What information will the nurse include when taking a developmental history? (Select all that apply.)
a. Previous experience with hospitalization
b. Cultural needs
c. History of illness
d. Allergies
e. Child's nickname
ANS: A, B, E
The developmental history has information about the child and the child's developmental and cultural needs and personal preferences. The information relative to history of illness or allergies would be covered in the medical history.
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A patient has been prescribed fluoxetine (Prozac) to treat depression. What should be included in the nurse's teaching about the drug? (Select all that apply.)
a. "Do not expect immediate results; it usually takes 2 to 4 weeks for therapeutic effects to be felt." b. "You may experience some nausea, vomiting, and anorexia, but these side effects will subside in time." c. "Take the prescribed dose in the early evening." d. "You need to take this drug only once a week." e. "You should not consume red wine, aged cheese, or other tyramine-rich foods." f. "A decreased interest in sexual activity may occur with this medication."
Sarah determines, in partnership with her patient, that current medications are not enabling her patient, a married account executive with fibromyalgia, to continue with her employment and family responsibilities
After searching for additional information on fibromyalgia, Sarah finds nonpharmacologic interventions that are supported through credible evidence. Sarah suggests that the patient, her physician, and she meet to discuss the medications and possible options and a plan of care for the patient's discharge. This action exemplifies which of the four historical concepts identified by Lewis and Batey? a. Authority b. Responsibility c. Communication of conflict d. Autonomy
The home health nurse cautions the family of a frail 82-year-old woman about the intrinsic factors that may be a potential cause of injury. These are (select all that apply):
1. diminished vision. 2. pet cats. 3. cluttered bedroom. 4. wearing loose house slippers. 5. generalized weakness.
The most appropriate nursing intervention for a patient in the third stage of change is:
a. helping the patient see the benefit of changing the problematic behavior. b. assisting the patient with the development of realistic treatment goals. c. developing relapse prevention plans in anticipation of potential failures. d. providing nurse-patient interactions that discuss change in a relaxed environment.