Developmental delay occurs when a child does not meet age appropriate milestones in which area(s) of development?
1. Fine motor skills
2. Gross motor skills
3. Language
4. All of the above
4
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1. Delays can occur in this area and others as well.
2. Delays can occur in this area and others as well.
3. Delays can occur in this area and others as well.
4. Developmental delay, a descriptive term, can be related to an individual milestone delay or a mixed milestone delay.
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If psychiatric nurses used Orem's theory for structuring much of their nursing practice, a major focus area for assessment would be the client's ability to do which of the following?
1. Adapt and function to meet various role expectations. 2. Care about self and participate in self-healing. 3. Implement self-care to meet psychosocial needs. 4. Enter into a therapeutic one-to-one relationship with the nurse.
A nurse is writing a care plan for a newly admitted patient. Which outcome statement did the nurse correctly write?
a. "The patient will eat 80% of all meals." b. "The nursing assistant will set up the pa-tient for a bath every day." c. "The nursing assistant will ambulate the patient three times a day by May 30." d. "The patient will identify the need to in-crease dietary intake of fiber by July 4."
A patient has asked a nurse to assist him to ambulate to the bathroom. The nurse is aware that the patient is currently taking an antidepressant medication. What action should the nurse imple-ment?
a. Never leave the patient alone in his room. b. Ask the patient if he could use the bedside commode instead of going to the bath-room. c. Make suicidal precautions part of the care plan. d. Ask the patient to sit on the side of the bed for a minute or two before standing and then stand slowly.
In what sequence would a client move through the process of admission to disposition in emergency care? (Place in order of priority.)
a. Client is transported to the medical-surgical floor. b. Emergency department (ED) nurse gives a report on the client. c. Paramedics arrive and start IV access. d. Nurse and other health care provider(s) perform assessment. e. Emergency medical technicians (EMTs) provide oxygen and vital sign monitoring. f. Laboratory technician obtains blood specimens.