Author Question: The school nurse meets with the parents of a 7-year-old child who frequently shows a lack of respect ... (Read 42 times)

jenna1 · **on:** Jul 19, 2018

The school nurse meets with the parents of a 7-year-old child who frequently shows a lack of respect for his teacher and the rules of the classroom.

His parents report he fights with his siblings and has tried to run away from home when they attempt to take away privileges. Based on this assessment, what does the nurse understand about his future? a. He is experiencing a normal developmental task and will grow out of it.
b. His prognosis for recovery will be good if not punished.
c. Due to his age, future prognosis is poor.
d. He should be allowed to set his own limits.

Question 2

A client diagnosed with schizophrenia spectrum disorder states, Can't you hear him? It's the devil. He's telling me I'm going to hell. Which is the most appropriate nursing response?

1. Did you take your medicine this morning?
2. You are not going to hell. You are a good person.
3. The voices must sound scary, but the devil is not talking to you. This is part of your illness.
4. The devil only talks to people who are receptive to his influence.

lucas dlamini · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The long-term outlook for children with conduct disorders is poor if the problems are present before the child is 10 years old. This behavior is not typical, and relaxing rules and discipline will not aid in his recovery.

Answer to Question 2

3
Rationale: The most appropriate nursing response is to reassure the client while not reinforcing the hallucination. Reminding the client that the voices are a part of the illness is a way to help the client accept that the hallucinations are not real. It is also important for the nurse to connect with the client's fears and inner feelings.