During a therapy session an 11-year-old patient tells the ...

[SAVANNAHHOOPER23]

During a therapy session an 11-year-old patient tells the psychiatric advanced practice nurse that he wants to leave. The nurse wants to understand what created this feeling. How might she respond to the patient's statement?
 
  1. Is there somewhere you want to go?
  2. I guess you're upset about something.
  3. What happened to make you feel the need to leave?
  4. Why don't you just sit down for a minute so we can talk some more?

Question 2

A school nurse wants to design an in-school program to help improve the mental health of the students. What topic would be an appropriate choice that would affect the most students?
 
  1. Weight control
  2. Drug abuse prevention
  3. Collaborative antibullying
  4. Effective studying techniques

[dawsa925]

Answer to Question 1

Answer: 3
Explanation: Asking about what happened acknowledges the patient's need, and using an open-ended question is more likely to elicit a meaningful response. Asking about where the patient may want to go pins him down and limits his responses. Suggesting that the patient is upset makes an assumption that closes off discussion. Suggesting that the patient stay and talk addresses the nurse's need without addressing the patient's need.

Answer to Question 2

Answer: 3
Explanation: Approximately 30 to 40 of children and adolescents are bullied or bully others in their school years. A proactive, collaborative approach appears to have the greatest outcomes on changing bullying behaviors. Weight control, although it may have some self-esteem repercussions, is not a mental health intervention for a significant population. Drug abuse prevention is an important mental health intervention, but it would not affect the most students, as approximately 8 of the adolescent population estimated to use illicit drugs. Effective studying is an academic, not a nursing, intervention.