The nurse is planning care for a child diagnosed with cerebral palsy. Which of the following is an appropriate nursing diagnosis for this child?
1. Deficient Diversional Activity
2. Anxiety
3. Activity Intolerance
4. Caregiver Role Strain
1. Deficient Diversional Activity
Rationale:
The child with cerebral palsy will demonstrate poor social skills. To maximize development, the child needs a variety of activities and contact with others. The parent will experience anxiety and caregiver role strain, not the child. The child with CP is more likely to have immobility as a diagnosis not activity intolerance.
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The medication donepezil (Aricept) frequently is used to treat the early-stage symptoms of Alzheimer's disease. When administering this particular medication, the nurse should be especially alert to assess the client for:
a. Weight changes b. Tremors c. Increased sweating d. Alterations in blood pressure
An adolescent patient recently attended a health fair and had a serum glucose test. The patient telephones the nurse and says, "My level was 125 mg/dL. Does that mean I have diabetes?" What is the nurse's most accurate response?
a. "Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes." b. "At this level, you probably have diabetes. You will need an oral glucose tolerance test this week." c. "This level is conclusive evidence that you have diabetes." d. "This level is conclusive evidence that you do not have diabetes."
A nurse discusses services with a federal congressman. Which of the following services would the nurse most likely be discussing?
a. Family planning b. Counseling c. Policy making d. Prevention of communicable diseases
The nurse is preparing for the arrival of a new client at a drug abusers' residential treatment center and prepares to explain to the client that the emphasis of the center is on group and social interaction, and that rules and expectations are
mediated by peer pressure. The most likely focus of therapy of this residential center is: 1. Milieu therapy 2. Aversion conditioning 3. Systematic desensitization 4. Cognitive-behavioral therapy