When assessing the health of a preterm baby born through a difficult delivery, the nurse
notices that the baby is unable to elevate the right arm, which lies limply at his side. The
grasp reflex is found to be present in the infant.
What does the nurse suspect in the child,
possibly as a result of trauma during birth?
A) Fractured clavicle
B) Intracranial hemorrhage
C) Bell's palsy
D) Brachial plexus injury
C
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During morning rounds, the nurse asks a patient, "How are you today?" The patient responds, "You today, you today, you today!" and mumbles the words. This speech pattern is an example of:
a. Echolalia b. Clanging c. Word salad d. Perseveration
The nurse is teaching a smoking cessation class and has included the following statements in the presentation: "Everyone here tonight has the ability to control the urge to smoke. You are all rational people who understand that smoking is the cause of many significant health problems, and that it is a voluntary event that you are going to learn to do without. Regardless of your motivation, you will get help here to understand your triggers to smoke, and how to control them." The nurse is utilizing what type of theory/model to promote smoking cessation?
1. The Self-Efficacy Model 2. The Theory of Reasoned Action 3. The Health Promotion Model 4. The Health Belief Model
A older client is prescribed pilocarpine. The best method to determine the effectiveness of the teaching is:
a. instruct the client to be sure to take this medication as prescribed. b. have the client verbalize understanding of the instructions. c. have client demonstrate how to administer these eye drops. d. be sure the client's daughter also knows how to administer this medication.
When using a cognitive approach, a nurse would include which point in teaching a client about panic disorder?
A. "You might want to stay in the house when you notice the symptoms beginning." B. "Medications such as lorazepam (Ativan) should be taken when symptoms start." C. "Remind yourself that symptoms of a panic attack are time limited and will end." D. "Keep a journal in order to note feelings surrounding the panic attacks."