Answer to Question 1
ANS: C
When interacting with the older child, using the concept of mutuality will promote respect and should foster more positive and lasting health care outcomes. Being authentic does not mean being overly familiar. Trying to interact with older children and adolescents as though the nurse is a buddy is confusing to the client. What the child wants is an emotionally available, calm, caring, competent resource that can protect, care about, and above all, listen to him or her. Providing truthful answers is a hallmark of respect.
Answer to Question 2
ANS: A
To assess a teen's cognitive level and to find out about the ability to make long-term plans, an easy approach is to use the three wishes question. The nurse should ask the teen to name three things he would expect to have in 5 years. Answers can be analyzed for factors such as concreteness, realism, and goal-directness. When a teen asks a direct question, he is ready to hear the answer. The nurse should answer directly and honestly. Some teens lack sufficient experience to recognize that life has ups and downs and that things will eventually be better. Adolescents still rely primarily on feedback from adults and from friends to judge their own competency.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
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