An adolescent with a spinal cord injury is admitted to a ...

[future617RT]

An adolescent with a spinal cord injury is admitted to a rehabilitation center. Her parents describe her as being angry, hostile, and uncooperative. The nurse should recognize that this is suggestive of which psychosocial state?
 
  a. Normal phase of adolescent development
  b. Severe depression that will require long-term counseling
  c. Normal response to her situation that can be redirected in a healthy way
  d. Denial response to her situation that makes rehabilitative efforts more difficult

Question 2

A pregnant client asks the nurse to explain the meaning of cephalopelvic disproportion. Which explanation should the nurse give to the client?
 
  a. It means a large for gestational age fetus.
  b. It is the narrow opening between the ischial spines.
  c. There is an uneven size between the fetus' presenting part and the pelvis.
  d. The shape of the pelvis is an android shape and is unfavorable for vaginal delivery.

[bdobbins]

Answer to Question 1

ANS: C
During the rehabilitation phase, it is desirable for adolescents to begin to express negative feelings toward the situation. The rehabilitation team can redirect the negative energy toward learning a new way of life. The injury has interrupted the normal adolescent process of achieving independence, triggering these negative behaviors. Severe depression can occur, but it indicates that the child is no longer in denial. Long-term therapy is not indicated. Being angry, hostile, and uncooperative are behaviors that are indications that the adolescent understands the severity of the injury and need for rehabilitation.

Answer to Question 2

ANS: C
Cephalopelvic disproportion means a disproportion (or uneven size) between the fetus' presenting part and the maternal pelvis. It does not mean a large for gestational age fetus or that the pelvis is an android shape. The narrow opening between the ischial spines is called the transverse measurement.

[future617RT]

TYSM

[bulacsom]

Excellent