Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 36: Adolescent Psychiatric Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “Adolescence is the common time for sexual experimentation.” |
| b. | “It’s important to be happy with your sexuality, whatever it may be.” |
| c. | “You might be bisexual. Tell me about your sexual behavior in detail.” |
| d. | “It’s believed that many homosexual people begin to experiment at your age.” |
ANS: A
The most therapeutic nursing intervention is the one that provides the information that adolescence is a time when sexual identity and sexual behavior vary.
DIF: Cognitive Level: Application REF: Text Page: 695
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | Call the principal and request a locker search without breaching confidentiality. |
| b. | Accompany the witness to the principal’s office to further discuss what was seen. |
| c. | Call the police immediately and report that there is a student in school with a gun. |
| d. | Call the parents of the depressed teen and ask them to come and talk with their child. |
ANS: B
The nurse must report any violent threats to the school’s administration immediately. The best approach is to encourage the witness to tell school authorities exactly what was seen.
DIF: Cognitive Level: Application REF: Text Pages: 702-703
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
| a. | Plan a convocation for students, family, and teachers to revisit the deaths and loss. |
| b. | Recommend that the principal cancel school for private observances around the town. |
| c. | Plan a forum of commemoration for faculty, students, and family with grief counselors and experts on violence prevention. |
| d. | Suggest to the principal that no specific acknowledgement be made in order to avoid reinforcing attention to the violence that occurred. |
ANS: C
The occurrence of school shootings has caused experts to look more closely at lethality among adolescents. Providing a forum that will allow everyone involved to express grief and will educate them on strategies they can take to prevent further outbreaks would help to reduce feelings of powerlessness.
DIF: Cognitive Level: Analysis REF: Text Page: 703 | Text Page: 709
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
| a. | is abusing alcohol on the weekends. |
| b. | has been caught smoking hash in the school bathroom. |
| c. | admits to being curious about the alcohol in the family liquor cabinet. |
| d. | has begun selling drugs at school to support a serious drug addiction. |
ANS: B
The third stage of substance abuse (regular use) is characterized by progression to midweek use of substances to get high; excitement followed by guilt over use; and regular use progressing from tobacco, alcohol, and marijuana to other substances such as hash oil, tranquilizers, sedatives, and amphetamines.
DIF: Cognitive Level: Analysis REF: Text Page: 705
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Recommend a drug-free self-help group and family therapy. |
| b. | Provide drug education and drug-free activities for the adolescent. |
| c. | Recommend hospitalization at a drug abuse center to facilitate withdrawal. |
| d. | Provide anticipatory guidance to help the adolescent develop healthy coping skills. |
ANS: A
Stage three of substance abuse (regular use) indicates that the adolescent has progressed to midweek use to get high and will benefit from participation in drug-free self-help groups and family therapy. Family intervention is also an important part of treatment, because the issues surrounding the problem of adolescent use must be addressed for the whole family affected. The remaining options are demonstrating interventions that the client has either progressed past or has yet arrived at the stage where they could be effective.
DIF: Cognitive Level: Analysis REF: Text Page: 705
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
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