Teasing can be common during the school-age years. The nurse should recognize that which applies to teasing?
a. Can have a lasting effect on children
b. Is not a significant threat to self-concept
c. Is rarely based on anything that is concrete
d. Is usually ignored by the child who is being teased
ANS: A
Teasing in this age group is common and can have a long-lasting effect. Increasing awareness of differences, especially when accompanied by unkind comments and taunts from others, may make a child feel inferior and undesirable. Physical impairments such as hearing or visual defects, ears that "stick out," or birth marks assume great importance.
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The nurse is assessing a client prior to the administration of a diuretic. The nurse knows it is essential to assess which vital signs at this time?
Standard Text: Select all that apply. 1. Temperature 2. Pulse 3. Respirations 4. Blood pressure 5. Pain
While working with a patient to assess and support spirituality, the nurse should first:
A) refer the patient to the agency chaplain B) assist the patient to use faith to get well C) provide a variety of religious literature D) determine the patient's perceptions and belief system
A nurse is teaching a cardiac patient about the ability of the heart to generate an electrical impulse. Which of the following teaching points should the nurse convey to the patient?
A) "There are many different parts of your heart that can initiate an electrical impulse." B) "Electrical signals travel along the blood vessels that provide oxygen to your heart." C) "Your heart depends on your brainstem to initiate electrical signals." D) "The lining of your left ventricle is the site where electrical signals usually originate."
Which position would be most appropriate for the nurse to suggest as a comfort measure to a woman who is in the first stage of labor? (Select all that apply.)
A) Walking with partner support B) Straddling with forward leaning over a chair C) Closed knee–chest position D) Rocking back and forth with foot on chair E) Supine with legs raised at a 90-degree angle