One quiz question I am struggling with - page 3

Hi, I am finishing up a OB quiz and am stuck on one question. The question is: A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first... Read More

  1. by   FUNNYGIRLRN
    I think the fact that they said what should the nurse do FIRST means that they are looking for you to prioritize right away. Also if they are putting in options about someones nutrition level I think that means the question is not geared specifically toward nurse/pt theraputic communications but geared toward what is of the most importance at this time. I think establishig trust is a process that occurs over time. You can't snap your fingers and have trust. That being said if you follow the ABC's and Maslow, it would be really important to start talking to the mother about nutrition to keep her from causing any harm to the baby or herself through an inadequate diet. Anyway I would go with "D". It will be interestig to see what the answer turns out to be.
    Last edit by FUNNYGIRLRN on May 5, '07
  2. by   chiquiraveloski
    D....
  3. by   nurseofalltrades
    I choose "D". The adolescent is presenting herself for tx. Initial visit wont guarantee trust.Priority is good nutrition for mom and baby.
  4. by   purna12
    I would say 'D'. i am preety sure i have seen this question while i was practicing questions for NCLEX. the rational for it was ...Maslow...physical answer priority over psychological.
  5. by   scoobydoo32
    i choose b also
  6. by   beanie29
    I would guess B.. (this is where I'll put my disclaimer that I don't officially start NS until August!)
  7. by   PsychNurseWannaBe
    Quote from sprklplnty
    Hi,

    I am finishing up a OB quiz and am stuck on one question. The question is: A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. The nurse's first responsibility would be to:
    a. contact the social worker
    b. develop a trusting relationship
    c. schedule the client for prenatal classes
    d. teach the client about proper nutrition

    I have ruled out a and c and am trying to decide between b and d. I'm hung up on the phrase FIRST responsibility. It would seem to me that developing trust would be good to help ensure that the teen would follow through with appointments etc, but emphasis on maternal nutrition is also extremely important. It comes down to picking the most correct answer. Any suggestions?

    Thank you
    It's her initial appointment, right?. Well... I don't have a vagina, but I would think that if I did, and I was 16 and this is my first appointment, you can bet that someone better establish some kind of rapport if you are expecting me to open my legs. (I assume that a doctor is going to be giving her a vag exam).

    Regarding nursing responsibility... the first thing you are going to do is the interview... health history, etc. Which would mean that the first thing you would have to do is establish a therapuetic relationship. Adolescents are not very compliant... and if I were she and I didn't like the you... do you think I would come back for a follow up?
  8. by   jill48
    It's been a long time, but isn't the pupose of Maslow's hierarchy of needs to show us what order of importance these things are for the person? I mean, it's not what order we need to act. Right? Is that completely confusing or do you know what I'm trying to say?
  9. by   PsychNurseWannaBe
    Quote from jill48
    It's been a long time, but isn't the pupose of Maslow's hierarchy of needs to show us what order of importance these things are for the person? I mean, it's not what order we need to act. Right? Is that completely confusing or do you know what I'm trying to say?
    I think I know what you are talking about, but... If we use Maslows which shows what is important to a person and we identify any shortcommings, then wouldn't that somewhat dictate the order in which we need to act? Now, I may be completely confusing!! But if we know that a person is "stuck" on a certain level, this impacts the levels above it and the person will not obtain the higher levels, therefore we need to address those issues in order to help our patients.
  10. by   mtacare
    For me, its B, u can't do with your health teachings without that "bond".
  11. by   CTstudent
    I was just reading my Fundamentals book on the chapter "Patient Teaching" and came across this: "Establish rapport and develop trust before beginning teaching and maintain a warm, sincere attitude".
    I immediately thought of this question on the board.
  12. by   jill48
    Quote from CTstudent
    I was just reading my Fundamentals book on the chapter "Patient Teaching" and came across this: "Establish rapport and develop trust before beginning teaching and maintain a warm, sincere attitude".
    I immediately thought of this question on the board.
    So then, is the answer B?
  13. by   Beary-nice
    I say "B" because as others have said you have to develop trust to then teach. I would also think trust would be important because we would want this person to continue coming back and not falling through the cracks.

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