Which finding should a nurse expect when assessing a child diagnosed with separation anxiety disorder?
1. The child has a history of antisocial behaviors.
2. The child's mother is diagnosed with an anxiety disorder.
3. The child previously had an extroverted temperament.
4. The child's mother and father have an inconsistent parenting style.
2
Rationale: The nurse should expect to find a mother diagnosed with an anxiety disorder when assessing a child with separation anxiety. Some parents instill anxiety in their children by being overprotective or by exaggerating dangers. Research studies speculate that there is a hereditary influence in the development of separation anxiety disorder.
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The nurse is assessing a client who may have arterial insufficiency in the left lower leg. Which assessment findings support the diagnosis of arterial insufficiency? Select all that apply
1. Left dorsalis pedis pulse +1, right dorsalis pedis pulse +3. 2. Skin is cool, tight, and shiny. 3. When left leg is dependent, erythema is present. 4. When left leg is elevated, pallor is present. 5. Client complains of increased pain during rest periods.
In teaching students about the risks of smoking, which of the following methods would be most effective for the school nurse to use?
a. lecture b. teacher-facilitated, student-led small group discussions c. animated video cartoons with popular cartoon characters d. role-play
The nurse notes that an elderly resident of a long-term care facility has fallen and the client is unable to say whether or not he hit his head. Which are the first signs that the nurse will note if this client has sustained a closed head injury? Select all that apply.
A. Spontaneous vomiting B. Bradycardia C. Vertigo D. Headache E. Widened pulse pressure
A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a licensed vocational nurse (LVN), cautions the LVN to immediately report which clinical manifestation?
1. Seizures 2. Respiratory distress 3. Hyperthermia 4. Bradycardia