During an examination, a nurse asks a 5-year-old child to repeat his address. What is the nurse evaluating with this action?
1. Recent memory
2. Language development
3. Remote memory
4. Social-skill development
Correct Answer: 3
Rationale: Asking children to remember addresses, phone numbers, and dates assesses remote-memory development. To evaluate recent memory the nurse would have the child name something and then ask him to name it again in 10 to 15 minutes. Listening to how the child talks and his sentence structure evaluates the child's language development, and assessing how he interacts with others evaluates social-skill development.
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What characteristics would cause the manager to classify an employee as marginal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. The employee works only when client census calls for additional staff. 2. The employee's work does not improve with coaching. 3. The employee just made an error for which discipline has already been done twice. 4. The employee has worked at the facility for less than 1 month. 5. The employee does not mix well with the other staff, but stays on the margins of the group.
A women's community group is attending the first-aid class the nurse is teaching. The nurse will instruct the women to do what if a child ingests a possible overdose of medication or other potential poison?
A) Call an ambulance. B) Make an appointment to see the health care provider. C) Induce vomiting by sticking a finger down the child's throat. D) Call the local poison control center and follow their directions.
A postoperative client is transferred to the medical-surgical unit from the intensive care unit (ICU). The client asks the assigned nurse why unlicensed assistive personnel (UAP) help with range-of-motion exercises. Which is the best response by the nurse
A) "Your condition has improved so I delegated that part of your care to the UAP." B) "You do not need me to ambulate you." C) "The charge nurse made the decision to have the UAP assist you when walking." D) "I assigned all of your care to the UAP."
The nurse is assessing a patient's nutritional intake as part of the cultural assessment. Which question is more appropriate for the nurse to include in this process?
1) "Do you have any specific food rituals?" 2) "Who prepares the meals in your home?" 3) "Do you take daily vitamins?" 4) "What type of reaction do you experience with your food allergy?"