The school nurse knows that school-age children are developing metalinguistic awareness. Which is an example of this skill?
A) The child enjoys reading books.
B) The child enjoys conversations with peers.
C) The child enjoys speaking on the phone.
D) The child enjoys telling jokes.
Ans: D
Language skills continue to accelerate during the school-age years. School-age children develop metalinguistic awareness—an ability to think about language and comment on its properties. This enables them to enjoy jokes and riddles due to their understanding of double meanings and play on words and sounds.
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What is the most effective way to evaluate the patient's pain response after administering an opioid analgesic?
A) Observe the patient when he/she is not aware you are assessing him/her. B) Ask another nurse to assess the patient's response to the medication. C) Using a pain scale, ask the patient to describe the pain. D) Ask the family to determine the patient's response to the pain.
During a home visit the nurse learns that an older patient with hypertension takes prescribed medications only when feeling tense. What instruction should the nurse provide to the patient?
1. Contact the physician for a change in blood pressure medication. 2. Continue to administer the blood pressure medication as needed. 3. Teach to take the blood pressure medication as prescribed regardless of feeling tense. 4. Instruct to take a double dose of the medication for one day then resume the normal schedule.
In performing a physical assessment on an 80-year-old man, the nurse anticipates that the age-related skin changes will be (select all that apply):
1. increased nasal hair. 2. flattened nails. 3. small macular lesions at the hairline. 4. increased hair on the helix of the ear. 5. presence of seborrheic keratosis.
During a preventive health care visit, Ms. G, an older patient, states that she is getting shorter. She says that her son mentioned that her change in stature became noticeable to him during his last visit with her
Her posture appears straight and aligned. When addressing Ms. G.'s present concerns, it is most important to inquire about: a. the number of pregnancies. b. her parents' heights. c. a history of scoliosis. d. her usual height and weight.