A 16-year-old boy has a stiff neck, headache, fever of 103F, and ...

[Arii_bell]

A 16-year-old boy has a stiff neck, headache, fever of 103F, and purpuric lesions on his legs. He is admitted to the hospital for treatment of suspected meningococcemia.
 
  Although the adolescent's physical needs take priority at the present time, the nurse can expect which psychological stressor to be the most significant for this adolescent? 1. Separation from parents and home
  2. Separation from friends and permanent changes in appearance
  3. Fear of painful procedures and bodily mutilation
  4. Fear of getting behind in schoolwork

Question 2

The nurse wants to demonstrate to a new family their infant's individuality. Which assessment tool would be most appropriate for the nurse to use?
 
  1. Brazelton Neonatal Behavioral Assessment Scale
  2. Ballard Maturity Scale
  3. Dubowitz Gestational Age Scale
  4. Ortolani's maneuver

[iman]

Answer to Question 1

2
Rationale:
1. Separation from parents and home is the main psychological stressor for infants and toddlers.
2. Adolescents are developing their identity, and rely most on their friends. They are concerned about their appearance and how they look compared with their peers.
3. Preschoolers fear pain and bodily mutilation.
4. School-age children are developing a sense of industry, and fear getting behind in schoolwork.

Chapter 43_LO01

Answer to Question 2

1
Rationale:
1. The Brazelton Neonatal Behavioral Assessment Scale assesses the newborn's state changes, temperament, and individual behavior patterns.
2. The Ballard Maturity Scale is a tool that assesses external physical characteristics and neurologic or neuromuscular development.
3. The Dubowitz Gestational Age Scale is a tool assesses external physical characteristics and neurologic or neuromuscular development.
4. Ortolani's maneuver is an assessment technique that rules out the possibility of congenital hip dysplasia.

[Arii_bell]

TYSM

[recede]

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