unit for failed outpatient treatment for depression is very shy about interacting with peers.
 
  In planning care for this client, the nurse will integrate which of the following to help the client become more comfortable in the milieu? 1. Limit choices
  2. Establish a trusting relationship
  3. Establish concrete boundaries
  4. Provide physical activity

Question 2

A 40-year-old client was brought to the emergency room after a motor vehicle accident. The client had been drinking alcohol and the client's blood alcohol level was 0.12 g/dl.
 
  The client reports a family history of alcoholism and tells the nurse, It is hopeless; I am a drunk just like the rest of my family. The nurse knows that the client's risk for alcohol abuse: 1. Will determine the client's response to treatment.
  2. Can be modified through abstinence and behavior change.
  3. Is high based on the client's age.
  4. Is low based on the client's alcohol level.

[ryansturges]

Answer to Question 1

2
Rationale: According to Erikson, these crisis periods or stages are reviews of the adolescent's sense of trust, autonomy, initiative, and industry, in that order. In this situation, the client is regressing and needs to feel safe within the milieu. Establishing boundaries, limiting choices, and physical activity are not the priority actions for this client.

Answer to Question 2

2
Rationale: Evidence points to a genetic vulnerability for developing alcoholism, but the use of alcohol is a risk factor susceptible to change. It is not possible to determine the client's response to treatment. The client's age and blood alcohol level do not have an impact on the risk for alcohol use.