An adolescent with a gunshot wound presents to the emergency room ...

[berenicecastro]

An adolescent with a gunshot wound presents to the emergency room with his distraught parents. He states he saw his teacher and several classmates shot by a fellow classmate.
 
  As a result of the shooting incident,the nurse expects this adolescent to be at risk for
  1. post-traumatic stress disorder.
  2. school phobia.
  3. depression.
  4. conduct disorder.

Question 2

An infertile couple confide in the nurse at the infertility clinic that they feel overwhelmed with the decisions facing them. Which nursing strategy would be most appropriate?
 
  1. Refer them to a marriage counselor.
  2. Provide them with information and instructions throughout the diagnostic and therapeutic process.
  3. Express concern and caring.
  4. Inquire about the names they have chosen for their baby.

[ultraflyy23]

Answer to Question 1

Answer:1
Rationale: Acute stress,parental stress,and the degree of the psychological trauma exposure are variables predictive of post-traumatic stress disorder (PTSD). School phobia,depression,and conduct disorder may possibly occur later,but the risk of PTSD is most likely,based on the acute stress of the shooting.

Answer to Question 2

2
Rationale 1: Referral to a counselor at this time is not appropriate.
Rationale 2: The nurse can provide comfort to couples by offering a sympathetic ear, a nonjudgmental approach, and appropriate information and instruction throughout the diagnostic and therapeutic processes.
Rationale 3: Expressing concern is fine, but they will also require a lot of information in order to make an informed decision.
Rationale 4: Inquiring about names for a baby is certainly not appropriate at this time.

[berenicecastro]

Thank you

[ultraflyy23]

Happy to help you