This topic contains a solution. Click here to go to the answer

Author Question: A patient in the clinic expresses reluctance to celebrate her 80th birthday stating, It's terrible ... (Read 57 times)

crobinson2013

  • Hero Member
  • *****
  • Posts: 535
A patient in the clinic expresses reluctance to celebrate her 80th birthday stating, It's terrible to grow old. I don't enjoy life any more, and I don't want anything that reminds me how old I am.
 
  How would you respond?

Question 2

A mother brings her 14-year-old daughter into the pediatric clinic for a routine physical prior to beginning high school. The adolescent has gained a significant amount of weight since her last visit.
 
  a. The client's mother expresses concern regarding her daughter's weight gain. What questions should the nurse ask of the client to determine possible contributing factors?
  b. You ask the mother to leave the room for the physical exam. The adolescent asks if you can prescribe birth control for her. What information would you give to the client?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

pallen55

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

- Begin by exploring more in-depth with the patient about why she feels this way. There is not enough information in the scenario to formulate a full response. Is this how she feels at this moment, or do her statements reflect how she has been feeling about her life for some time? Is there something that triggered these feelings? What is it about growing old that she dislikes or fears? Are chronic symptoms such as pain and fatigue interfering with her enjoyment of life? As you discover more about the patient's feelings and beliefs about her life situation, you can develop an approach that is tailored to her individual needs.
- Help the patient explore what is positive about getting older and reasons to celebrate her life. Possible advantages of growing older might include wisdom gained through years of experience; opportunity to establish a lasting legacy with younger generations; more time to enjoy life and accomplish life goals; and having family or friends.

Answer to Question 2

- A nursing assessment of the adolescent's diet and exercise patterns
- Assessment for type 2 diabetes

b.
(should the patient's age be part of the discussion? Are there issues about birth control counseling for minors without their parents' consent?)
- The nurse should assess the client's sexual risk behaviors, by asking about sexual activity and use of other contraceptives.
- The nurse should impart information regarding sexually transmitted infections and pregnancy.
- The nurse should also determine if the client's weight gain is due to pregnancy, by discussing the client's menstrual cycle and obtaining an order for a pregnancy test.




crobinson2013

  • Member
  • Posts: 535
Reply 2 on: Jun 25, 2018
Gracias!


miss.ashley

  • Member
  • Posts: 371
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

About one in five American adults and teenagers have had a genital herpes infection—and most of them don't know it. People with genital herpes have at least twice the risk of becoming infected with HIV if exposed to it than those people who do not have genital herpes.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

For a complete list of videos, visit our video library