A nurse is caring for a 10-year-old boy with a nursing diagnosis ...

[future617RT]

A nurse is caring for a 10-year-old boy with a nursing diagnosis of ineffective coping related to an inability to deal with stressors secondary to anxiety. Which of the following would be most important for the nurse to do first?
 
  A) Set clear limits on the child's behavior
  B) Teach the child problem-solving skills
  C) Encourage a discussion of the child's thoughts and feelings
  D) Role model appropriate social and conversation skills

Question 2

The nurse is caring for an adolescent girl with anorexia nervosa. Which of the following findings would indicate to the nurse that the girl requires hospitalization?
 
  A) Weight gain of one-half pound per week
  B) Food refusal
  C) Body mass index of 18
  D) Soft, sparse body hair and dry, sallow skin

[dantucker]

Answer to Question 1

C
Feedback:
The priority action is to encourage the child to discuss his thoughts and feelings. This is the initial step toward learning to deal with them appropriately. Setting clear limits, teaching problem-solving skills, and role modeling skills would be appropriate as the child begins to learn how to acknowledge and deal with his feelings.

Answer to Question 2

B
Feedback:
Food refusal, severe weight loss, unstable vital signs, arrested pubertal development, and the need for enteral nutrition warrant hospitalization. Soft, sparse body hair and dry, sallow skin are signs of anorexia, but do not warrant hospitalization. A weight gain of one-half pound per week indicates progress toward therapeutic goals. A body mass index of 18 is on the low end of the normal range of body mass.

[future617RT]

Thank you

[dantucker]

Happy to help you