While obtaining a health history of a 3-month-old infant from the mother, the nurse asks about the infant's ability to suck and grasp the mother's finger. What is the nurse assessing?
a. Reflexes
b. Intelligence
c. CNs
d. Cerebral cortex function
ANS: A
Questions regarding reflexes include such questions as, "What have you noticed about the infant's behavior," "Are the infant's sucking and swallowing seem coordinated," and "Does the infant grasp your finger?" The other responses are incorrect.
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A nurse who works in the transition services department of a large hospital has seen increases in the demand for home health. What trend is known to contribute to recent increases in demand for home health care?
A) Increases in the incidence and severity of infections B) Increases in immigration and urbanization C) Growing numbers of older adults who have chronic diseases D) Growing numbers of Americans who have no health insurance
The nurse is caring for four clients. The client with the highest risk of developing retinopathy of prematurity is the:
1. 30-weeks'-gestation infant who was in an Oxy-Hood for 12 hours and weighed 1800 g. 2. 32-weeks'-gestation infant who needed no oxygen and weighed 1850 g. 3. 28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g. 4. 28-weeks'-gestation infant who was on short-term oxygen and weighed 1420 g.
What is a condition, usually a chronic disease, that complicates and slows a person's return to his previous level of function?
a. chronicity c. comorbid disease b. debilitating disease d. functional disease
When performing a mental status examination on an older adult client, the nurse discovers that the client is illiterate and only has a third-grade education. How should the nurse assess the client's cognition?
a. Have the client spell the word "world" backwards. b. Have the client spell the word "world" forwards. c. Ask the client to perform serial 7s. d. Instruct the client to state the days of the week backwards.