The patient states that her 5-year-old is always running up to relatives and friends and wants to give them a big hug and kiss. The patient asks if her daughter is appropriate in her actions
Based on the concepts of functional communication, the most appropriate reply would be: 1. "Your daughter's actions are definitely dysfunctional."
2. "Your daughter is just being a ‘little girl' and will outgrow being so affectionate."
3. "Your daughter is going through a normal developmental phase."
4. "Does your mother-in-law show signs of affection toward your daughter?"
3
Physical expression of emotion usually dominates in early childhood and is normal in the developmental pattern.
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During a morning assessment the nurse notes that the oral temperature of an older patient is 96°F (35.6°C). What guide will the nurse use to make decisions about this assessment finding?
A) Older adults are at increased risk for hyperthermia B) Low temperature constitutes a risk to cardiac health C) Older adults often lose body heat in response to infection D) The normal body temperature of older adults is often lower than that of younger people
A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. What should the nurse explain regarding the action of that Ampho-jel?
a. Calms the frequent upset stomach expe-rienced by patients on dialysis b. Binds with phosphorus to increase the se-rum calcium level c. Increases the appetite d. Corrects the pH of the bowel
The nurse is assessing the oral cavity of a client and notes a blackish, furry-looking coating on the tongue. Which of the following questions would be appropriate for the nurse to include when obtaining further assessment data?
1. "Have you eaten licorice lately?" 2. "How often do you brush your tongue?" 3. "Have you recently taken antibiotics?" 4. "Have you ever had this happen before?"
An older client is agitated and develops new-onset confusion on admission to the long-term care unit. What is the best action for the nurse to take to minimize relocation stress syndrome for this client?
a. Provide reorientation during hourly rounding. b. Obtain a certified sitter to remain with the client. c. Speak to the client as little as possible to avoid overstimulation. d. Provide adequate sedation to lessen fear-provoking situations.