The assessment data for a child aged 9 years reveals that she blurts out answers to questions before
the question is completed, is unable to wait her turn, and persistently interrupts and intrudes in the
conversations of others.
The nurse would assess these behaviors as relating primarily to
a. hyperactivity.
b. impulsivity.
c. inattention.
d. defiance.
B
These behaviors are most directly related to impulsivity. Option A: Hyperactive behaviors are more
physical in nature, such as running, pushing, and the inability to sit. Option C: Inattention is
demonstrated by failure to listen. Option D: Defiance is demonstrated by willfully doing what an
authority figure has said not to do.
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A teenager is in the family practice clinic for a school physical. When the parent leaves the room, the teen admits to "cutting myself" after a relative "touched me in my private area." What action by the nurse is most appropriate?
A. Document the statements and alert the provider. B. Explain that this information must be shared. C. Have the secretary call the police department. D. Reassure the teen of confidentiality rules.
A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?
A) Audiometry B) Rinne test C) Whisper test D) Weber test
Name 4 of the 11 of Gordon's Functional Health Care Patterns used in nursing assessments and a question you might ask in each of these 4 categories
What will be an ideal response?
A patient is using oxymetazoline (Afrin) to relieve nasal congestion. Which of the following conditions would contraindicate the use of this drug?
A) Nasal congestion B) Cough C) Hypertension D) Skin rash