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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)

REF: Page 21-44 (Table 21-1)

MSC: Client Needs: Psychosocial Integrity

TOP: Nursing Process: Assessment

3. A nurse works with an adolescent who was placed in a residential program after multiple episodes of violence at school. Establishing rapport with this adolescent is a priority because (Select all that apply) a. it is a vital component of implementing a behavior modification program. b. a therapeutic alliance is the first step in a nurse’s therapeutic use of self. c. the adolescent has demonstrated resistance to other authority figures. d. acceptance and trust convey feelings of security for the adolescent. e. adolescents usually relate better to authority figures than peers.

ANS: B, D

Trust is frequently an issue because the adolescent may never have had a trusting relationship with an adult. Trust promotes feelings of security and is the basis of the nurse’s therapeutic use of self. Adolescents value peer relationships over those related to authority. Rewards for appropriate behavior are the main component of behavior modification programs.

PTS: 1 DIF: Cognitive Level: Understand (Comprehension)

REF: Page 21-28 TOP: Nursing Process: Planning

MSC: Client Needs: Psychosocial Integrity

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