When a child scores low enough on the Stanford-Binet to be classified as mentally retarded, the test is repeated
A mother, whose child is asked to repeat the test at a later date, asks the nurse why her child has to go through this test a second time. Which of the following is the nurse's best response? a. "We want to reduce the chance of human error and make certain we have interrater reliability in the scoring."
b. "Test-retest provides a chance for the rater to test the child's recall of information presented during the first test."
c. "A repeat test helps us give you a more accurate score, because many factors, such as mood or sleep, can influence the score."
d. "Your child scored low, and we want to give the child a second chance to prove that he has a normal intelligence quotient."
C
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A Incorrect. This is an incorrect statement.
B Incorrect. This is an incorrect and inaccurate statement.
C Correct. Children's scores on tests to diagnose MR can fluctuate according to mood, sleep, wellness, attention level, arousal, and many other factors. Therefore, because of these factors and because the diagnosis of MR is so traumatic for a family, repeat testing before definitive diagnosis is mandatory.
D Incorrect. This is an incorrect statement.
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A client tells the nurse that one result of his chronic stress is that he has considerable fatigue. He has
tried setting his alarm to give himself an extra 30 minutes of sleep each morning but feels no better. The nurse should suggest that a. "You may need to speak to your doctor about taking a sedative.". b. "Keep doing what you have started. It takes a while to develop new sleep habits.". c. "Try going to bed a half hour earlier than usual and getting up at your regular time.". d. "Waking up to music, rather than an alarm, is often helpful in promoting relaxation.".
Which research report title suggests that theory was used as the framework for the study, rather than being generated as the outcome of the study?
a. The experiences of nurse practitioners providing health care to the homeless (Seilor, A.J. & Moss, V.A., 2012) b. A transformative decision-making process for mammography screening among rural, low-income women (Purtzer, M.S., 2012) c. A randomized, clinical trial of education or motivational-interviewing-based coaching compared to usual care to improve cancer pain management (Thomas, M.L., et al., 2012) d. Older adults' perceptions of feeling safe in an intensive care unit (Lasiter, S., 2011)
The nurse is assessing a family's effective coping strategies and ineffective defensive strategies. Which family-social-system theory is the nurse using in this assessment of the family?
1. Family-stress theory 2. Family-development theory 3. Family-systems theory 4. Family life-cycle theory
The client is receiving oral anticoagulant therapy with warfarin (Coumadin). The result of a newly drawn prothrombin time (PT) is 40 seconds. The nurse anticipates carrying out a prescription to do which of the following?
1. Hold the next dose of warfarin. 2. Increase the next dose of warfarin. 3. Administer the next dose of warfarin. 4. Stop the warfarin, and administer heparin.