章节:Abuse and Mental Health Problems of Children, Adolescents, and Families

SC
正确指数:0% 正确的次数:0 错误的次数:1 7748---A 15-year-old girl is sent to the school nurse with dizziness and nausea. While assessing the girl, who denies any health problems, the nurse smells alcohol on her breath. Which response by the nurse is most appropriate?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. “Do not tell me that you have been drinking alcohol before you came to school this morning!”
2. “What is the real reason that you are feeling sick this morning?”
3. “Tell me everything that you have had to eat and drink yesterday and today.”
4. “I know that high school is stressful, but drinking alcohol is not the best way to handle it.”

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正确答案:
3. “Tell me everything that you have had to eat and drink yesterday and today.”
解释 :
Asking the client to report everything that she has had to eat and drink yesterday and today is the least judgmental approach and also provides helpful information. Confronting the client about drinking alcohol or asking her to admit the real reason for feeling sick can put the client on the defensive and block further communication. The nurse should avoid putting the client on the defensive to facilitate communication that may eventually enable the nurse to get the truth and identify interventions.