The nurse is assessing client's eyes as part of the inspection part of the assessment process. For which reason does the nurse identify a normal variation in the angle of the lateral and medial canthus?
A) Ethnic differences
B) Chromosomal differences
C) Structural changes
D) Cosmetic alterations
A
Feedback:
The line between the lateral and medial canthus is usually horizontal. Variations are noted abnormally in children with Down syndrome and normally in individuals of Asian descent. Structural changes and cosmetic variations are not considered normal changes noted on assessment.
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A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing response is most appropriate?
1. "Researchers really don't know what causes autistic spectrum disorder, but the relationship between autistic disorder and fetal alcohol syndrome is being explored." 2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that abnormalities in brain structure or function are to blame. This is beyond your control." 3. "Research has shown that the mother appears to play a greater role in the development of autistic spectrum disorder than the father." 4. "Lack of early infant bonding with the mother has shown to be a cause of autistic spectrum disorder. Did you breastfeed or bottle-feed?"
When a caregiver becomes a role model for a client during a therapeutic relationship, the caregiver is functioning in the role of:
a. Teacher b. Therapist c. Technician d. Change agent
Staff at a women's health center are being briefed by their supervisor on the latest recommendations for breast cancer screening. Which of the following guidelines should staff pass on to their clients?
A) "Breast self-exam should be ideally performed around the time of the month that you think you're ovulating." B) "The most important thing you can do to identify breast cancer early is to perform regular, systematic self-exams." C) "All postmenarche females should get a clinical exam by a trained professional on an annual basis." D) "Screening mammography and clinical exams are the cornerstones of breast cancer screening."
The nurse is planning a weight reduction class and wants to use the Health Belief Model to motivate the clients in losing weight
The nurse would correctly choose which of the following as mediating factors in the Health Belief Model? Standard Text: Select all that apply. 1. Likelihood of the individuals developing complications from being overweight 2. The clients' perception of the severity of an illness that could develop from being overweight 3. The cost of the class that will be the client's responsibility 4. The amount of time commitment for the individuals taking the class 5. The religion of the clients who will be taking the class