Teasing can be common during the school-age years. Which of the following does the nurse recognize as applying most to teasing?
a. Can have a lasting effect on children
b. Is not a significant threat to self-concept
c. Is rarely based on anything that is concrete
d. Is usually ignored by the child who is being teased
ANS: A
Teasing in this age group is common and can have a long-lasting effect. Increasing awareness of differences, especially when accompanied by unkind comments and taunts from others, may make a child feel inferior and undesirable. Physical impairments such as hearing or visual defects, ears that "stick out," or birth marks assume great importance.
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The nurse is having lunch with colleagues from a medical-surgical unit. One of the medical-surgical nurses states, "I don't know how you can work with psych patients! They scare the heck out of me." How should the nurse respond?
1. "It's not that bad, and most of the clients are not that scary." 2. "The clients I work with have physical disorders just like the clients you work with." 3. "I don't know; sometimes I wonder what I am doing." 4. "I must have better nursing skills than you do."
A nurse working with a pregnant woman who is a recent immigrant to the United States notes that her husband rarely accompanies her to prenatal visits, and when he does, he sits in the waiting room. What action by the nurse is best?
A. Ask the patient what role men in her culture play in pregnancy. B. Ask the woman why her husband doesn't seem involved. C. Encourage the man to participate in order to support his wife. D. Research the couple's cultural background and health beliefs.
Level one interventions for potentially assaultive clients should be practiced as:
a. Therapy b. Control methods c. Assessment measures d. Preventive measures
A client with severe esophageal varices is preparing for a transjugular intrahepatic portal systemic shunt (TIPS) insertion. What preprocedure teaching should be included for this client?
A. "You will be discharged home after you are fully awake." B. "You will receive sedation, but the procedure may still be painful." C. "Your liver will function normally within 8 hours of having the shunt placed." D. "This procedure is considered a major surgery and will require general anesthesia."