The daughter of an 82-year old patient tells the nurse, "When I ask my dad to do something, it takes him a long time to respond to me. But he does do what I ask." Which is the most appropriate response by the nurse is?
a. "At this age, your dad does not have the same intelligence he had when he was younger."
b. "It is more difficult for a man in this age group to learn new things."
c. "Reaction time slows in older adults, so it takes him more time to process your requests."
d. "He is likely developing some dementia, as this is a normal development in his age group."
ANS: C
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Which of the following infants most likely requires medical intervention?
A) A 2-day-old baby boy who has caput succedaneum B) An infant 4 hours postpartum who has visible coning of his head following vaginal delivery C) A girl 3 days postpartum with noticeable unilateral cephalhematoma D) A male infant whose vertex delivery resulted in a brachial plexus injury
Which finding 12 hours after birth would require further assessment? The fundus is palpable:
a. two finger-breadths above the umbilicus. b. at the level of the umbilicus. c. one finger-breadth below the umbilicus. d. two finger-breadths below the umbilicus.
When testing your patient for two-point discrimination, you should
a. first touch one fingertip with a sharp object and then a second fingertip, and assess if she can accurately report the sequence. b. simultaneously touch two points of one of her fingers with sharp objects, and assess if she can distinguish the two points. c. simultaneously touch a finger on her right hand and the corresponding finger on her left hand with two sharp objects, and assess if she can distinguish the two points. d. simultaneously touch a fingertip with two sharp objects, remove one stimulus, and then assess if she can detect that one point has been removed.
Angina pain is typically described as
a. a sudden onset of pain that is tearing and worsens with breathing. b. aching, tightness, or heaviness in the chest, which may be relieved with rest. c. a sudden onset of sharp, tearing pain that radiates to shoulders, neck, back, and abdomen. d. pain reproducible by chest wall palpation and relieved by position changes.