Author Question: Since the divorce of parents 6 months ago, an adolescent has been absent from school nearly every ... (Read 33 times)

naturalchemist · **on:** Jul 19, 2018

Since the divorce of parents 6 months ago, an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses. Which nursing intervention would be most therapeutic in this situation?

a. Ask the student to discuss what is happening on Fridays.
b. Call the student's parents to determine their view concerning the behavior.
c. Request that the school counselor invite the student's parents for a family meeting.
d. Arrange for an examination including diagnostic testing to rule out any medical illnesses.

Question 2

While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following?

A) Most older adults follow a specific pattern of decline in functioning leading to gradual onset of problems.
B) Sensory decline may affect the individual's ability to process information, possible influencing the findings of the mental status examination.
C) Diminished sensory function can lead to changes in other body systems that may affect the individual's reaction to prescribed medications.
D) Changes in the senses can result in changes in cognitive abilities that mimic the manifestations of mental disorders.

kingdude89 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The most effective action by the nurse would be to arrange for a family meeting to determine what is happening to cause the student to feel sick on Fridays. Directly asking the student may be too threatening, because there seems to be an inability to articulate concerns, except somatically. The medical examination is premature and outside the nurse's authority. A telephone call is a superficial intervention for serious adolescent maladaptive behavior.

Answer to Question 2

B