The nurse is providing instructions to an adolescent who is ...

[skymedlock]

The nurse is providing instructions to an adolescent who is taking phenytoin (Dilantin) for the control of seizures. Which of the following statements, if made by the adolescent, indicates a need for further teaching regarding the medication?
 
  1. The medication may cause oily skin.
  2. Drinking alcohol may affect the medication.
  3. If my gums become sore I need to stop the medication.
  4. Birth control pills may not be effective when I take this medication.

Question 2

A mental health nurse who has been meeting with a client with a diagnosis of post-traumatic stress disorder is in the termination phase of the nurse-client relationship.
 
  The nurse notes that the client has been quiet and withdrawn and interprets the client's behavior as: 1. An indication of the need for antidepressants
  2. An inability of the client to terminate from the nurse
  3. A normal behavior that can occur during termination
  4. An indication of the need for additional therapy sessions

[smrtceo]

Answer to Question 1

3

Rationale: The adolescent should not stop taking antiseizure medications suddenly or without discussing it with a physician or nurse. Acne or oily skin may be a problem for the adolescent, and the adolescent is advised to call a physician for skin problems. Alcohol will lower the seizure threshold, and it is best to avoid the use of alcohol. Birth control pills may be less effective when the client is taking antiseizure medication.

Answer to Question 2

3

Rationale: In the termination phase of a relationship, it is normal for a client to demonstrate a number of regressive behaviors. Typical behaviors include the return of symptoms, anger, with-drawal, and minimizing the relationship. The behavior that the client is experiencing is normal during the termination phase and does not necessarily indicate the need for hospitalization, addi-tional sessions, or antidepressants.