The nurse is planning the care of an adolescent with anorexia nervosa. What characteristic(s) cause this disorder? (Select all that apply.)
a. Discomfort relative to emerging sexuality
b. Fear of intimacy
c. Pervasive high self-esteem
d. Egocentricity
e. Inability to meet developmental needs
ANS: A, B, D, E
All options except pervasive high self-esteem are considered to be a cause of anorexia nervosa. Pervasive low self-esteem also is considered a cause of anorexia nervosa.
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During a cardiovascular assessment, the nurse knows that an S4 heart sound is:
a. Heard at the onset of atrial diastole. b. Usually a normal finding in the older adult. c. Heard at the end of ventricular diastole. d. Heard best over the second left intercostal space with the individual sitting upright.
The pancreas regulates glucose storage and synthesis
A) True B) False
An LVN/LPN works on a very busy 35-bed medical-surgical unit. The RN team leader gives her a syringe with "pain medication" in it and asks the LPN/LVN nurse to administer this medication to a patient. What should be the nurse's first action?
a. Assist the team leader by giving the medication as requested for this time only. b. Administer the medication this time because it is an emergency. c. Take time and prepare the medication herself and give as prescribed. d. The LVN/LPN doesn't have to do anything; it is not her patient.
A new mother becomes anxious and restless when her newborn is brought to her hospital room. The nurse would focus on which of the following as a priority concern with the client at this time?
1. change in self-identity 2. change in role performance 3. feelings of inadequacy 4. feelings of worthlessness