Author Question: A female teen with celiac disease continues to eat food she knows will make her ill several hours ... (Read 69 times)

ts19998 · **on:** Jul 22, 2018

A female teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion. While planning care, the nurse considers maturational and tertiary-level interventions.

Which intervention will the nurse add to the care plan?
a. Teach the teen about the food pyramid.
b. Administer antidiarrheal medications with meals.
c. Gently admonish the teen and her parents regarding the consistently poor diet choices.
d. Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.

Question 2

A patient in a motor vehicle accident states, I did not run the red light, despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?

a. Denial
b. Conversion
c. Dissociation
d. Compensation

aloop · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
Tertiary-level interventions assist the patient in readapting to life with an illness. By adjusting the diet to meet dietary guidelines and also addressing adolescent maturational needs, the nurse will help the teen to eat an appropriate diet without health complications and see herself as a typical and normal teenager. Teaching about the food pyramid will not address the real issue, which is that the teen is still eating what she knows will make her ill and the food pyramid is usually a primary intervention. Administering antidiarrheal medications may help but is not a tertiary-level or maturational intervention. Admonishing the teen and parents is not a tertiary-level intervention, and because this approach is nontherapeutic, it may cause communication problems.

Answer to Question 2

ANS: A
Denial consists of avoiding emotional conflicts by refusing to consciously acknowledge anything that causes intolerable emotional pain. Dissociation involves creating subjective numbness and less awareness of surroundings. Conversion involves repressing anxiety and manifesting it into nonorganic symptoms. Compensation occurs when an individual makes up for a deficit by strongly emphasizing another feature.