A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
1. Lies quietly in bed.
2. Does not cry if his parents return and leave again.
3. Appears to be happy and content with staff.
4. Screams and cries when his parents leave.
1
Rationale 1: Children in the "despair" stage appear sad, depressed, or withdrawn. A child who is lying in bed might be exhibiting any of these.
Rationale 2: The young child who appears to be happy and content with everyone is in the "denial" stage, as is the child who does not cry if his parents return and leave again.
Rationale 3: The young child who appears to be happy and content with everyone is in the "denial" stage, as is the child who does not cry if his parents return and leave again.
Rationale 4: Screaming and crying are components of the "protest" stage.
Global Rationale:
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Institutional mistreatment of the elderly is most likely to occur if
A) the long-term care facility is adequately staffed with caregivers. B) the long-term care facility provides educational inservice training for the staff. C) clients are aggressive toward staff members. D) caregiving staff are not required to work overtime and are screened for burnout.
Which laboratory findings would confirm that a child with insulin-dependent diabetes mellitus (IDDM) is experiencing diabetic ketoacidosis?
a. No urinary ketones b. Low arterial pH c. Elevated serum carbon dioxide d. Elevated serum phosphorus
A nurse charts that a patient has a contusion that is approximately 3 inches in diameter on the right thigh. The nurse understands that a contusion is
1. A scrape or a scratch. 2. A discoloration of the skin. 3. An object embedded in the skin. 4. A cut or tear in the skin.
The nurse makes a medication error and a client dies. In court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this question?
A. "Did you follow agency guidelines as in previous circumstances?" B. "Did you follow the healthcare provider's orders and double-check them before administration?" C. "Did you do the three checks and follow the five rights as taught in school?" D. "Did you do what another nurse would have done under similar circumstances?"