The student nurse studying childhood cancers understands that neoplasms are caused by which factors? (Select all that apply.)
A.
Chromosomal/genetic abnormalities
B.
External stimuli or environment
C.
Maternal nutrition during gestation
D.
Substance abuse during pregnancy
E.
Viruses that alter the immune system
ANS: A, B, E
Neoplasms are caused by one or a combination of the following: chromosomal or genetic abnormalities, external stimuli or the environment, and/or viruses that alter the immune system. Nutritional deficits and substance abuse by the mother can certainly lead to developmental and other health problems, but do not lead to childhood cancers.
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A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?
a. Immerse the burned area in cold water. b. Apply ice to the burned area. c. Break any blisters that are present. d. Apply petroleum jelly to the burned skin.
The nurse is assessing an adult client. Which observations should the nurse include when documenting the general survey of this client?
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A friend who was raped and beaten appeared to be coping well. However, she recently dropped out of school and shared with the nurse that she is having nightmares where it happens all over again, and these nightmares are becoming impossible to live with
Which of the following would be the concern of the nurse? a. A late psychological reaction of despair and hopelessness b. Depression that no one rescued her and saved her from the traumatic event c. Guilt and concern over what she could possibly have done to invite such an event d. Posttraumatic stress syndrome disorder (PTSD)
The issues a nurse should plan to address during the first interview with a client with a psychiatric
disorder include a. trust, congruence, attitudes, and boundaries. b. relationship parameters, the contract, confidentiality, and termination. c. transference, countertransference, intimacy, and developing resources. d. goals, resistance, unconscious motivations, and diversion.