The nurse is assessing a child with depression. What is the best ...

[sammy]

The nurse is assessing a child with depression. What is the best approach the nurse will use when assessing the child's socialization?
 
  1. How many friends do you have at school?
  2. So you spend a lot of time with your friends?
  3. Tell me about the friends you enjoy being with.
  4. You seem like a person who would have a lot of friends.

Question 2

A nurse is working with a six-year-old diagnosed with OCD. What medication might the nurse expect would be prescribed for this patient?
 
  1. Clomipramine (Anafranil)
  2. Sertraline (Zoloft)
  3. Methylphenidate (Ritalin)
  4. Olanzapine (Zyprexa)

[anyusername12131]

Answer to Question 1

Answer: 3
Explanation: By saying Tell me about the friends you enjoy being with, the nurse is using therapeutic communication and encouraging the patient to talk about a positive aspect of life. The question How many friends do you have at school? can be perceived as probing and intrusive, which is nontherapeutic. Also, this type of question is close-ended, limiting the amount of detail the patient can provide. So you spend a lot of time with your friends? is also a close-ended question, not allowing the patient to elaborate on the answer. You seem like a person who would have a lot of friends, is a judgmental observation that may also be viewed as a stereotypical comment.

Answer to Question 2

Answer: 2
Explanation: Sertraline (Zoloft) has FDA approval for treating OCD in children 6 years and older. Specific recommendations cannot be made for the use of clomipramine (Anafranil) in pediatric patients under the age of 10. Methylphenidate (Ritalin) and olanzapine (Zyprexa) are not indicated for OCD.