A nursing instructor presents a case study in which a three-year-old child is in constant motion and is unable to sit still during story time. She asks a student to evaluate this child's behavior
Which student response indicates an appropriate evaluation of the situation? 1. "This child's behavior must be evaluated according to developmental norms."
2. "This child has symptoms of attention deficit-hyperactivity disorder."
3. "This child has symptoms of the early stages of autistic disorder."
4. "This child's behavior indicates possible symptoms of oppositional defiant disorder."
1
Rationale: The student's evaluation of the situation is appropriate when indicating a need for the client to be evaluated according to developmental norms. The DSM-5 indicates that emotional problems exist if the behavioral manifestations are not age-appropriate, deviate from cultural norms, or create deficits or impairments in adaptive functioning.
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The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment. Which ques-tion(s) should the nurse ask to follow this model?
a. How can we negotiate to solve the problem? b. What treatment can improve your condition? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?
To become a leader, one must develop certain personal aspects. Which of the following can be identified as competencies expected in creating leadership in oneself? Select all that apply
a. Asking for overtime b. Asking for certain patient assignments c. Personal and professional accountability d. Acquiring advanced degrees e. Personal discipline
The health care provider orders phenytoin (Dilantin) 4
mg/kg/day in three divided doses for a child who has a seizure disorder. The child weighs 33 lb and the medication is available at 30 mg/5 mL. What is the amount in mL for one dose of this child's medication? (Round to the nearest 10th decimal point.) A) 0.4 mL B) 3.4 mL C) 30 mL D) 34 mL
The nurse recognizes which of the following clients is at greatest risk for an accidental death?
1. A 60-year-old who is a weekend "alcoholic" 2. A 40-year-old who is a professional mountain climber 3. A 35-year-old who commutes 35 miles to work each morning 4. A 50-year-old who recently lost his job because of a work-related injury