The essential feature of separation anxiety disorder (SAD) is marked anxiety about separation from major attachment figures, home, or familiar surroundings, which:

a. is repeated every time the child is in similar circumstances
b. lasts at least 2 weeks and is repeated several times a year
c. is beyond that expected for the child's developmental level
d. cannot be resolved with the usual distraction or ignoring


C

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A Incorrect: This is not an essential feature of SAD.
B Incorrect: This is not an essential feature of SAD. The individual must have symptoms for at least 4 weeks and an age of onset before 18 years.
C Correct: The essential feature of SAD is marked anxiety about separation from major attachment figures, home, or familiar surroundings, which is beyond that expected for the child's developmental level. The worry is persistent and excessive and is associated with significant distress or impairment. Typically, the child fears separation or loss will occur as a result of a catastrophic event such as death, kidnapping, or serious accident.
D Incorrect: This is not an essential feature of SAD.

Nursing

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An older client has gastric cancer and is scheduled to have a partial gastrectomy. The family does not want the client told about her diagnosis. What action by the nurse is best?

a. Ask the family why they feel this way. b. Assess family concerns and fears. c. Refuse to go along with the family's wishes. d. Tell the family that such secrets cannot be kept.

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The nurse manager assesses that there is conflict between two of the charge nurses. The decision is made to postpone an intervention and allow the conflict to escalate. Why might the nurse manager make this decision?

1. Allow sufficient time for the problem to spontaneously resolve. 2. Motivate the participants to seek resolution. 3. Give the nurse manager time to identify problem-solving strategies. 4. Relieve the nurse manager of the time commitment necessary to intervene.

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During a health history interview, a male patient tells the nurse that he does not feel that he completely empties his bladder when he voids. He has been diagnosed with an enlarged prostate. What is the name of this symptom?

A) urinary incontinence C) involuntary voiding B) urinary retention D) urinary frequency

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The nurse is caring for a group of patients. Which task can the nurse delegate to the nursing assistive personnel?

a. Assessing a surgical patient for risk of pressure ulcers b. Applying an elastic bandage to a medical-surgical patient c. Treating a pressure ulcer on the buttocks of a medical patient d. Implementing negative-pressure wound therapy on a stable patient

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