A rare malignancy will require the amputation of an adolescent ...

[Sportsfan2111]

A rare malignancy will require the amputation of an adolescent client's leg. The client refuses the surgery, stating: I would rather die than have my leg amputated. The nurse plans future interventions based upon what?
 
  1. The knowledge that adolescents are very concerned about body image
  2. Concern about need for education regarding the danger of delaying surgery
  3. The fact that the parents will have the ultimate decision about surgery
  4. Ability of the adolescent to understand medical terminology

Question 2

The adolescent male client who weighs 100 is considering taking some herbal stuff to increase muscle mass and strength. The nurse should interpret this statement as an indication that this client has:
 
  1. A strong need for admiration
  2. Serious problems with logical thinking
  3. Incongruence between reality and ideal self
  4. The need for referral to a psychologist

[kjo;oj]

Answer to Question 1

Correct Answer: 1
Rationale 1: Adolescents are very concerned about body image and will make decisions based upon peer or media opinion even if it puts their health at risk. The nurse's further interventions should be planned with this thought in mind.
Rationale 2: While the client may need further education, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.
Rationale 3: Even though the parents will make the ultimate decision, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.
Rationale 4: While there may be a problem with the client understanding medical terminology, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.

Answer to Question 2

Correct Answer: 3
Rationale 1: This cannot be determined by the information provided.
Rationale 2: This cannot be determined by the information provided.
Rationale 3: The nurse can determine that there is incongruence between reality and this client's ideal self.
Rationale 4: This cannot be determined by the information provided.