The nurse is working with a 14-year-old adolescent with an ...

[haleyc112]

The nurse is working with a 14-year-old adolescent with an intellectual disability. The adolescent's mental age is four. In explaining an X-ray to the adolescent, the nurse should explain:
 
  1. To the adolescent in terms appropriate to a teenager.
  2. To the parents and have them explain to their child.
  3. As little as possible because the child will not understand anyway.
  4. Using words that are in the vocabulary of a four-year-old without talking down to the adolescent.

Question 2

Shortly after birth, all newborns are tested for phenylketonuria. The test results are not available before mother and baby are discharged from the hospital.
 
  When the diagnosis of PKU is made, the most appropriate means of informing the parents would be: 1. Immediately in a phone call requesting a follow-up office visit
  2. In a certified letter explaining the diagnosis and requesting the parents make a pediatric office appointment.
  3. In a group meeting of all parents whose children tested positive for phenylketonuria during the last two months.
  4. In person with the physician and both parents present.

[chinwesucks]

Answer to Question 1

4
Rationale 1: The adolescent's mental age is that of a four-year-old. Explanations should be at a level a four-year-old child can understand.
Rationale 2: The nurse will explain the procedure to the parents, but the nurse should also explain to the adolescent in terms he can understand.
Rationale 3: The child has communication skills, and the nurse should explain in simple terms that the adolescent can understand.
Rationale 4: Use the child's mental, not chronological, age when explaining procedures.
Global Rationale:

Answer to Question 2

4
Rationale 1: Providing the parents information of a chronic health problem of their newborn should not be done over the phone.
Rationale 2: This information should be provided to the parents in person.
Rationale 3: This information should be shared on a one-to-one basis.
Rationale 4: The appropriate environment allows for privacy and freedom from interruptions. The parents should be allowed other support people to be present as they request.
Global Rationale: