An adolescent is visiting the clinic for the first time. What ...

[acc299]

An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this patient?
 
  1. The nurse should explain procedures and introduce personnel to adolescents.
  2. Adolescents usually are quiet and will offer no opinions.
  3. The nurse should attend to and discharge adolescents quickly.
  4. Adolescents are comfortable with their surroundings.

Question 2

The nurse is visiting with a school-age child in the clinic. The child states to the nurse, Friends are giving me cigarettes to smoke. What is the best response by the nurse?
 
  1. There are many risks you take when you choose to smoke.
 
  2. Smoking occasionally will not hurt you
 
  3. Tell them no,' don't do it again, and don't tell anyone
 
  4. I will show you a model of lungs, and then I want you to breathe through a straw.

[jharrington11]

Answer to Question 1

1
Rationale 1: If the setting is new to the adolescent, explain the procedures and introduce personnel so the adolescent feels more at ease.
Rationale 2: Adolescents usually will offer their opinions readily.
Rationale 3: It is important that adolescents feel welcome, important, and unrushed, in order to gain their trust.
Rationale 4: When adolescents are visiting the same office or clinic that they came to during childhood, they usually know and feel comfortable with the care providers. This is not the case if it is a first visit.
Global Rationale:

Answer to Question 2

4

Rationale:
1. A school-age child will not remember or really care about hearing the risks of smoking.
2. Smoking occasionally will hurt the child's health, so this response is inappropriate.
3. The school-age child wants to be like his peers, and won't just tell friends no without a justification.
4. When teaching about smoking, providing a model of lungs and having the child breathe through a straw demonstrate the effects of airway narrowing. This makes the effects much more realistic.

[acc299]

Thanks for the timely response, appreciate it

[rachel]

TYSM