A 5-year-old girl sustained a concussion when she fell out of a ...

[RODY.ELKHALIL]

A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge, the nurse is discussing home care with her mother. Which statement made by the mother indicates a correct understanding of the teaching?
 
  a. I should expect my child to have a few episodes of vomiting.
  b. If I notice sleep disturbances, I should contact the physician immediately.
  c. I should expect my child to have some behavioral changes after the accident.
  d. If I notice diplopia, I will have my child rest for 1 hour.

Question 2

A patient who has unprotected intercourse has obtained the morning after pill but has not yet taken the prescribed dosage. What nursing diagnosis should the nurse identify as appropriate for the patient at this time?
 
  A) Powerlessness
  B) Spiritual distress
  C) Decisional conflict
  D) Readiness for enhanced knowledge

[Dunkey]

Answer to Question 1

C
Feedback
A If the child has these clinical signs, they should be immediately reported for
evaluation.
B If the child has these clinical signs, they should be immediately reported for
evaluation.
C The parents are advised of probable posttraumatic symptoms. These include
behavioral changes and sleep disturbances.
D If the child has these clinical signs, they should be immediately reported for
evaluation.

Answer to Question 2

C
Feedback:
The patient has the morning after pill but has not yet taken the prescribed dosage. This indicates that the patient has not yet made a decision. Powerlessness would be applicable if the patient's planned contraceptive was ineffective. Spiritual distress would be appropriate if there were a conflict regarding contraceptive methods. Readiness for enhanced knowledge would be applicable if the patient was asking about different contraceptive types.