Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual disability?

A. The client can perform some self-care activities independently.
B. The client has advanced speech development.
C. Other than possible coordination problems, the client's psychomotor skills are not affected.
D. The client communicates wants and needs by "acting out" behaviors.


ANS: D
The nurse should identify that a client diagnosed with severe intellectual disability may communicate wants and needs by "acting out" behaviors. Severe intellectual disability indicates an IQ between 20 and 34. Individuals diagnosed with severe intellectual disability require complete supervision and have minimal verbal skills and poor psychomotor development.

Nursing

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An older patient with Alzheimer's disease is demonstrating agnosia. Which intervention would be important to include in this patient's plan of care?

1. List choices for the patient to select. 2. Provide deadlines for self-care activities. 3. Refrain from providing verbal instructions. 4. Remove inedible items from the environment.

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The nurse, curious about how people learn, reviews Piaget's theory. According to Piaget, assimilation is:

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A patient with morbid obesity is admitted to the hospital for leg wounds. Which observations should the nurse expect when collecting data from this patient? (Select all that apply.)

a. BMI 41 b. Hyper-excitable c. Lethargy and malaise d. Shortness of breath with walking e. Body weight 120 lbs over ideal weight

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The client is to receive a fat emulsion. Upon entering the client's room, the nurse notes that the IV set will have to be changed as a result of finding:

A. A Y connector in place B. The emulsion infusing for 3 hours C. A solution at room temperature D. An IV infusion filter on the main line

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