When communicating with a newly admitted teenaged patient, the ...

[savannahhooper]

When communicating with a newly admitted teenaged patient, the nurse should
 
  a. Avoid questioning the patient about cigarette use when she observes a cigarette lighter lying on the bedside table.
  b. Complete the admission database as quickly as possible by asking yes and no questions.
  c. Ignore the patient's withdrawn behavior.
  d. Observe for congruency between the patient's facial expressions and verbal responses.

Question 2

Which of the following instructions does the nurse give the client in teaching methods to promote positive sleep habits at home?
 
  a. Use the bedroom only for sleep or sexual activity.
  b. Eat a large meal one to two hours before bedtime.
  c. Exercise vigorously before bedtime.
  d. Stay in bed if sleep does not come after 30 minutes.

[nikmaaacs]

Answer to Question 1

D
Good communication skills are critical for adolescents. Following are some hints for communicating with adolescents: Do not avoid discussing sensitive issues. Asking questions about sex, drugs, and school opens the channels for further discussion. Ask open-ended questions. Yes and no questions are closed-ended questions. Look for meaning behind their words and actions. The nurse should inquire about a patient's withdrawn behavior to seek out the meaning of such behaviors. Be alert to clues to their emotional state. The nurse should observe that the patient's statements are congruent with his/her facial expressions of emotion.

Answer to Question 2

A
The nurse should explain that if possible, the bedroom should not be used for intensive studying, snacking, TV watching, or other non-sleep activity, other than sexual activity.
The nurse should instruct the client to avoid heavy meals for three hours before bedtime; a light snack may help.
The nurse should instruct the client to try to exercise daily, preferably in the morning or after-noon, and to avoid vigorous exercise in the evening within two hours of bedtime.
The nurse should advise the client to get out of bed and do some quiet activity until feeling sleepy enough to go back to bed if the client does not fall asleep within 30 minutes of going to bed.

[savannahhooper]

Excellent

[essyface1]

TYSM