A newborn is diagnosed with metatarsus adductus. The parents ask the nurse about how this occurred. Which response by the nurse would be most appropriate?
A) "This condition is due to a genetic defect in the bones."
B) "It's most likely from how the baby was positioned in utero."
C) "They really don't know what causes this condition."
D) "There is probably an underlying deformity of the baby's hip."
B
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The nurse working on a pediatric unit is speaking to a child who is terminally ill. The child is describing her illness in terms of mutilation to her body. Based on the child's response, the nurse plans care for which of the following?
1. Infants 2. Preschoolers 3. School-age children 4. Adolescents
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical exam?
a. Digital rectal exam c. Sexual history b. Pelvic exam d. All of the above
"Doctor shopping," which is common among patients with somatoform disorders, suggests to a nurse that a patient:
a. is denying the psychological component of the illness. b. cannot be successfully treated on an outpatient basis. c. uses rationalization to cope with anxiety aroused by the physical symptoms. d. has chosen to display symptoms of a physical illness to avoid responsibilities.
Nursing interventions may be categorized based upon the degree of nursing autonomy. An ex-ample of a nurse-initiated intervention is:
1. Providing client teaching 2. Administering medication 3. Ordering a liver CAT scan 4. Referring a client to physical therapy