Which assessment finding would cause the nurse to consider an 8-year-old child to be most at risk for the development of a psychiatric disorder?
a. Being raised by a parent with chronic major depression
b. Moving to three new homes over a 2-year period
c. Not being promoted to the next grade
d. Having an imaginary friend
ANS: A
Statistics tell us that children raised by a depressed parent have a 30% to 50% chance of developing an emotional disorder. The chronicity of the parent's depression means it has been a consistent stressor. The other factors do not create ongoing stress.
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Mr. Lao is a patient with cancer who developed neutropenia several days ago and has consequently been placed in a single-bed room that has positive pressure
Mr. Lao's daughter has just come to visit her father after arriving from her home in another state and has asked you for his room number. You notice that Mr. Lao's daughter has reddened eyes, sniffles, and a dry cough. What instruction should you provide to Mr. Lao's daughter? A) "Even though it might be difficult, it's best for your father's health if you get well before visiting him in person, since he's so vulnerable right now." B) "Your father is extremely vulnerable to infections right now, so I'm going to ask you to make sure you wear a gown when you go into his room." C) "Your father is under neutropenic precautions right now so you're not allowed to visit him." D) "It's very important that you wash your hands thoroughly before you enter your father's room and as soon as you come out."
The nurse auscultates an S2 sound during a cardiovascular system assessment. Which conclusion by the nurse is most appropriate?
1) Normal finding 2) Mitral valve stenosis 3) Pericarditis 4) Hypertension
Which scenario best demonstrates an example of eustress? An individual:
a. loses a beloved family pet. b. prepares to take a 1 week vacation to a tropical island with a group of close friends. c. receives a bank notice there were insufficient funds in their account for a recent rent payment. d. receives notification that their current employer is experiencing financial problems and some workers will be terminated.
Which of the following drugs inhibits hepatic production and release of glucose?
a. pioglitazone (Actos) b. glipizide (Glucotrol) c. sitagliptin (Januvia) d. metformin (Glucophage)