Author Question: A teenage girl diagnosed with polycystic ovary syndrome tells the nurse, I refuse to take oral ... (Read 80 times)

futuristic · **on:** Jun 28, 2018

A teenage girl diagnosed with polycystic ovary syndrome tells the nurse, I refuse to take oral contraceptives since I am not sexually active. What is the best response to the girl?

A) It's important for you to take the pills even if you're not sexually active in order to prevent unwanted symptoms of the disease.
B) The doctor has prescribed these for you because it is an effective treatment method for the disease.
C) I know it's hard remembering to take those pills every day. Tell me more about what is making you not want to take the oral contraceptives.
D) Do your parents know that you are not taking the treatment medication your doctor prescribed?

Question 2

A 6-year-old child has been diagnosed with growth hormone deficiency. The child's mother requests more information about this condition. Which statements should be included in the nurse's response? Select all that apply.

A) The majority of children who have this condition are born of normal weight and length.
B) There are several potential causes of this condition.
C) This condition is most likely related to dwarfism in past generations of your family.
D) Most children with this condition are nutritionally deprived.
E) Your child most likely does not eat adequate amounts of protein.

atrochim · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: C
This response shows empathy to the client and encourages her to further discuss the reasons they are non-compliant with the prescribed treatment regimen. It's important for you to take the pills even if you're not sexually active..., and The doctor has prescribed these for you because it is an effective treatment... are accurate statements, but they are not methods of therapeutic communication and do not lead to further discussion about the noncompliance. Asking if the parents know she isn't taking the medications leads to mistrust of the nurse.

Answer to Question 2

Ans: A, B
Growth hormone deficiency can result from a variety of causes. These causes may include genetic mutations, tumors, infection and birth trauma. Some cases have not identifiable causes. Most children diagnosed with this condition are of normal length and weight at birth but in childhood fall behind in growth. A small proportion of children may have nutritional concerns.