A Puerto Rican–American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient:
a. Has a histrionic personality disorder.
b. Believes dramatic body language is sexually appealing.
c. Wishes to impress staff with the degree of emotional pain.
d. Belongs to a culture in which dramatic body language is the norm.
ANS: D
Members of Hispanic-American subcultures tend to use high affect and dramatic body language as they communicate. The other options are more remote possibilities.
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When the mother of a 3-year-old expresses concern about her daughter's slowed growth rate, the nurse's most informative response would be:
a. "Three-year-olds have finished a growth spurt and now their coordination can catch up." b. "Children's growth is hereditary. She may be of small stature like you." c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?" d. "Your daughter is healthy and happy. Don't worry about her growth right now."
Why is observation for 24 hours in an acute-care setting often appropriate for children?
a. Longer hospital stays are more costly. b. Children become ill quickly and recover quickly. c. Children feel less separation anxiety when hospitalized for 24 hours. d. Families experience less disruption during short hospital stays.
Which nursing intervention will have the greatest impact on minimizing an older adult's risk for re-hospitalization within 30 days of discharge?
a. Providing a depressed individual with a list of suicide prevention hotlines b. Assessment of the cognitive abilities of a individual who lives alone c. Evaluation of a cardiac client's comprehension of their prescribed medication therapy d. Working on balance and strength exercises with a mobility-challenged indi-vidual
The nurse participates in a quality assurance program and reviewing evaluation data from the previous year. Which of the following does the nurse recognize as an example of outcome evaluation?
A) A 4% increase in the number of baccalaureate prepared nurses are employed in the facility. B) A 97% bed occupancy rate in the critical care areas; 92% bed occupancy rate in the non-critical care areas. C) A 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery. D) 98% of all hospital admissions had a nursing history completed within 24 hours of admission