The nurse was assessing a child who had spent the last 3 years living with her mother in homeless family shelters. Which of the following would the nurse expect of the child in relation to intellectual development?
a. Development is somewhat below grade level
b. Development is above grade level
c. Development is at the appropriate grade level
d. Development is quite low for her age and grade level
ANS: D
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A patient is admitted into the emergency department with the complaint, "I burned my hand. I didn't realize the stove top was still so hot." The palmar surface of the hand is blistered, red, and blanches
What type of burn does the nurse document this patient has? A) Superficial B) Deep partial thickness C) Superficial partial thickness D) Full thickness
A client diagnosed with NCD is disoriented and ataxic and wanders. Which is the priority nursing diagnosis?
1. Disturbed thought processes 2. Self-care deficit 3. Risk for injury 4. Altered health-care maintenance
The physician has ordered a Tensilon test to rule out myasthenia gravis. The nurse knows that which of the following medications would be used to counteract the side effects of the Tensilon?
A) Baclofen (Lioresal) B) Atropine (AtroPen) C) Epinephrine (Adrenalin) D) Narcan (Naloxone)
Which action is most consistent with providing culturally competent care to patients with psychiatric disorders?
Reviewing the patient’s cultural heritage based on information in the medical record Seeking input from members of the patient’s care team Providing patient care that is institutionally specific Asking what the illness means to the patient